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
osteoarthrtis bracing is also called and used to ——
offloading and unloading bracing and used to reduce symptoms of inflammation and pain in knee joint
What exercise program is used in dealing with osteoarthritis
GLAD
true or false exercise can produce a pump effect on synovial fluid playing a crucial role in maintaing joint health, delaying progression of OA
True
