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Autoimmune disorder that primarily affects the joints but may affect major orga
RA is characterized by:
morning stiffness and Symmetrical polyarticular joint pain and inflammation of synovial membrane
common affected joints of RA
MCP, PIP, DIP, metatarsalphalangeal joints, wrists, elbows, knees, hip, shoulders, thumb
Hand deformities for RA include
swelling, redness, heat, subluxation, crepitus, rheumatoid nodules, ulnar drift, swan neck deformities, boutonniere deformities, thumb deformities, rheumatoid nodules
Evaluations of RA include
visual inspection for deformities, MMT, grip strength, pain, ROM, joint laxity, composite motion, hand function tests, sensation
treatment for RA includes
joint protection, energy conservation, AROM, positioning, assistive devices, physical agents, resistive exercises
Exercises for RA include
increase joint range and muscle strength (depending on stage of disease), avoid stress, pain, and work within comfortable ROM, AROM preferred
pain reduction for prevention, respect pain, strength and ROM, using joint in its most stable anatomical position, avoid deformity positions, using strongest joints, use correct patterns of motion, avoid staying in one position, avoid activities that cannot be stopped, balance and activity, reduce the force
Treatment for OA include
Joint protection, reduction of excessive load, pain avoidance, environment modification, provide assistive devices
proper body positioning (use joints symmetrically is possiblt), good body mechanics, avoid fatigue
Systemic Lupus Erythematosus (SLE)
systemic inflammatory disease characterized by small vessel vasculitis
SLE is characterized by
fever, rash, alopecia, pericarditis, Raynaud's phenomenon, pleurisy, nephritis
progressive systemic sclerosis
generalized disorder of the connective tissues, characterized by fibrosis and thickening of the skin and internal organs (can be fatal)
Progressive systemic sclerosis affects
alimentary tract, synovium, heart, kidneys, tightening of the skin, Raynauds phenomenon
Presence of sodium urate crystals in the synovial fluid or deposits of urate crystals in or about the joints
adequate rest (10 min per every hour of work), alternate activities, resist the temptation to overdue, stop before you get too tired
consider the best time of the day, make a schedule, allow enough time, plan what is to be done
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