RC, Arthritis, OI & Hips Flashcards Preview

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

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

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


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


Adhesive Capsulitis or Frozen Shoulder

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


Conservative Tx for Frozen Shoulder

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


Post Op Tx for Frozen Shoudler

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


Shoulder Dislocation

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


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


RA symptoms

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


Boutonniere Deformity

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


Swan Neck Deformity

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



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


OA Symptoms

Pain, stiff, Lim ROM & bone spurs


Heberden's Nodes

Bone spurs at DIP joint


Bouchard's Nodes

Bone spurs at PIP joint


With arthritis avoid

muscle testing unless requested by physicians & strengthening during inflam stage


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


Splint for Post Op MCP Arthroplasty

Dynamic MCP ex splint w radial pull


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


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


Types of OI

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


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


3 types of hip fx

Femoral neck, intertrochanteric, subtrochanteric


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


THR most commonly d/t

Arthritis - surgery is elective


Austin Moore hip replacement vs Tot hip joint implant

Partial - just replace femoral head & THJI replaces acetabulum too


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


Anterolateral Hip Precautions

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


Tx for THR

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


Myofacial Pain Syndrome (MPS)

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


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


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


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