OA & RA

Question 1

RA

Answer 1

systemic connective tissue disease whose onset and progression vary from mild joint sx. with aching and stiffness to abrupt swelling, stiffness, and progressive deformities, periods of exacerbations and remissions.

Question 2

RA clinical picture

Answer 2

Edema at the joints.
Pain with motion. 
Can detect increased temp. at joints. 
Muscle atrophy due to disuse.
Fatigues easily.

Question 3

RA interventions

Answer 3

Positioning.
AAROM.
Active rest.
More caution when moving from isometric to isotonic.
Adapt activities.
RA joint protection principles (lower needed materials, raised toilet seat, alter set up of rooms).

Question 4

OA

Answer 4

A slowly progressive uniarticular disorder of unknown cause, occuring late in life.
Principally affecting the hands and lare WB joints.
Characterized by pain, deformity, and limit of motion.

Question 5

OA Pathology

Answer 5

Focal erosive lessions, cartilage destruction, subchondral sclerosis, cyst formation, and large osteophysites at the margin of the joints; very common in adults (60% of ages 60 and up have dx) more common in women than men.

Question 6

OA Clinical Picture

Answer 6

Inflammation of joint.
Pain at rest and at use.
Potential for deformity and stiffness.

Question 7

OA interventions

Answer 7

Can be worked harder than pts. w/ RA.
Modalities: swimming. 
Positioning w/ sleeping. 
Active rest & joint protection. 
AAROM.