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Occth543
Rheumatology
| Question | Answer |
|---|---|
| What are the three classifactions of joints? | Synarthrosis-no movement Amphiarthrosis-Little movement Diarthrosis-synovial/movable joints |
| What are the 4 types Diarthrotic joints? | ball and socket-shoulder hinge-elbow saddle-thumb plane-patella |
| What are the five articular tissues? | Articular cartilage-on end of bone Capsule-encases the joint Peri-articular-outside capsule-muscle Synovium-line structures Synovial fluid-inside the joint |
| How do joints deal with stress? | destribute, absorbe force and transfer to muscles |
| What 4 components add stability to a joint? | The shape/location Ligaments-guide/align Muscles and tendons-flexability when needed Synovial fluid-hydrostatic seal |
| What are the 5 areas for intervention for rheumatisms? | Pain Deformities Loss of ROM Disability Secondary health problems- |
| What is the prevelance of Osteo Arthritis? and it's predicted to be? | 1/10, 1/4 |
| What persentage of those with arthritis will have foot problems? | 100% |
| What is the 3 roles of the foot? | Foundation stability Central located heal Muscular control |
| How many bones in are in the foot and in how many functional segments? | 26 bones, 3 areas Forefoot, Hindfoot, Midfoot |
| What are the major ligaments of the foot? | Deltoid, Calcaneo, Anterior Talofibular, Posterior talotibial The "spring" navicular ligment |
| What is the plantar fascia? | facia on the bottom supporting the medial arch |
| What is assessed on the Foot? | Gait-with/without foot Daily habit Pain ROM Sensation Skin Condition |
| What part of skin condition is looked at? | Corns-pressure Plantar warts-pain Heal bump on the back Nails-scoriatic artritis Nodules-medication Callouses-Friction |
| What aspects of pain need to be screened? | Morton's Neuroma-tingling and paing between 1st and second toes Metatarsalgia-pain across metatarsals Plantar fascitis-palpate tightness Tendonitis-achilles squeeze pain?ROM Retrocalcaneal bursitis-pain, widening of heal |
| What are effusion | Swellin of soft tissu |
| What is synovitis? | inflammation of the synovial |
| What is the most common problem seen in rheumatis of the foot? | Excessive pronation shifting downward of mid talor area. Excessive joint motion. Increased stress on the joint, reliance of muscle support |
| What is the treatment goal of pronation | slow pronation decrease end range stress stability push off |
| What is a problem with supination? | High arch, true ankle pain, Decreased shock absorption Increased plantar pressure Inability to accomodate to the ground |
| What is the goal of treatmen of supination? | Dispers pressure, provide shock absorption |
| What is Pes Planus? | Flat feet |
| What is Pes Cavus? | exaggerated medial arch |
| What do you want to ensure with foot alignment? | The Subtalor joint/achilles is aligned in neutral |
| What is the Transvers metaphalangial arch? | The arch of the toes |
| What is Crossover toe deformity? | crowding and toe crossed over |
| What is Hallux Valgus? | turning out of the big toe (bunion) |
| What is Hallux Rigidus? | Big toe is fused (Osteo arthritis) |
| What is Flat transverse/metatarsal arch? | The balls of the foot, metatarsal bones themselves on ground |
| What are secondary changes resulting from the transverse arch? | Mallet toes Hammer toes Claw toes Cocked up toes |
| Besides the feet what areas for arthritis do you want to check? | Knees-ROM, Strength, Effusion Hips-ROM, Pain, movement in Gait Leg length discrepency |
| What do we know about footwear? | It can cause or minimize problems |
| What are signs inappropriate footwear? | Shoe size Shoe padding Large shoes Tight sock Moisture |
| What are the Treatment for feet? | Footwear, Joint protection, Othoses, Shoe modifications, Prescribed exercise, Thermal modalities, Walking aids |
| What are the important features of Footwear education? | Heal counter support-suptalor issues higher tops Forfoot support-Metatarsal issues(runners) Midfoot support-pronators Heel height- 1-1 1/2" tops Support-no soft flimsy shoes, othotics, or firm bottom |
| What are the purposes of orthotics? | Stabalize Correct and Re-align *Note need to fit in corrected position/alignment |
| Types of orthotic? | Sansplint-thermoplastic in non weightbearing Biothotics-special, molded, weightbearing Foot Maxx-expesive, computer printout |
| What is one of the best type of orthotic? | Semirigid |
| What treament can you do for plantar faciatus? | Inserts Metatarsal cookies Toe separators Toe splints Toe exercises Cold to decrease inflamation Walking aids |
| If you see a client with a flat foot gait what might be the problem? | planter flexion contracture, balance, effusion |
| What you might woant to check with gait? | Phase of gait and contact Gait deviation Impairments Deviation |
| What is joint protection? | learning to do activities to decrease pain, fatigue, deformities, and loss of function |
| What are the goals to joint protection? | Improve function, improve self awareness |
| What are the principles of joint protection? | Respect pain >2hrs Avoid deformity-flexion, ulnar deviation Avoid long activity Avoid staying in any one position Use large joints Use stable positions Use assistive equipment for flare up Environment mod |
| What is energy conservation? | The preservation and planning of activity to maintain energy to balance productivity, leisure and self-care |
| What are the three components of energy conservation? | Physical energy use, Psychological stressors, Enviromental obstacles |
| What are the main principles of energy conservation? | Alternate heaviness of work Plan work time Plan rest periods |
| What are interventions to maintain the "energy bank"? | Sleep Relaxation and Stress management, talk Engagine life pursuits, leisure activities, Energy conservation Joint protection principles |
| In the pain cycle the most impacting factor is what? | Psychological |
| What are common relaxation techniques? | Deep breathing Visualization Progressive muscle relaxation Autogenics-using sensation (heat) Music and Nature sounds. |
| What are psychosocial issues of rheumatoid illnesses? | Identity/self perception Roles/activities Response to symptoms-fight or relax Knowlege & Self efficacy Change Self image |
Created by:
swcherry
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