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pt management 3 > RA and other things > Flashcards

RA and other things Flashcards

(64 cards)

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1
Q

when is the age of onset for OA

A

normally after 40 yo

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2
Q

what is the progression of OA like

A

occurs slowly over many years in response to mechanical stress

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3
Q

how does OA manifest

A

cart degradation, altered joint artecture, osteophyte formation

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4
Q

joint involvement for OA

A

DIP, PIP, 1st CMC, 1st MCP

cervical and lumbar spine

hips, knees

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5
Q

systematic signs for OA

A

none

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6
Q

RA age of onset

A

15 -50

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7
Q

RA progression

A

suddenly within weeks or months

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8
Q

manifestations of RA

A

inflammatory synovistis and tenosynovistis

ersion of the cart, bones and ligaments

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9
Q

joint involvement of RA

A

many joint normally symmetric

MCP, PIP, MTP

wrist, elbow, shoulder

C-spine

talonavicular and ankle

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10
Q

signs and symptoms of RA

A

redness
warmth
swelling
prolonged morning stiffness
increased pain with activity

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11
Q

signs and symptoms of OA

A

morning stiffness < 30 mins

pain with weight bearing

crepitus

loss of range of motion

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12
Q

systematic signs of RA

A

weight loss

fever

fatigue

rheumatoid nodules

ocular

hematological

respiratory and cardiac features

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13
Q

systematic effects of rheumatoid disease

A

fatigue

cardiac and respirtory symptoms

neuropathy

anemia

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14
Q

what are some examples of rheumatoid diseases

A

RA

Lupus

scleoderma

ankylospondylistis

fibromyalgia

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15
Q

unstable joints and resistance exercises

A

unstable joint may not tolerate resistance exercises

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16
Q

what is a nodule at the elbow

A

bump at the elbow

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17
Q

when a joint is unstable what plane of motion should they be moved

A

in a single plane of motion

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18
Q

how can we accomplish joint specific rest

A

with the use of of AD or splints

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19
Q

knee OA - what part of the knee joint

A

the entire thing

art cart, synovium, bone , soft tissue

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20
Q

capsular pattern for the knee

A

flex > ext

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21
Q

what are some risk factors for OA

A

genetics

age

BMI

bone shape

AFAB

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22
Q

are there different approaches for knee replacements

A

traditional - 8-10 inch incision

minimally invasive approach - 4-6 inch incision, quad sparing

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23
Q

what kind of patient is the min invasive approach good for

A

lower BMI

younger

limited co-morbities

motivated for the rehab process

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24
Q

prognostic factors for TKA

A

BMI

depression

pre-op ROM

physical function and stregnth

age

DM

comorbities

sex

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25
pre -op exercises
focused on strengthing and flexibility
26
CPMs and post op
do not use them
27
cyrotherapy and post op TKA
good use for pain managment
28
NMES and post-op TKA
pt should use NMES to improves quads muscle strengths and other things
29
KOOs score
0-100 0 - problems 100 - no problems
30
STS scores
the teens are the cut off score for most adults
31
TUG cut off score
> 13.5*for community dwelling adults
32
joint involvmenet OA
asymmetrical
33
medical management for OA
low impact exercise - biking and swimming stretching to increase ROM of the effected joint avoid activities that do not allow for a change in position heat for pain relief
34
medical management for RA
avoid high load activities - jumping and running orthoese or splint for joint protections mod activities to require less energy heat for pain relief , caution when the pt is experiencing a flare up
35
is there are single test to diagnose RA or OA
no diagnosis is mainly based on the symptom presentation, labs, imagaing
36
what is scleroderma
a systemic disease due to progressive fibrosis of the skin, vasculature, and internal organs
37
is scleroderma progressive
yes
38
what population does scleroderma occur in
women 30-50
39
what are the symptoms of scleroderma
thickened tight skin tiff hypomobile joints muscle shortening and weakness educed sweating
40
what is diffuse cutaneous scleroderma
rapid progression that extends proximally early pulmonary fibrosis high risk of cardiac and renal involvement
41
what is limited cutaneous scleroderma
CREST C - calcinosis R- raynauds E - esophageal dysfunctions S - sclerodactyly T - telengiectasis
42
what is Calcinosis cutis
condition in which calcium salts are deposited in the skin and subcutaneous tissue
43
what is sclerodactyly
a hardening of the skin of the hand that causes the fingers to curl inward and take on a claw-like shape.
44
what is telengiectasis
small, widened blood vessels on the skin.
45
what is raynauds
small art constrict in response to the cold - limiting the blood supply to affected skin areas
46
what can you do to prevent raynaud's
self care - dress warmer anti-HTN drug CA blocker used to promote vasodilation
47
how do we medically diagnosis scleroderma
CBC anti-body levels creatine levels history pulmonary function tests CT skin biopsy
48
is therapy considered safe in those with scleroderma
yes it is safe
49
what is lupus
chronic autoimmune disease that effects the entire body - skin, joints, heart, lungs, kidneys, etc.
50
how does lupus present
periods of illness and periods of wellness
51
women and lupus
women are 9x more likely to have this more common in black people
52
sym of lupus
butterfly rash fever fatigue raynuads swelling
53
what is the fatigue severity scale
scale that can be used to measure fatigue
54
what is fibromyalgia
chronic disorder that causes msk pain and tenderness throughout the body accompanied by fatigue, sleep, memory, and mmod issues
55
medical managment of fibromyalgia
medicaltions therapy - pt, ot, consueling self care - stress management, sleep stratgies, regular exercise
56
location of most fibro pain
superior chest back calves ant and post knee
57
what is one of the leading causes of hip dislocation
cog impairment
58
risk factors for hip joint dislocation
pt age and when they had surgery small dia of femoral head history of instability number of previous revisions
59
what are poetential complications of chronic hip dislocation
nerve damage osteonecrosis arthritis stretched out ligament and capsule
60
PL approach for hip replacement
most common approach the abd muscle is not cut
61
PL approach precautions
no past mid line IR flex > 90-deg do not roll on unprotected side for 6-weeks - sleep on back for the first 6 weeks
62
lateral approach
split glute med and vastus lateralis less chance of nerve damage and dislocation
63
anterior approach
incision is made near the front of the hip discharged sooner less precautions
64
min invasive hip replacement done in what population
more active younger motivated to particpate in rehab

pt management 3 (10 decks)

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