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Kcep 210 final > Arthritis > Flashcards

Arthritis Flashcards

1
Q

Arthritis - typical clientele

A
  • Older adults

- More females (26 % vs 19%)

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2
Q

What does arthritis means?

A
  • Arthro = joints
  • itis = inflammation
  • Groupe of condition where there is damage caused to the joint
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3
Q

Arthritis - symptoms

A
  • Soreness
  • Stiffness
  • Pain
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4
Q

Most common forms of arthritis (2)

A
  • Rheumatoid arthritis (1% of population)

- Osteoarthritis (10 % of population)

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5
Q

Arthritis - Main problems (2)

A
  • Decreased joint mobility

- Presence of joint pain

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6
Q

Arthritis - incidence

A
  • 4 million Can. (1/7)

- most common cause of long-term disability

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7
Q

Why is the incidence going up?

A

Aging of the population

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8
Q

Impact of arthritis on DL

A
  • Pain = less activity (like gardening, snow shoveling, cleaning house)
  • Physical inactivity higher in people with arthritis
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9
Q

Hand involvement

A
  • Inflammation (swelling)
  • Deformity (bone displacement)
  • Painful
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10
Q

Rheumatoid arthritis (RA) - age of onset

A

Between 20-50 years old

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11
Q

Rheumatoid arthritis (RA) - more common in which gender

A

3x more in females

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12
Q

Rheumatoid arthritis (RA) - what is it

A
  • Inflammation in the synovial membranes and spread through joint
  • More one joint and usually symmetrical
  • Period of exacerbation (flare up) and remission
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13
Q

Rheumatoid arthritis (RA) - most common area

A
  • Wrist
  • Hand
  • Knees
  • Feet
  • Cervical spine
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14
Q

Rheumatoid arthritis (RA) - disease type

A
  • systemic meaning the entire body is affected
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15
Q

Rheumatoid arthritis (RA) - causes + medication

A
  • malfunction of the immune system

- Meds reduce inflammation and pain + immunosuppressive drugs

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16
Q

Rheumatoid arthritis (RA) - C-reactive protein

A

Protein produced by the liver and found in blood

- Blood test for RA diagnosis

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17
Q

Juvenile Rheumatoid arthritis - age of onset

A
  • Average : 6 years old
    2 peaks
  • 2-4 years old
  • 8-11 years old
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18
Q

Juvenile Rheumatoid arthritis - Recovery

A
  • Complete functional recovery in 50% of cases
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19
Q

Juvenile Rheumatoid arthritis - symptoms and cause

A

Similar to RA

- Period of exacerbation last 1 week to several months

20
Q

Rheumatoid arthritis - Warning signs (6)

A
  • Inflammation (pain, swelling, tenderness, heat, redness)
  • Inflammation start gradually or sudden severe attack
  • Morning stiffness (longer than 30 min)
  • Pain in 3 or more joint
  • Low energy and fatigue
  • Fever and weight loss
21
Q

Osteoarthritis - age of onset + incidence between gender

A
  • 50 + years old

- Same incidence 50-50

22
Q

Osteoarthritis - type of disease

A
  • Peripheral (local effect)

- Degenerative joint disease (loss of articular cartilage)

23
Q

Osteoarthritis - most common area

A
  • Joints
  • Hands
  • Spine
  • Hips
  • Knees
24
Q

Osteoarthritis - Causes and symptoms + meds

A
  • Genetic predisposition, joint trauma, excess weight, overuse syndrome
  • Symptoms get worse throughout the day (fatigue)
  • Meds reduce joint inflammation and pain
25
Glucosamine
- No clear proof that it works - Reduce pain - Improve physical function
26
Arthritis treatment - effect of exercise (4)
- Reduce pain - Prevent joint damage - Maintain healthy weight (= less strain on joints) - Strenghten muscles around inflamed joint
27
Arthritis treatment - joint movement
Mechanical pressure over the cartilage = bring nutrients and squeezes out waste
28
Arthritis treatment - Absence of movement
- Cartilage will starve and crumble away | - Tendons and ligaments will shrink, stiffen up and become weaker
29
Program people like me - fitness assessments (6)
- Pre and post 12 week session - Resting HR and BP - Height and weight - Waist circumference - Body fat % and fat free mass - Aerobic testing
30
Program people like me - Classes (7)
- each class is once a week - Pre and post exercise eval - Aerobic training - Resistance training - Range of motion - Stretching - Muscle relaxation or educational talk
31
Program people like me - Training intensity (red)
- More than normal pain + joint in flare up | - Low intensity (rest/recover, ROM, educational talk)
32
Program people like me - Training intensity (yellow)
- Normal pain + normal joint comfort | - Intensity easy to moderate (normal exercise routine)
33
Program people like me - Training intensity (green)
- Better than normal pain + joint feeling good | - Intensity moderate to high (increase time/ weight/ reps/ set)
34
Exercise recommendations (ROM + stretching) - Joint affected but not painful
- ROM exercise : 5-10 reps + position held for 3 sec | - Stretching : 2-3 rep + position held for 20-30 sec
35
Exercise recommendations (ROM + stretching) - Joint slight swollen not hot or painful
Cut rep in half
36
Exercise recommendations (ROM + stretching) - Joint hot, swollen and painful
- ROM : 1-2 reps | - No stretching
37
Exercise recommendations (strenghtening) - Joint affected but not painful
5-10 reps with low load repeated up to 3x (15-30 reps)
38
Exercise recommendations (strenghtening) - Joint slight swollen + mildly painful
cut reps in half = 7-15 reps
39
Exercise recommendations (strenghtening) - Joint hot, swollen and painful
Avoid strenghtening exercises
40
Strengthening - key point
- Important to move (ROM) the affected joint | - Can use light weight and/ or stretch bands
41
Decreasing symptoms - Relaxation
- Relaxing muscle around inflamed joint = reduce pain | - Stress/ anxiety increase pain
42
Decreasing symptoms - Heat/ Cold
- Heat relax aching muscle, reduce joint pain and soreness (not on swollen joints) - Cold lessen pain and swelling in joint
43
Joint protection
- Be kind to body = after heavy work or same task, slow down or stop - Use arms, legs and back in safe ways to avoid stress on joints
44
Surgery - when is it considered
- Joint badly damage | - Pain too strong
45
Surgery - Benefits (3)
- Less pain - Better movements and function - Better physical appearance

Kcep 210 final (8 decks)

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