quiz review

Question 1

a rheumatic disease that affects many systems of the body

Answer 1

lyme disease

Question 2

systemic disorder affecting collagen

Answer 2

scleroderma

characterized by slowly spreading fibrosis and collagen deposits throughout the body

Question 3

joint inflammation resulting from infection by bacteria, viruses, fungi

Answer 3

infectious arthritis

mostly involving one joint

Question 4

a triad of arthritis involving the urethra, eye, intestines and urinary tract

Answer 4

reiters syndrome

uniform swollen digit “sausage digit”

Question 5

what does RA begin with

Answer 5

activation or injury of synovial microvasculature of endothelial cells

Question 6

what condition involves crystals of monosodium urate deposited into tissues

Answer 6

gout

Question 7

an inflammatory, destructive, chronic autoimmune disease of multiple joints and connective tissue

Answer 7

rheumatoid arthritis

Question 8

chronic attack- remitting autoimmune inflammatory disease that can affect any system or organ

Answer 8

systemic lupus erythematosus

most common form of lupus is SLE

Question 9

progressive disease where bones gradually become weaker and thinner

Answer 9

osteoporosis

Question 10

what joints does AS begin in

Answer 10

sacroiliac

Question 11

CI’s for tx for a pt w diabetes

Answer 11

if a pt arrives for a tx confused or lethargic

if a pt has a hypoglycemic attack during tx

if a pt arrives for tx exhibiting changes in mental function

Question 12

osteoporosis is a ____ disease?

Answer 12

flexion

want to give extension exercises

Question 13

risk factors w osteoporosis

Answer 13

women
post menopause
prolonged sex hormone deficiencies
ovaries removed before 45
family hx
caucasian or eurasian
thin, small bones
hyperthyroidism
RA
liver, kidney disease
diabetes mellitus

Question 14

osteoblasts do what

Answer 14

build bone and fill in cavities

Question 15

osteoclasts do what

Answer 15

erode bone and create cavities

Question 16

common condition of chronic synovial inflammation in children is what

Answer 16

juvenile rheumatoid arthritis

Question 17

CI’s for inflammatory arthritides

Answer 17

testing except for active free ROM on acutely inflamed joints

hot hydro during acute inflammation

general massage w fever

lypmh drainage proximal to affected joint are avoided w acute infectious arthritis

local massage over acutely inflamed joints or open lesions

joint play on acutely inflamed joints

between flare ups - deep techniques bc it may provoke inflammation

w joint laxity and hypermobility - stretching is used w caution

Question 18

observations related to AS

Answer 18

gait ax = rigid gait w knee flexion due to hip flexor contracture

lateral view will show HYPERKYPHOSIS, decreased lordotic curve, head forward posture

rib movement is reduced or absent

Question 19

what tests used for AS

Answer 19

AF rom of hips, SI joints & spine may be reduced due to stiffness and pain

PR ROM reveal mm spasm or leathery end feel

AF rom of spine and hip flexion tests are positive

Question 20

massage for AS

Answer 20

hot hydro used between flare ups

treat for stress reduction and hyperkyphosis

use fascial techniques on anterior thorax

Question 21

massage during flare up for inflamm arthritides

Answer 21

if massage is tolerated by client, massage to unaffected areas

30 min tx

relaxation and D. breathing

cold hydro to affected joint

comfort client positioning

Question 22

massage during flare up for inflamm arthritides

Answer 22

tx time = 30-45 mins

relaxation w D. breathing

client comfort positioning

hot hydro used on chronic arthritic joints to control pain and spasm

rhythmic techniques used

fascial techniques are used in contractures are present

joint play techniques w caution

Question 23

self care for inflamm arthritides

Answer 23

exercise to pain tolerance

between flare ups- self stretching is used

submaximal isometric exercise to maintain strength of mm’s crossing affected joints
(ex) lateral arm raise w weight but only raising to shoulder level

during flare ups - COLD HYDRO

between flare ups - HEAT

Question 24

tx goals for inflamm arthritides

Answer 24

• stress reduction / relaxation
• decrease pain, edema, spasm
• maintain joint mobility
• maintain and increase strength
• prevent/reduce postural changes and joint deformities
• reduce contractures - especially in JRA