3) OA Flashcards
What is the leading form of disability in ths US?
Arthritis
What is the most common type of arthritis?
OA?
True or false: OA tends to be bilateral? Why is this a problem?
True; Problem bc it could possible be a systemic manifestation
Why has there been an incr in the prevalence of OA?
Peeps are living longer & are obese
Who is arthritis more common in & why?
Women over 50 bc after menopause, estrogen decr so there’s less Ca2+
What causes OA?
Genetics, Prior Injuries, & Poor Biomechanics
Where do OA-related degenerative changes occur?
Articular Cartilage, Synovium, & Subchondral Bone
Non-Modifiable Risk Factors for OA
- Age
- Gender
- Race
- Genetics
- Nutritional Status
- Congenital/Devo Defects
- Trauma
Modifiable Risk Factors for OA
- Obesity
- Managing repitive stress
- Weakness
- Altered jt biomechanics
- Risk reduction for trauma, sport
- Estrogen deficiency
- C-reactive protein
What is the 1st-line tx for OA?
Acetaminophen
When is OA-related disability the worst?
When pt is older, inactive, & has comorbidites
Risk Factors for Hip OA
- > 60y/o
- Family Hx
- Hip Devo Disorders
- Trauma
Signs & Sx’s of Hip OA
- Decr/Painful Hip ROM
- Groin, thigh, or butt pain referred into the knee that worsens w/activity/prolonged inactivity, & is worse in the AM
- Pain last >30min
- Stiffness
- Fxnl Limitations
- Gait Deviations
Clinical Prediction Rule for Hip OA
1) Squatting aggravates sx’s
2) Lateral hip pain w/active hip flexion
3) Lateral hip/groin pain w/adduction
4) Pain w/active hip extension
5) Passive hip IR <25
Tx for hip OA
- Pt ed
- Gait training w/AD
- Activity modification
- Strengthening, esp abductors
- Manual Therapy
- Endurance Exercise
- Assess work & hobbies
- Psychological status
