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Questions and Answers
What is a key characteristic of Rheumatoid Arthritis?
What is a key characteristic of Rheumatoid Arthritis?
Which treatment method is specifically used to reduce inflammation in arthritis?
Which treatment method is specifically used to reduce inflammation in arthritis?
What type of joint symptoms are commonly experienced with Osteoarthritis?
What type of joint symptoms are commonly experienced with Osteoarthritis?
Which type of splint is recommended for a client with ulnar drift?
Which type of splint is recommended for a client with ulnar drift?
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What node is typically found at the PIP joint in Osteoarthritis?
What node is typically found at the PIP joint in Osteoarthritis?
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What is a primary goal of occupational therapy treatment with arthritis patients?
What is a primary goal of occupational therapy treatment with arthritis patients?
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What is a common symptom associated with Rheumatoid Arthritis?
What is a common symptom associated with Rheumatoid Arthritis?
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Which technique is NOT part of energy conservation strategies for arthritis?
Which technique is NOT part of energy conservation strategies for arthritis?
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What is the primary function of a stump sock in upper extremity prosthesis?
What is the primary function of a stump sock in upper extremity prosthesis?
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What characterizes a phantom limb pain sensation?
What characterizes a phantom limb pain sensation?
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Which of the following describes a hypertrophic scar?
Which of the following describes a hypertrophic scar?
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What is the primary goal during the rehabilitation phase for burn recovery?
What is the primary goal during the rehabilitation phase for burn recovery?
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What does the Lund and Browder chart do in burn assessment?
What does the Lund and Browder chart do in burn assessment?
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What complication is associated with burn patients regarding body temperature?
What complication is associated with burn patients regarding body temperature?
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Which positioning technique is recommended for a lower extremity amputee?
Which positioning technique is recommended for a lower extremity amputee?
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What defines a voluntary opening terminal device (TD)?
What defines a voluntary opening terminal device (TD)?
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What is a common characteristic of eschar?
What is a common characteristic of eschar?
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What is the definition of contracture in a medical context?
What is the definition of contracture in a medical context?
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What is the primary characteristic of a muscle strain?
What is the primary characteristic of a muscle strain?
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Which movement should be avoided to prevent a facet joint sprain?
Which movement should be avoided to prevent a facet joint sprain?
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What is a common sign of orthopedic spinal conditions?
What is a common sign of orthopedic spinal conditions?
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What can lead to macrotrauma?
What can lead to macrotrauma?
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Which term describes the sliding of a superior vertebra over an inferior one?
Which term describes the sliding of a superior vertebra over an inferior one?
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What is a key intervention for managing phantom limb pain?
What is a key intervention for managing phantom limb pain?
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What defines a congenital amputation?
What defines a congenital amputation?
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What is a characteristic of a myoelectric prosthesis?
What is a characteristic of a myoelectric prosthesis?
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Which of the following interventions is appropriate for increasing muscle strength in amputees?
Which of the following interventions is appropriate for increasing muscle strength in amputees?
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What is a recommended intervention for promoting hygiene of the residual limb?
What is a recommended intervention for promoting hygiene of the residual limb?
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Which body part is affected in a transhumeral amputation?
Which body part is affected in a transhumeral amputation?
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What describes a body-powered prosthesis?
What describes a body-powered prosthesis?
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What approach is vital during preoperative care for an amputation?
What approach is vital during preoperative care for an amputation?
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Which type of pain is characterized by lasting longer than 6 months?
Which type of pain is characterized by lasting longer than 6 months?
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What is the primary goal of occupational therapy intervention for acute pain?
What is the primary goal of occupational therapy intervention for acute pain?
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Which modality is used to decrease stiffness and increase range of motion?
Which modality is used to decrease stiffness and increase range of motion?
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What does ORIF stand for in the context of fracture treatment?
What does ORIF stand for in the context of fracture treatment?
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Which of the following is a characteristic of chronic pain?
Which of the following is a characteristic of chronic pain?
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What precaution should be taken with a client experiencing acute pain?
What precaution should be taken with a client experiencing acute pain?
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Which of the following is considered a common type of fracture line?
Which of the following is considered a common type of fracture line?
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What is a key intervention for chronic pain patients in occupational therapy?
What is a key intervention for chronic pain patients in occupational therapy?
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What is the pain cycle as defined in pain management?
What is the pain cycle as defined in pain management?
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What defines a Colles fracture?
What defines a Colles fracture?
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Which of the following theories explains abnormal pain responses where nerve fibers interpret pain differently?
Which of the following theories explains abnormal pain responses where nerve fibers interpret pain differently?
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What does a Mallet finger refer to?
What does a Mallet finger refer to?
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What is the recommended duration for an upper extremity (UE) fracture to heal?
What is the recommended duration for an upper extremity (UE) fracture to heal?
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Which of the following best describes the characteristics of acute pain?
Which of the following best describes the characteristics of acute pain?
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Flashcards
Rheumatoid Arthritis
Rheumatoid Arthritis
A chronic autoimmune condition causing inflammation of joints and surrounding tissue.
Osteoarthritis
Osteoarthritis
A degenerative joint disease from wear and tear, leading to cartilage damage.
Symptoms of Rheumatoid Arthritis
Symptoms of Rheumatoid Arthritis
Includes systemic symptoms, joint pain, swelling, weight loss, fatigue, and deformities.
Bouchard's Node
Bouchard's Node
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Heberden's Node
Heberden's Node
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Joint Protection
Joint Protection
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Energy Conservation
Energy Conservation
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Silver Ring Splint
Silver Ring Splint
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ROM
ROM
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Acute Pain
Acute Pain
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Chronic Pain
Chronic Pain
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Characteristics of Acute Pain
Characteristics of Acute Pain
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Characteristics of Chronic Pain
Characteristics of Chronic Pain
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Pain Cycle
Pain Cycle
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Complex Regional Pain Syndrome
Complex Regional Pain Syndrome
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Etiology of Pain
Etiology of Pain
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OT Intervention for Acute Pain
OT Intervention for Acute Pain
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OT Intervention for Chronic Pain
OT Intervention for Chronic Pain
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Types of Fractures
Types of Fractures
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Colles Fracture
Colles Fracture
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Malett Finger
Malett Finger
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ORIF
ORIF
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Precautions for Back Injury
Precautions for Back Injury
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Voluntary Opening TD
Voluntary Opening TD
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Voluntary Closing TD
Voluntary Closing TD
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Components of UE Prosthesis
Components of UE Prosthesis
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Neuroma
Neuroma
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Phantom Sensation
Phantom Sensation
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Phantom Limb Pain
Phantom Limb Pain
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Proper Positioning for LE Amputee
Proper Positioning for LE Amputee
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Types of Burns
Types of Burns
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Hypertrophic Scar
Hypertrophic Scar
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Contracture
Contracture
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Muscle Strain
Muscle Strain
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Facet Joint Sprain
Facet Joint Sprain
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Slipped Disc
Slipped Disc
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Spinal Stenosis
Spinal Stenosis
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Spondylolisthesis
Spondylolisthesis
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Macrotrauma
Macrotrauma
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Microtrauma
Microtrauma
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Forequarter Amputation
Forequarter Amputation
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Transhumeral Amputation
Transhumeral Amputation
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Transradial Amputation
Transradial Amputation
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Congenital Amputation
Congenital Amputation
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Postoperative Care
Postoperative Care
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Body-Powered Prosthesis
Body-Powered Prosthesis
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Myoelectric Prosthesis
Myoelectric Prosthesis
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Study Notes
Rheumatoid Arthritis
- Chronic, systematic autoimmune disease
- Characterized by synovitis (inflammation of joint lining)
Osteoarthritis
- Degenerative joint disease
- Caused by cartilage breakdown and wear-and-tear
Rheumatoid Arthritis Symptoms
- Systemic symptoms (body-wide)
- Joint pain, swelling, and deformity
- Weight loss, fatigue
Osteoarthritis Symptoms
- Localized joint pain, swelling, and stiffness
- Deformity, weakness (especially CMC joints)
Rheumatoid Arthritis Course
- Acute (flare-ups) and chronic (remissions) phases
Osteoarthritis Course
- Progressive disease
Arthritis Medical Treatments
- NSAIDs (non-steroidal anti-inflammatory drugs)
- DMARDs (disease-modifying antirheumatic drugs)
- BRMs (biologics response modifiers)
- Analgesics (pain relievers)
- Steroids
- Surgical options (synovectomy, tenosynovectomy, tendon surgery, arthroplasty, arthrodesis)
Joint Nodes
- Bouchard's nodes: PIP (proximal interphalangeal) joints
- Heberden's nodes: DIP (distal interphalangeal) joints
De Quervain's Tenosynovitis
- Inflammation of tendon sheath
OT Treatment Goals for Arthritis
- Joint protection
- Energy conservation
Joint Protection Aspects
- Respect pain
- Use larger joints
- Avoid positions of deformity
- Avoid unnecessary joint loading
Energy Conservation/Work Simplification Aspects
- Pre-planning
- Rest
- Good posture and mechanics
- Avoid extremes, diaphragmatic breathing
Adaptive Equipment for Arthritis
- Button hooks, zipper pulls, jar openers, enlarged/lever handles, reachers, dressing sticks, tub seats, grab bars, raised toilet seats
Splinting
- Used for rest, hand function support, and deformity prevention
Splint Types and Uses
- Silver ring splint: swan neck or boutonniere deformities
- Soft splint: ulnar drift
- Wrist splint: De Quervain's
OT Treatment Phases for Arthritis
- Acute: ROM only, no resistance
- Chronic: ROM, gentle stretching, isometric strengthening
Modalities
- Heat: decreases stiffness, increases ROM
- Cold: decreases inflammation, swelling
Pain Definitions
- Acute pain: lasts less than 6 months
- Chronic pain: lasts 6 months or longer
Acute Pain Characteristics
- Signals tissue damage
- Identifiable cause, well localized, accompanies objective signs
Chronic Pain Characteristics
- Occurs after tissue heals
- No identifiable cause, poorly localized, lacks/fluctuates objective signs
Chronic Pain Additional Characteristics
- Multiple failed interventions
- Psychological effects (anxiety, anger)
- Potential legal issues (lawsuits)
Chronic Pain Conditions
- Cancer, arthritis, fibromyalgia
Complex Regional Pain Syndrome (CRPS)
- Miscommunication with sympathetic nervous system causing increased pain response (potentially reversible with early intervention)
Pain Etiology (No One Thinks So Funny Dad)
- Nociceptors (pain receptors)
- Thalamus (pain signal dispersal)
- Somatosensory cortex (pain localization)
- Frontal cortex (pain response coordination)
- Descending analgesic pathways (pain suppression)
Pain Cycle
- Pain -> Muscle Guarding -> Inactivity
Acute Pain Precautions
- Calm pain (modalities, exercises, massages)
Abnormal Pain Response Theories
- Misinterpretation of pain signals
- Centralized pain theory (brain "ownership")
- Gate control theory (blocking signals)
Chronic Pain Precautions
- Break pain cycle in areas of inactivity
- Avoid inactivity
OT Intervention: Acute Pain
- Establish trust
- Early intervention (splinting, ADLs, joint protection, soft tissue techniques)
- Strengthened return to ADLs
OT Intervention: Chronic Pain
- Establish trust
- Avoid focusing on pain
- Focus on function and activity (ADL modification, body mechanics, risk reduction techniques)
Pain Documentation
- Location, description, intensity, pain triggers, and relievers
Fracture Definition
- Break or crack in a bone
Fracture Types
- Closed (no skin break), open (skin break)
Fracture Lines
- Transverse, oblique, spiral, comminuted, segmental, avulsed, impacted, torus, greenstick
Specific Fracture Types (Upper Extremity)
- Colles: distal radius (falling)
- Mallet: distal phalanx (avulsion)
- Boxer's: 5th metacarpal (pinky)
- Scaphoid: carpal bone
Fracture Etiology
- Trauma (falls, accidents) or disease (cancer, osteoporosis)
ORIF Definition
- Open reduction internal fixation (surgery to fix bone)
Fracture Healing Times
- Upper Extremity: 6-12 weeks
- Lower Extremity: 12-30 weeks
OT Intervention: Upper Extremity Fractures
- Maintain integrity of unaffected joints
- Splinting
- Control pain, edema, scarring
- ROM (once stable)
- Strength and control
- Psychosocial adjustment
- ADL training, adaptive equipment
Back Injury Precautions
- NWB (non-weight bearing)
- PWB (partial weight bearing)
- TTWB (toe-touch weight bearing)
- FWB (full weight bearing)
Post-Surgery Movements to Avoid (Hip Posterior/Anterior Approaches)
- Posterior: Flexion, internal rotation, adduction
- Anterior: External rotation, adduction, extension
OT Goals for Fracture Recovery
- Maximize ADLs while maintaining safety,functional mobility, transfers, IADL’s
Muscle Strain
- Tearing, bruising, bleeding, or irritation of muscle fibers (tendon)
Facet Joint Sprain
- Tearing or inflammation of facet joint ligament/capsule (avoid twisting)
Slipped Disc
- Bulging or herniated disc compressing nerves, blood vessels, and ligaments (avoid forward bending)
Spinal Stenosis
- Narrowing of spinal canal
Spondylolisthesis
- Superior vertebra sliding over inferior vertebra (avoid spinal extension)
Orthopedic Spinal Conditions Symptoms
- Localized pain, radiating pain, muscle guarding, weakness, numbness, tingling, restricted mobility
Macrotrauma
- Sudden, major injury
Microtrauma
- Microscopic tissue injury (cumulative effects lead to major injury)
Cumulative Back Injury Factors
- Poor posture, poor mechanics, decreased flexibility, poor fitness
Amputations (Upper Extremity)
- Forequarter: humerus, scapula, clavicle removal
- Shoulder disarticulation: humerus-glenoid fossa separation
- Transhumeral: humerus amputation (loss of elbow)
- Wrist disarticulation: forearm-hand separation
- Transradial: below-elbow amputation
- Elbow disarticulation: lower arm removed at elbow
- Transcarpal: amputation through hand bones
- Finger/phalangeal: finger amputation
- Transmetatarsal: foot amputation at metatarsal bones
- Hemipelvectory: through the pelvis
Amputations (Lower Extremity)
- Transfemoral: above-knee amputation
- Knee disarticulation: lower leg separated from femur at knee
- Transtibial: below-knee amputation
- Symes: foot amputation at ankle joint
Amputation Interventions
- Muscle strength: cuff weights, bands
- Residual limb hygiene: adaptive techniques
- Phantom limb pain: mirror therapy
- Prosthetic training: specific exercises
- Edema control: wrapping, positioning
- Change of dominance: hand coordination
- Psychological support: active listening
- ROM: prevent soft tissue contractors
- Recreational activities: activity-specific adaptations
Amputation Types
- Congenital: present at birth
- Acquired: due to trauma or surgery
Upper Extremity Prostheses
- Passive mitts
- Body-powered
- Myoelectric (muscle-powered)
- Brain-powered
Body-Powered Prosthesis
- TD operation through shoulder flexion/protraction
Myoelectric Prosthesis
- TD controlled by electrodes on muscles
Preoperative Amputation Care
- Psychological support, prosthetic options, postoperative exercise programs, one-handed ADLs
Postoperative Amputation Care
- Emotional support, prosthesis benefits, active listening
Lower Extremity Amputation Interventions
- Positioning, transfers, strengthening, ADLs, IADLs, balance, driving, vocational activities, community reintegration
Upper Extremity Amputation Interventions
- Stump care, wrapping, ROM, desensitization, prosthesis schedule, skill training
Types of TD (Terminal Device)
- Voluntary opening: TD closes, amputee opens
- Voluntary closing: TD opens, amputee closes
UE Prosthesis Components
- Stump sock, harness, cables/components, socket
Neuroma
- Benign tumor at the proximal end of a severed nerve
Phantom sensations
- Sensations felt in the missing limb
Phantom limb pain
- Pain felt in the missing limb
Lower Extremities Amputee Positioning
- Daily ROM, neutral hip alignment, reduced contractors, edema and ulcers
Burn Definitions
- Tissue damage (heat, radiation, electricity, chemicals)
- Eschar (dead tissue)
- Hypertrophic scar (raised, borders)
- Keloid scar (raised, beyond borders)
- Contracture (shortened tissue)
- Debridement (removing tissue)
Burn Types
- Superficial (1st degree, epidermis)
- Partial thickness (2nd degree, dermis)
- Full thickness (3rd/4th degree, subcutaneous/bone)
Burn Assessment
- Rule of Nines
- Lund and Browder chart
Burn Complications
- Infection, temperature regulation, shock, scarring, contractors, psychosocial issues (PTSD, depression, anxiety)
Acute Phase Burn OT Interventions
- Edema control, contracture prevention
Rehabilitation Phase Burn OT Interventions
- PROM/AROM, edema control, scar management, ADLs
Scar Management Techniques
- Wraps, compresses, silicone products, stretching, ultrasound, massages
Post-grafting Burn OT Interventions
- Positioning, immobilization depending on graft
Acute Care Burn OT Interventions
- Medical management, edema management, splints
Rehabilitation Phase Burn OT Interventions (general)
- Achieving independence while preventing deformities
Wrist/Hand Burn Splint Positioning
- Wrist extension 30 degrees
- Thumb abduction/extension
- MCP flexion (50-70 degrees)
- IP extension
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Description
This quiz covers the essential aspects of rheumatoid arthritis and osteoarthritis, including their definitions, symptoms, disease courses, and medical treatments. Test your knowledge on the differences between these two types of arthritis and understand their management options.