Chronic pain

Question 1

Juvenile Idiopathic Arthritis

Answer 1

Encapsulates a heterogeneous group of illnesses all manifesting in joint inflammation
Persistent arthritis for more than 6 weeks in one or more joints, starting under the age of 16

Question 2

JIA common signs and symptoms

Answer 2

Pain
Swelling
Limitation of motion
Tenderness
Pain with motion
Joint warmth

Question 3

JIA/Haemophilia MOVEMENT

Answer 3

Motion - pain, fear of pain, secondary MSK impairment
Ease - movements are restricted by pain, fear of pain and swelling and secondary stiffness and weakness due to lack of movement

Question 4

JIA/Haemophilia SENSATION

Answer 4

Senses - hypersensitivity to touch and movement (proprioceptors) of involved joints due to pain and fear of pain
Engages - avoidance/dislike of joint movement (particularly extension) of involved joints and decreased weight bearing through involved joints
Adjusts - not neurologically impaired but pain and fear of pain will delay position adjustments

Question 5

JIA - treatment principles

Answer 5

Monitor pain
Restore joint mobility - gain and maintain active ROM in open and closed chain 
Fitness - CV, respiratory 
Muscle strength 
Endurance
Postural Control

Question 6

Haemophilia

Answer 6

X- linked bleeding disorder which results in a lack of or reduced activity of blood clotting factor VII or blood clotting factor IV

Question 7

Haemophilia common signs and symptoms

Answer 7

Pain
Swelling 
Limitation of motion
Tenderness
Pain with motion 
Joint warmth

Question 8

Haemophilia - treatment principles

Answer 8

Replacement therapy - check clotting factor level 
Restore joint mobility 
Muscle strength 
General fitness
Endurance
Postural Control