Arthritis and skeletal/soft tissue disorders

Question 1

What age does ankylosing spondylitis usually begin

Answer 1

before the 4th decade of life

Question 2

What are early symptoms of ankylosing spondylitis?

Answer 2

mid/LBP, morning stiffness, sacroiliitis

Question 3

What are some postural deformities associated with ankylosing spondylitis?

Answer 3

C/s and t/s kyphosis, decreased lumbar lordosis

Question 4

Does ankylosing spondylitis affect more men or women?

Answer 4

men 3:1 women

Question 5

PT goals for ankylosing spondylitis

Answer 5

flexibility, aerobic conditioning, relaxation exercises

Question 6

What is dysfunctional in gout

Answer 6

purine metabolism (leads to elevated uric acid)

Question 7

Where is gout most often seen?

Answer 7

knee or great toe

Question 8

Where does joint damage secondary to psoriatic arthritis usually occur?

Answer 8

digits and axial skeleton

Question 9

Medications for psoriatic arthritis?

Answer 9

NSAIDs, DMARDs, biological resonse modifiers.

Question 10

PT goals for psoriatic arthritis?

Answer 10

joint protection, improved mechanics, aerobic conditioning.

Question 11

What are characteristics of RA

Answer 11

chronic, systemic, usually symmetrical.

Effects synovium and articular cartilage of hands, wrists, elbows, shoulders, knees, ankles, and feet.

Question 12

What are deformities associated with RA

Answer 12

Ulnar drift of MCP and PIP, swan-neck, bouttoniere, and Bouchard’s nodes (bone formation on dorsum of PIP)

Question 13

Who usually gets RA

Answer 13

women

Question 14

How often does JRA remit

Answer 14

75% get complete remission

Question 15

Who gets osteoperosis

Answer 15

women 10x more than men

Question 16

What is osteomalacia

Answer 16

decalcification 2’ vitamin D deficiency

Question 17

What is Arthrogyposis Multiplex Congenita

Answer 17

congenital limitation in joint motion.

Normal intelligence

Question 18

What is Osteochondritis Dissecans?

Answer 18

separation of articular cartilage from underlying bone

Question 19

Where does osteochondritis dissecans usually occur?

Answer 19

medial femoral condyle, followed by femoral head, talar dome, and humeral capitulum

Question 20

What is myositis ossificans

Answer 20

abnormal calcification in muscle belly (usually following trauma)

Question 21

Where is MO most likely to occur?

Answer 21

Quad, brachialis, biceps brachii

Question 22

What is CRPS

Answer 22

dysfunction of sympathetic nervous system, including pain, circulation/vasomotor disturbances.

Question 23

What is CRPS type I associated with?

Answer 23

Tissue injury. NOT nerve injury

Question 24

Whats CRPS type II associated with

Answer 24

Nerve injury

Question 25

What is paget’s disease

Answer 25

abnormal bone metabolism (osteoclast/osteoblast activity)

Question 26

What can paget’s disease lead to

Answer 26

Spinal stenosis, facet arthropathy, and spinal fx

Question 27

What type of scoliosis is reversible

Answer 27

Nonstructural

Question 28

Structural scoliosis

Answer 28

Irreversible curve, with spinal rotation component

Question 29

Non structural scoliosis

Answer 29

reversible curve, without rotation component

Question 30

What interventions for scoliosis are used for less than a 25* curve?

Answer 30

flexibility, strengthening, and pt ed

Question 31

What interventions are used for scoliosis of 25-45* curve?

Answer 31

orthosis

Question 32

What interventions are used a scoliotic curve of 45* or greater?

Answer 32

sx

Question 33

What is the name of the method used to assess scoliosis via imaging?

Answer 33

Cobb method

Question 34

What muscle is dysfunctional in torticollis?

Answer 34

SCM