Management of OA Flashcards
What is OA?
deterioration of articular cartilage and bone
inflammation secondary to disease
how does OA occur?
synovial fluid is secreted but has nowhere to go with cartilage deterioration
what is OA significance?
highest morbidity
what can affect pain in OA?
improves after exercise + after rest
worsens after forceful gripping or pinching
what are the most commonly involved jts?
knees, hips, PIP/DIP, CMC, spine
purpose of OT for OA?
teach self management of sys
splinting (immobilization)
tools
modify environment
how does weight affect OA?
increased weight = worse OA
how to tx pts with LE OA?
find movements/ADL’s that are difficult to complete
which jt affects ADL performance like grip?
CMC
which are the most symptomatic jts?
PIP, DIP, CMC
What are Heberdon’s nodes?
osteophytes at DIP
What are Bouchard’s Nodes?
osteophytes at PIP
who has more sys?
women
what to look for in OA of the hand?
tendon pain, swelling, lag, crepitis
what tests are done to check hand OA?
finkelstein test: thumb in fist, ulnar deviate
grind test: push thumb into trapezius
what occurs during CMC OA?
STT arthritis (scaph, trap, trap) signs: bony enlargement deformity
CMC jt splint for OA?
C bar
less support
fingers and wrist free
what modalities to use on acute OA inflammation?
cold
electrical stim
superficial heat
what modalities to use on chronic OA inflammation?
ultrasound
what to use for stiffness in OA?
soft splint tubigrip isotoner glove coban warm water exercise
how to increase ROM in OA?
heat and gentle stretch
HEP
how to increase strength in OA?
strengthen specific jts
moderate load
walking for cardio
