lecture 12: athritis Flashcards

1
Q

what is the typical clientele of arthris

A

older adults

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2
Q

as age increases, the risk of arthritis increase or decreases

A

increases

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3
Q

do more females or males get affected by srthritis

A

females

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4
Q

what percentage of women get athritis

A

26%

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5
Q

what oercentage of men have docotr diagnosed arthritis

A

19%

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6
Q

can kinesiologiest play a role in arthritis

A

yes they prescribing exrecise

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7
Q

is glucosamine better than a fake pill (placebo) to reduce pain

A

no

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8
Q

what is glucosaminne

A

used to build up cartilage

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9
Q

artrho means

A

joints

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10
Q

itis means

A

inflammationn

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11
Q

what is the definition of arthritis

A

a group of conditions where there is damage caused to the joints
of the body

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12
Q

true or false: there is only a couple forms of arthtis

A

false, there are more than 100 forms

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13
Q

the 100 forms of arthtis include conditions characterized by what 3 factors

A

soreness, stiffness and pain in joint

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14
Q

what are the 2 most common forms of arthritis

A
Rheumatoid arthritis (± 1% of the population)
Osteoarthritis (± 10% of the population)
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15
Q

in BLANK arthristis there are 3x more females affected than males

A

in rheumatoid arthritis

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16
Q

what arthristis is 50/50 for males and females

A

osteoarthritis

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17
Q

what are the 2 main problems common with all forms of arthritis

A

1) decrease in joint mobility

2) presence of joinnt pain

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18
Q

how many canadians have athritis

A

4 mil

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19
Q

1 in how many people have arthrisi

A

1/7

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20
Q

what is the most common cause of long term disability in ncanada

A

arthritis

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21
Q

more than 600 000 canadians are classfied as disabiled because of what

A

arthris

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22
Q

what is the problem with having arthetis

A

cannot work, decrease ADLs

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23
Q

why is the number of people with arthris going up

A

because average age of populationn is increasing

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24
Q

what can prevnt activities in peiple living with athritis

A

pain

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25
Q

true or false: Physical inactivtiy is much higher in people living with athritis

A

is slightly higher

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26
Q

people with athritis report painn doing physical activities like …

A

gardening, snow shoveling, cleaning the house

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27
Q

can stretchign help with arthrisi

A

yes

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28
Q

what is the hand involvment of arthritis

A

inflammation and joint deformity (with time)

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29
Q

in rheumatoid arthtiris, there is alot of swelling in the hand than can push and cause…

A

bone displacement

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30
Q

rheumatoid arthrisi affects all ages with usual onset between what ages

A

20-50

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31
Q

rheum arthris is BLANK times more common in females

A

3x

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32
Q

what is rhematoid arthrisis

A

Inflammation occurs in the synovial
membranes that cover a joint capsule
and spreads throughout the joint

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33
Q

true or false: rhem arthitis usually affects only one joint

A

false, more tha none joint and usually syumetical

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34
Q

where are the most common joints for rhem artthtisi

A

wrist
hands

knees
feet

cervical spine

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35
Q

which ttype of arhtitis has periods of exacerbation (flare ups) and remission

A

rhematoid

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36
Q

RA disease type is..

A

systemic

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37
Q

why is RA considered a systemic disease

A

the entire body is affected (fever, pallor,

inflammation of tear and salivary glands)

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38
Q

true or false: people with RA can take meds and why

A

yes Medication to reduce joint inflammation and pain +

immunosuppressive drugs

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39
Q

what is the cause of RA

A

malfunction of the immune system (autoimmune disease)

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40
Q

what is the inflammatory marker for RA diagnosis i na blood test

A

c reactive protein

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41
Q

what is c reactive protein

A

it is a protein produced by the liver and found in the blood, CRP levels in the blood rise in response to innflammatio n

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42
Q

whta type of arthritis is associated with inflamed joint acpsule and synovial memebrane

A

rheumatooid

43
Q

what type of arhtris is associated with loose cartliage particles

A

osteoarthris

44
Q

what is the msot common form of arthrisi in children

A

juvenile RA

45
Q

true or false: the Symptoms and causes of juvenile RA are similar to
those of osteoarthrtis

A

false, similar to those of rheumatoid arthritis

46
Q

what is the avg age of onset for juvenile RA

A

6 years

47
Q

what are the 2 peaks of onset of juvenile RA

A

2-4 and 8-11

48
Q

there is complete functionnal recovery in about BLANK percent og cases of juvenile RA

A

50%

49
Q

true or false: Complete functional recovery in

about 50% of the cases (juvenile RA)

A

true

50
Q

the perids of exaercebation for juvenile RA lasts how long

A

1 week to several months

51
Q

what are the 6 warningn signs of RA

A

1) Pain, swelling, tenderness, heat, or redness in a joint. This is called
inflammation

  1. Inflammation may start gradually or with a sudden severe attack
    (Can occur after psychological trauma)
  2. Morning stiffness that lasts longer than 30 minutes
  3. Pain in 3 or more joints at the same time or in a joint all night long
  4. Low energy and fatigue (systemic disease)
  5. Possible fever and weight loss (systemic
    disease)
52
Q

what is inflammation n

A

Pain, swelling, tenderness, heat, or

redness in a joint.

53
Q

in RA inflammation nonly starts gradually>

A

no it can also be a sudden attack (can also occur after psycological trauma)

54
Q

when is there the most stiffness in people with RA

A

morning stiggness that lasts logner than 30 mintutes

55
Q

pain in 2 or more joints a tthe same time is a warning sign of RA?

A

false, pain in 3 or more joints OR pain all nightt long in joint

56
Q

low energy adn fatigue are associatted with RA or osteoarthris and why

A

RA because it is a systemic disease

57
Q

possible fever and weigh loss are warning signs in RA or osteoarhrtis

A

RA because it is a systemic disease

58
Q

what is the most common form of arthritis

A

osteoarthritis

59
Q

osteoarthris mainly affects persons of what age

A

50+

60
Q

in RA or osteo is there the same incidience b/w men and women

A

osteo

61
Q

true or false: Symptoms get worse as the day

goes on in osteoartthris

A

true

62
Q

why do Symptoms get worse as the day

goes on in osteoarthritis

A

because of fatigue

63
Q

which type of arthritis is a degenrattive joint disease (loss of articular cartilage)

A

osteo

64
Q

what are the commonly affects joints in osteo

A

hands, spine hips and knees

65
Q

what do all the common affected joints (hands, spinne, hips and knees) in osteo have in common

A

weight bearing

66
Q

what is the disease type of osteoarthris

A

periopheral (local effect)

67
Q

true or false; you can use meds only for RA

A

false, yuo can use meds to reduce joint inflammation nand pain in osteoartthiris

68
Q

what are the causes of osteoarthris

A

genetic predisposition, joint
trauma (kness of football players),
excess weight (obesity), overuse
syndrome (hands of hairdressers)

69
Q

true or false: exercise is bad for arthtis

A

false, it can help reduce pain, prevent further joint damage

70
Q

why is joint movement good for managing arthritis

A

mechanial pressure oevr the cartilage =brings nutrients and squeezes out waste

71
Q

why is absense of movement bad in arthris

A

Cartilage will starve + crumble away

Tendons + ligaments will shrink, stiffen up + become weakerr

72
Q

why is exrerising to maintain a healthy weight good for managing osteoarthris

A

puts less straign on joints (weight bearing)

73
Q

exercise of inflammed joints helps strenghted what and why is that good

A

strengthen the muscles around the joint which results in less pain

74
Q

according to the training intensity chart, what is a RED workout feel like

A

more than normal painn, jointns i nflare up

75
Q

accoding to the training intensity chart, what is the trtaining inntensity for a red workout

A

low intensity, rest and recover

ROM

76
Q

according to the traning inteisity chart, what is a yellow workout

A

normal pain and normal joint comfort

77
Q

accordig to the training intnensity chart, what is the training intensity for a yellow workout

A

easy to moderate, normal exrcise routine

78
Q

according to the training intenisty chart, whjat is a green workout

A

nbetter than normal pain, joints are feeling good

79
Q

according to the trainning intensity chart, what is the training intensity for a green workout

A

try something new

icnrease time, weight, reps/set

80
Q

if the joint is affected but not painful what should the ROM and stretching exercise be

A

ROM exercise: 5-10 repetitions, the position is held for 2-3
seconds (when it is appropriate)

– Stretching exercises: 2 to 3 repetitions, the position is held
for 20-30 sec

81
Q

if the joint is slightly swollen but neither hot nor painful, what should you do to the reps for stretching and ROM

A

cut reps in half

82
Q

if the joint is hot, swollen and painful, you should perform ROM or stretching

A

only ROM

83
Q

if the joint is hot, swollen and painful what exercise should you do in terms of ROM and strecthing

A

1/2 reps of the ROM exrcise and no strtetching

84
Q

what is the difference between stretching and rom

A

stretthing is adding external force and puts more demand on the joinnt)

85
Q

if joint is affected but not painful, what is the recommendation for sttrengthening exercsise

A

5-10 repetitions with low load (it can be

repeated 3 times = 15 to 30 reps)

86
Q

if the joint is slightly swollen and mildly painful, what should you do for stregnthening exrcises

A

cut the repetitions in half =

7 to 15 reps

87
Q

if the joint is hot swollen and painful, you should avoid what type of exerise

A

avoid strengthing exercise

88
Q

what is the key point in terms of exercise with arthris

A

move the affected joints (maintain ROM)

89
Q

what is the main way of doing stregnth training for arthritis

A

light weights and stretch bands

90
Q

you should do 5-10 repetitions with low load (it can be

repeated 3 times = 15 to 30 reps) for what condition of the joint

A

if the joint is affected but not painful

91
Q

you should do cut the repetitions in half =

7 to 15 reps (strength) for what condition of the joitnt

A

if the jointt is slightly swollen and mildly painful

92
Q

you should avoid strengthening exercises for waht condition of joint

A

if the joint is hot, swllen and painful

93
Q

you can do ROM exercise: 5-10 repetitions, the position is held for 2-3
seconds (when it is appropriate)
– Stretching exercises: 2 to 3 repetitions, the position is held
for 20-30 sec
for what condition of joint

A

if the joint is affected but not painful

94
Q

you can cut the reps for ROM and stretching in half for what condition of joint

A

if the joint is slightly swollen but neither hot nor painful

95
Q

you should only do 1/2 reps of the Rom exercises and no stretching for what condition of thje joint

A

hot, swollen and painful

96
Q

why is relaxion good for exrcise

A

Relaxing the muscles around an inflamed joint

reduces pain.

97
Q

what is the affect of stress/anxiety on arthris

A

will increase pain sensation

98
Q

whta does heat do for arthrtis

A
Heat helps relax aching muscles, reduces joint pain
and soreness (not recommended for swollen joints)
– For example, take a hot shower, hot pad
99
Q

true or false: heat is recommended for swollen joints

A

false, it is not

100
Q

what does cold for for artthris

A

Cold helps to lessen the pain and swelling in a joint

– For example, put an ice pack on your knee

101
Q

to prvent joint deterioration, what should you do to your body

A

Important to be kind to the body. After doing heavy
work, or doing the same task over and overèstop or
slow down

102
Q

why is it important to use arms, legs and back in safe ways and give example

A

to
avoid stress on joints
– Ex: Carry a heavy load close to your body

103
Q

when can surgery be considered for arthrisi

A

Can be considered if the joint
becomes badly damaged, or if the
pain is too strong

104
Q

what are the benefits for surgery for arthris

A

less pain, better movement and function, and in some cases, better physical appearance. Can be minor or major (joint reconstruction)