RC, Arthritis, OI & Hips Flashcards Preview

Phys Dis > RC, Arthritis, OI & Hips > Flashcards

Flashcards in RC, Arthritis, OI & Hips Deck (32):
1

Conservative Tx for Rotator Cuff Tendonitis

Act mod avoiding shoulder level until pain subsides, edu on sleeping posture, decrease pain & restore pain free ROM, strengthening below shoulder level, occ/role training

2

Post Op Tx for Rotator Cuff Tendonitis

PROM from 0-6wks w progression to AA/ROM, decrease pain starting w ice then heat, strengthening at 6 wks begin w isometrics then isotonics below shoulder level, act mod, leisure/work activities 8-12wk

3

Adhesive Capsulitis or Frozen Shoulder

Restricted passive shoulder ROM; greatest restriction w ex rot, then aBduction, in rot & flex.
Glenohumeral ligaments and joint capsule

4

Conservative Tx for Frozen Shoulder

Encourage active used thru ADL/role activities, PROM & modalities

5

Post Op Tx for Frozen Shoudler

PROM imm following surgery, modalities for pain relief, encourage use of extremity for all ADL/role acts

6

Shoulder Dislocation

Anterior most common - regain ROM while avoiding combo aBductio/ex rot, pain free ADL/role act, strengthen rotator cuff

7

Rheumatoid Arthritis

Systemic, symmetrical & affects many joint, commonly attacks small joints of hand, characterized by remissions/exacerbation, begins in acute phase as an inflam process of synovial lining

8

RA symptoms

Pain, stiffness, lim ROM, fatigue, weight loss, lim w ADLs

9

Boutonniere Deformity

Flex of PIP and hyperex of DIP - prevent w silver ring spint

10

Swan Neck Deformity

Hyperex of PIP and flex of DIP - prevent w silver ring spint

11

Osteoarthritis

Degen joint disease, not systemic but wear/tear, commonly affects large weight bearing joints, attacks hyaline cartilage - can be genetic

12

OA Symptoms

Pain, stiff, Lim ROM & bone spurs

13

Heberden's Nodes

Bone spurs at DIP joint

14

Bouchard's Nodes

Bone spurs at PIP joint

15

With arthritis avoid

muscle testing unless requested by physicians & strengthening during inflam stage

16

Tx for Arthritis

Resting hand splint for acute stages, wrist splint for worst arthritis, ulnar drift splint to prevent deformity, hand base thumb splint for CMC arthritis
*AROM is contraindicated esp in inflam stage

17

Splint for Post Op MCP Arthroplasty

Dynamic MCP ex splint w radial pull

18

Osteogenesis Imperfecta

Caused by dysfun of 1 of several genes responsible for producing collagen to strengthen bones. Genes can be inherited by 1 or both parents. Can being to malfun after child is conceived

19

Signs/Symptoms of OI

Malformed bones: short/small body, triangular face, barrel-shaped rib-cage, brittle bones that fx easily, loose joints, sclera of eyes looks blue/purple, brittle teeth, hearing loss (20-30), resp probs and insufficient collage

20

Types of OI

8 main types classified by involved genes: Types 2/3/7/8=severe, Types 4/5/6=mod & Type 1=mild

21

Tx for OI

*Prevention of fx/deformities & AROM! Activity adapt/AT for safe participation, environmental mods, preventive positioning & protective padding/splinting, wt bear activities to facilitate bone growth, health edu, family edu for safety precautions, pain mngt

22

3 types of hip fx

Femoral neck, intertrochanteric, subtrochanteric

23

Tx for hip fx

Bed mobility/beside ADLs, UE strengthening, fx'al ambulation/transfers w app WB status/device, edu on AD, occ based with WB status/device

24

THR most commonly d/t

Arthritis - surgery is elective

25

Austin Moore hip replacement vs Tot hip joint implant

Partial - just replace femoral head & THJI replaces acetabulum too

26

Posterolateral Hip Precautions

More common surgery - no flex beyond 90, no adduction/crossing legs/in rot, no pivot t hip. Raised chairs/toilet seats & trans sit>stand by keeping op hip slightly abducted/extended

27

Anterolateral Hip Precautions

No ex rot, no hip exten > some surgeons follow a no restriction protocol

28

Tx for THR

Instruct/practice use of long handled equip, transfer training, occ based w proper WB status/device

29

Myofacial Pain Syndrome (MPS)

Persistent, deep aching pains in muscle - characterized by trigger points; nonarticular origin

30

Fibromyalgia Syndrome

Musculoskeletal pain/fatigue disorder that varies in intensity. Widespread pain accompanied by muscle tenderness & adjacent soft tissues. Nonarticular rheumatic disease of unknown origin

31

Pain scales that address fx'on

McGill- Self-admin; choose 3words from groups 1-10 to describe pain, 2words from groups 11-15, 1word from group 16, and 1word from groups 17-20; Pain Disability Index- measures degree to which aspects of life are affected by chronic pain & Fx'al Interference Estimate- 5-item self-report measure to assess degree to which pain interferes with daily functioning

32

Tx for Pain

PAMs/Massage in prep for fx'al acts, proper positioning/posture, splint in resting position, gentle ROM, relaxation, proper body mechanics, modifications