PRM IN RHEUMATOID ARTHRITIS

Question 1

Definition:

Answer 1

autoimmune chronic inflammatory disorder that typically affects the small joints of the hands and the feet causing a painful swelling that can eventually result in bone erosion and joint deformity

Question 2

Pathophysiology:

Answer 2

• immune system attacks the synovium
• inflammation thickens the synovium
• eventually destroy the cartilage and bone within the joint
• tendons and ligaments weaken and stretch
• joint loses its shape and alignment.

Question 3

symptoms

Answer 3

• Tender, warm, swollen joints.
• Morning stiffness that may last for hours.
• Firm bumps of tissue under the skin on the arms (rheumatoid nodules).
• Fatigue, fever and weight loss.

Question 4

sites of inflammation

Answer 4

smaller joints first — particularly the joints that attach the fingers to the hands and the toes to the feet.
As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders. In most cases, symptoms occur in the same joints on both sides of the body.

Question 5

what determines the PRM rx in RA

Answer 5

inflammatory activity of the disease:
Ist stage – low inflammatory activity, IInd stage – middle,
IIIrd stage – high,
0 stage – remission.

Question 6

goal of PRM in 0 stage

Answer 6

restoration of the full range of motion, to reducing the muscle hypotrophy and muscle imbalances.

Question 7

methods in I/II stages

Answer 7

kinesiotherapy methods are used – including more joints, actively with manual mobilizations.

Question 8

methods in III stage (hyperalgesia and stiffness of the movements)

Answer 8

non steroid anti-infammatory drugs
cryotherapy, cryoelectrophoresis, 
US therapy, 
ionophoresis with anti-rheumatoid drugs, 
low frequent currencies

Question 9

PRM in chronic(less inflammation) RA

Answer 9

Low frequency analgesic currents and LFPMF are applied to joints with strongest pain and exudation

Occupational therapy and educating in activities of daily life are used if it’s necessary.

Occupational therapy and educating in activities of daily life are used if it’s necessary.