Lecture 11 And 12 Flashcards
Q: How do you determine if pain is in the joints or outside the joints?
A: Use active vs. passive range of motion (ROM). Active is done by the patient, both joints and muscles/tendons move. Passive is done by the physician, only the joints move.
Q: What does it mean if pain occurs during both active and passive ROM?
A: The pain is articular.
Q: What does it mean if pain occurs during active ROM but not passive ROM?
A: The pain is non-articular.
Q: What are the key features of inflammatory arthritis?
A: Morning stiffness lasting > 30 minutes, systemic symptoms (e.g., weight loss, fevers), joint pattern seen in RA or Psoriatic Arthritis (PsA), presence of nodules or rashes.
Q: What are the common symptoms and signs of Rheumatoid Arthritis?
A: Fluctuating joint pain, morning stiffness > 1 hour, better with movement, systemic symptoms (e.g., weight loss, fatigue), and joints commonly affected include MCP, wrist, knees, and shoulders.
Q: What are the risk factors for Rheumatoid Arthritis?
A: Prevalence of 1%, more common in females (3:1 ratio), usual onset in the 20s-40s, genetic markers HLA DR4 and DR1.
Q: What are the primary goals of treating Rheumatoid Arthritis?
A: Prevent or control joint damage, preserve function, and decrease pain and swelling.
Q: What lifestyle adjustments help manage RA?
A: Rest, smoking cessation, reduced stress, healthy eating (anti-inflammatory diets), and patient education.
Q: How does physiotherapy and exercise benefit RA patients?
A: It decreases joint pain, improves daily functioning, strengthens muscles, helps maintain a healthy weight, and enhances well-being.
Q: What types of exercises are recommended for RA patients?
A: Range of motion exercises, endurance/aerobic exercises, and strengthening exercises.
OA is characterized by
degeneration of articular cartilage in synovial joints. Disease of the whole joint
Symptoms and outcomes: osteoarthritis
Pain, disability, poor quality of life, comorbidities, mortality
Risk factors for Post traumatic osteoarthritis
intra-articular injury/re-injury, early RTS, obesity, physical inactivity, muscle
weakness, fear of movement, poor diet, unrealistic expectations, insufficient
exercise therapy, joint dysplasia
Treatment: osteoarthritis
Education, exercise, weight loss, pharmacotherapy, orthosis, surgery
Role of exercise in osteoarthritis
Method for reducing pain and comorbidities; exercise can improve strength,
physical activity, alignment and gait
