Arthritis and skeletal/soft tissue disorders Flashcards
What age does ankylosing spondylitis usually begin
before the 4th decade of life
What are early symptoms of ankylosing spondylitis?
mid/LBP, morning stiffness, sacroiliitis
What are some postural deformities associated with ankylosing spondylitis?
C/s and t/s kyphosis, decreased lumbar lordosis
Does ankylosing spondylitis affect more men or women?
men 3:1 women
PT goals for ankylosing spondylitis
flexibility, aerobic conditioning, relaxation exercises
What is dysfunctional in gout
purine metabolism (leads to elevated uric acid)
Where is gout most often seen?
knee or great toe
Where does joint damage secondary to psoriatic arthritis usually occur?
digits and axial skeleton
Medications for psoriatic arthritis?
NSAIDs, DMARDs, biological resonse modifiers.
PT goals for psoriatic arthritis?
joint protection, improved mechanics, aerobic conditioning.
What are characteristics of RA
chronic, systemic, usually symmetrical.
Effects synovium and articular cartilage of hands, wrists, elbows, shoulders, knees, ankles, and feet.
What are deformities associated with RA
Ulnar drift of MCP and PIP, swan-neck, bouttoniere, and Bouchard’s nodes (bone formation on dorsum of PIP)
Who usually gets RA
women
How often does JRA remit
75% get complete remission
Who gets osteoperosis
women 10x more than men
What is osteomalacia
decalcification 2’ vitamin D deficiency
What is Arthrogyposis Multiplex Congenita
congenital limitation in joint motion.
Normal intelligence
What is Osteochondritis Dissecans?
separation of articular cartilage from underlying bone
Where does osteochondritis dissecans usually occur?
medial femoral condyle, followed by femoral head, talar dome, and humeral capitulum
What is myositis ossificans
abnormal calcification in muscle belly (usually following trauma)
Where is MO most likely to occur?
Quad, brachialis, biceps brachii
What is CRPS
dysfunction of sympathetic nervous system, including pain, circulation/vasomotor disturbances.
What is CRPS type I associated with?
Tissue injury. NOT nerve injury
Whats CRPS type II associated with
Nerve injury
What is paget’s disease
abnormal bone metabolism (osteoclast/osteoblast activity)
What can paget’s disease lead to
Spinal stenosis, facet arthropathy, and spinal fx
What type of scoliosis is reversible
Nonstructural
Structural scoliosis
Irreversible curve, with spinal rotation component
Non structural scoliosis
reversible curve, without rotation component
What interventions for scoliosis are used for less than a 25* curve?
flexibility, strengthening, and pt ed
What interventions are used for scoliosis of 25-45* curve?
orthosis
What interventions are used a scoliotic curve of 45* or greater?
sx
What is the name of the method used to assess scoliosis via imaging?
Cobb method
What muscle is dysfunctional in torticollis?
SCM
