31 terms


Rheumatoid arthritis
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
stage 1 of RA
no destructive changes
stage 2 of RA
osteoporosis, no joint deformity, mm atrophy
stage 3 of RA
Severe, bone, joint, and mm changes
stage 4 of RA
fibrous or bony ankylosis
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
bones not meeting where they are supposed to
Evaluations of RA include
visual inspection for deformities, MMT, grip strength, pain, ROM, joint laxity, composite motion, hand function tests, sensation
jebsen-taylor test
hand function
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
joint protection
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
types of splints for RA include
ulnar drift splint, RHS, figure 8 splints, thumb spica splint
damage to articular cartilage and bone
Osteoarthritis is due to
repetitive impact to joint
OA affects
knees, hips, thumb, spine, DIP
Treatment for OA include
Joint protection, reduction of excessive load, pain avoidance, environment modification, provide assistive devices
Energy conservation
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
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
Ankylosing spondylitis
inflammation of sacroiliac, spinal apopyseal, and sternal joints
Presence of sodium urate crystals in the synovial fluid or deposits of urate crystals in or about the joints
4 P's
Pacing, Planning, Prioritize, Positioning
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
Assertiveness, put first things first, eliminate, modify, and delegate