RA 1, 3, 7, 10, 11

Card Set Information

Author:
bcb2127
ID:
149810
Filename:
RA 1, 3, 7, 10, 11
Updated:
2012-04-25 12:18:32
Tags:
RA 10 11
Folders:

Description:
RA 1, 3, 7, 10, 11
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user bcb2127 on FreezingBlue Flashcards. What would you like to do?


  1. (obj3)
    1. Classification:
    a. Pauciarticular: <__ joints after 6months of disease; __% of cases; uveitis prevalent.
    b. Polyarticular: >__ joints after 6 months of disease; __-__% of cases; joint erosion
    c.Systemic-onset JRA (_____disease): fever rash arthralgia; can occur with pleuritis, pericarditis, anema
    • a. pauciarticular: <5 joints; 50%
    • b. polyarticular: >5 joints; 30-40%
    • c. Still's disease
  2. (obj3)
    2. Possible manifestations in adults (JRA):
    a. ________: osteoporotic; early arthroplasty of large joints; joint ROM limitatios with resuling gait abnormalites; hyperemic overgrowth resulting in limb length discrepancies.
    b.________: appearance more like adult RA; cervical fusion common; joint deformities.
    c.______: growth retardation; multiple systems impaired
    • a. pauciarticular
    • b. polyarticular
    • c. systemic
  3. (obj 8) goals and long term management RA
    Bad Day:
    -avoid any _____ to the acutely inflamed joint. This is because the tensile strength of the ligaments is compromised when they are inflamed. _____ may irreversibly lengthen ligament and joint capsule ,which an eventually cause altered joint alignment, altered pull of muscle vectors, and joint deformity.
    -avoid ____ ____ to acutely inflamed joints.
    -Do perform ___-___ AROM/AAROM several times during the day on the joint that is hot.
    - Do return to regular exercise program when acute joint settles down.
    • - stretching/stretching or PROM
    • - resistance exercise
    • - pain free
  4. (obj 7) management RA
    Good Day
    -Perform _____ to all joints and gentle ____ to joints that are limited.
    -Resisted isometrics: initially ____, and progress to ____.
    • -AROM, gentle AAROM/PROM
    • -isometric-dynamic
  5. (obj 7) Isometric precautions
    1. increased ____-____ pressure
    2. decreased _____ circulation to active muscles.
    • 1. intra-articular
    • 2. blood
  6. (obj7) Dynamic precautions:
    - increased stress on ______ joints
    - may require ____ grip
    Other info on Dynamics:
    -perform dynamic resistance through functional range and avoid extreme _____ ____.
    -When doing resistive exercise, teach ways to avoid adding extrea force on involved hands
    • -unstable/malaligned
    • -power
    • -end-ranges
  7. (obj 10)
    - respect ___
    - balance ____ and ____
    - avoid position of _____
    -use ___/___ joints
    - with joint instability, avoid ____ movements
    - keep a ___ wrist during a power grip
    • - pain
    • - work and rest
    • - deformity
    • - larger/stronger/more stable
    • - torsional
    • - neutral
  8. (obj 10)
    Joint protection principals for the Hand:
    - built up ______ (eating, tools, pens etc.)
    - use ___-style oven mits and dusting cloths alowing an open hand
    - Save ____ grip and __-___ chuck for precise, minimal resistive activities like turning pages.
    - Push an object with your _____ (open hand), rather than your fingers
    - transfers and bed mobility: don't push down into a closed _____.
    • -handles
    • -mitt/glove
    • -pincer grip and 3-jaw chuck
    • -palm
    • -fist
  9. (obj10) Avoiding ulnar deviation (position of deformity)
    -"_____-_____"-ulnar deviation. Use handled levers on door knob. Use mechanical jar openers.
    -When gripping, don't lose wrist _____. Gentle "____" gripping should be done with neurtral wrist, not a flexed wrist.
    -Stirring a pot: hold spoon like a _____ rather than like a ______.
    • -"rightie-tightie"
    • -extension
    • -power
    • - dagger, flashlight
  10. (obj 10)

    Substitute ____ joints to do activity.

    Avoid hooking bags onto ____, use _____ or opposite _____.

    Carrying open box: bad -> good
    -grip open sides with _____
    -grip bottom with _____
    -support underneath with ____
    -support underneath with _____
    -____ or ____ box
    • larger
    • palms; use forearm or opposite shoulder
    • fingers
    • fingers
    • palms
    • forearms
    • push or roll
  11. (obj 11)

    Clinical intentions/reasons for splinting: (4)
    • 1. Reduce pain/inflammation: rest, compressio, neutral warmth
    • 2. Reduce instability: immobilize unstable joints
    • 3. Realign/correct: use static splints to reduce contracture formation; use caution with dynamic splints
    • 4. Secondarily improve function: due to re-alignment
  12. (Obj 11)

    Therapist should be way of secondary complications from splint wearing like loss of ____. Monitor for ____ or increased ______.
    • ROM
    • Paresthesia or increased swelling
  13. Splints used primarily for reduction of ___ and ____ and can be worn throughout the _____ and then intermittently throughout the ____.

    When splints are removed, the ____ ____ should be taken through full ____ ____ at least ___ times per day.
    • pain and inflammation
    • night
    • day
    • affected joints
    • gentle ROM
    • 3x per day
  14. A person will be more compliant wearing a splint if it minimally _____ ____ and _____.

    Trade off between more or less ____ and more or less _____. (ex: taking out metal stay of splint)

    The metal stay of wrist cock-up splint maintains wrist in slight ____.
    • impairs function and dexterity
    • rigidity
    • functional dexterity
    • extension
  15. _____ _____ _____: help control pain and hand swelling by providing gentle, even compression. Unique design provides pain therapy and hand support for sore hands, fingers and joints due to ____, ____ ____ or hand ____, as well as post op rehab.

    ____ finger design allow for freedom of movement.
    • Isotoner therapeutic gloves
    • arthritis, repetitive motion or hand injury

    open

What would you like to do?

Home > Flashcards > Print Preview