Knee Unit- Joint Hypomobility Flashcards
Common Impairments of Arthritic/hypomobile knees
- impaired ROM (more loss of flexion, stiffness)
- effusion
- joint assumes a position of 25 degrees of flexion (capsule)
- Reflex quadriceps inhibition (Extensor lag in active knee extension, knee buckle=saves pt from falling)
- Severe knee pain (@ night)
- Disturbed balance responses
- Possible deformity of the knee (Q angle, medial wears down first)
- Impaired mobility skills
What are common fxn limitations?
- pain on motion
- w/ WB
- during gait
What functions are difficult for pt?
- sit <> stand
- desc/ascend stairs
- stooping
- squatting
what diagnostics are used?
xray
CT scan
MRI
all determine extent of deterioration and bony abnormalities within the knee joint
What are the goals of MAXIMAL protection phase?
IMPORTANT
- Control pain
- Maintain soft tissue and joint mobility
- Maintain muscle function and prevent patellar adhesions
- Protect joint
Protect the joint
IMPORTANT
-Partial weight bearing activities
-Patient education
>Bed positioning to avoid flexion contractures
-Make functional adaptations
>Minimize stair climbing, use elevated seats, avoid deep seated or low chairs
What are the goals of controlled mobility phase and return to function phase?
IMPORTANT
- Decrease the effects of stiffness and inactivity
- Decrease pain from mechanical stress
- Increase joint play and ROM
- Develop strength and endurance in supporting muscles
- Improve function
- Patient education
What is involved in the pt education from mobility and return to fxn phases?
COULD BE TOPICS ON P.EXAM FOR Pt Ed.
- What to expect from recovery
- How to protect joints
- Emphasize that maintaining strength in supporting muscles helps protect and stabilize the joint
- Do ROM and isometrics prior to standing
- Alternate activity with rest
related dx to joint hypomobility
RA
OA
Acute trauma
adhesions from immobilization
