Podcast
Questions and Answers
What is the primary goal of OT treatment for clients with arthritis?
What is the primary goal of OT treatment for clients with arthritis?
Which of the following is NOT a common symptom associated with Rheumatoid Arthritis?
Which of the following is NOT a common symptom associated with Rheumatoid Arthritis?
What is the main difference between the acute and chronic phases of Rheumatoid Arthritis?
What is the main difference between the acute and chronic phases of Rheumatoid Arthritis?
Which type of splint is typically used for DeQuervain's tenosynovitis?
Which type of splint is typically used for DeQuervain's tenosynovitis?
Signup and view all the answers
What does the term 'synovectomy' refer to?
What does the term 'synovectomy' refer to?
Signup and view all the answers
Which of the following is NOT an adaptive equipment commonly used by clients with arthritis?
Which of the following is NOT an adaptive equipment commonly used by clients with arthritis?
Signup and view all the answers
Which type of arthritis is characterized by progressive joint damage?
Which type of arthritis is characterized by progressive joint damage?
Signup and view all the answers
Which of the following is NOT a principle of joint protection, as applied to OT intervention for arthritis?
Which of the following is NOT a principle of joint protection, as applied to OT intervention for arthritis?
Signup and view all the answers
What is macrotrauma?
What is macrotrauma?
Signup and view all the answers
What is the main characteristic of microtrauma?
What is the main characteristic of microtrauma?
Signup and view all the answers
What is an example of an intervention technique for edema control?
What is an example of an intervention technique for edema control?
Signup and view all the answers
Which of the following is NOT a component of preoperative care for amputation?
Which of the following is NOT a component of preoperative care for amputation?
Signup and view all the answers
What are the four cumulative factors that lead to back injuries?
What are the four cumulative factors that lead to back injuries?
Signup and view all the answers
What is the primary focus of postoperative care for an amputee?
What is the primary focus of postoperative care for an amputee?
Signup and view all the answers
Which of the following is NOT a recognized type of upper extremity (UE) prosthesis?
Which of the following is NOT a recognized type of upper extremity (UE) prosthesis?
Signup and view all the answers
What is transcarpal amputation?
What is transcarpal amputation?
Signup and view all the answers
When referring to an above the knee amputation, which acronym is commonly used?
When referring to an above the knee amputation, which acronym is commonly used?
Signup and view all the answers
What is the main goal of intervention for increasing muscle strength in an amputee?
What is the main goal of intervention for increasing muscle strength in an amputee?
Signup and view all the answers
Which of the following is NOT considered an intervention technique for UE amputation?
Which of the following is NOT considered an intervention technique for UE amputation?
Signup and view all the answers
What is a body-powered prosthesis?
What is a body-powered prosthesis?
Signup and view all the answers
What is a myoelectric prosthesis?
What is a myoelectric prosthesis?
Signup and view all the answers
What is the main focus of intervention for increasing ROM in an amputee?
What is the main focus of intervention for increasing ROM in an amputee?
Signup and view all the answers
What does it mean to have a congenital amputation?
What does it mean to have a congenital amputation?
Signup and view all the answers
What is spinal stenosis?
What is spinal stenosis?
Signup and view all the answers
What is the primary goal of OT treatment in the acute phase of burn recovery?
What is the primary goal of OT treatment in the acute phase of burn recovery?
Signup and view all the answers
Which of the following is NOT a component of a typical upper extremity prosthesis?
Which of the following is NOT a component of a typical upper extremity prosthesis?
Signup and view all the answers
What is the term for a benign tumor that can develop at the end of a severed nerve after amputation?
What is the term for a benign tumor that can develop at the end of a severed nerve after amputation?
Signup and view all the answers
Which of the following is a key principle of proper positioning for a lower extremity amputee?
Which of the following is a key principle of proper positioning for a lower extremity amputee?
Signup and view all the answers
What type of burn affects the epidermis only?
What type of burn affects the epidermis only?
Signup and view all the answers
Which of the following is NOT a complication associated with burn injuries?
Which of the following is NOT a complication associated with burn injuries?
Signup and view all the answers
What is the appropriate positioning for a wrist/hand burn in a splint?
What is the appropriate positioning for a wrist/hand burn in a splint?
Signup and view all the answers
What is the primary goal of OT treatment in the rehabilitation phase of burn recovery?
What is the primary goal of OT treatment in the rehabilitation phase of burn recovery?
Signup and view all the answers
Which of the following is a type of scar management technique?
Which of the following is a type of scar management technique?
Signup and view all the answers
What is a voluntary closing terminal device (TD) on a prosthesis?
What is a voluntary closing terminal device (TD) on a prosthesis?
Signup and view all the answers
What is a main difference between the treatment approaches of OT for clients with acute pain vs. chronic pain?
What is a main difference between the treatment approaches of OT for clients with acute pain vs. chronic pain?
Signup and view all the answers
Which of the following are common conditions associated with chronic pain?
Which of the following are common conditions associated with chronic pain?
Signup and view all the answers
What is the gate theory of pain modulation?
What is the gate theory of pain modulation?
Signup and view all the answers
What is a common type of upper extremity fracture?
What is a common type of upper extremity fracture?
Signup and view all the answers
What is the pain cycle?
What is the pain cycle?
Signup and view all the answers
What does ORIF stand for?
What does ORIF stand for?
Signup and view all the answers
Which of the following is NOT a common type of fracture line?
Which of the following is NOT a common type of fracture line?
Signup and view all the answers
What is TTWB?
What is TTWB?
Signup and view all the answers
What is the main function of the thalamus in the pain pathway?
What is the main function of the thalamus in the pain pathway?
Signup and view all the answers
What is a Mallet finger?
What is a Mallet finger?
Signup and view all the answers
What is Complex Regional Pain Syndrome?
What is Complex Regional Pain Syndrome?
Signup and view all the answers
What are the precautions with a client who has had a hip posterior approach surgery?
What are the precautions with a client who has had a hip posterior approach surgery?
Signup and view all the answers
What are the precautions with a client who has acute pain?
What are the precautions with a client who has acute pain?
Signup and view all the answers
What are OT intervention goals for clients recovering from fractures?
What are OT intervention goals for clients recovering from fractures?
Signup and view all the answers
What is the difference between an open and closed fracture?
What is the difference between an open and closed fracture?
Signup and view all the answers
What are the initial OT interventions for a client with acute pain?
What are the initial OT interventions for a client with acute pain?
Signup and view all the answers
What are the precautions for a client with a back injury? (Select all that apply)
What are the precautions for a client with a back injury? (Select all that apply)
Signup and view all the answers
Signup and view all the answers
Flashcards
Rheumatoid Arthritis
Rheumatoid Arthritis
Chronic autoimmune disease causing inflammation of joints and synovitis.
Osteoarthritis
Osteoarthritis
Wear and tear of joints leading to cartilage damage.
Symptoms of Rheumatoid Arthritis
Symptoms of Rheumatoid Arthritis
Systemic symptoms include fatigue, weight loss, joint pain, and deformities.
Symptoms of Osteoarthritis
Symptoms of Osteoarthritis
Signup and view all the flashcards
Bouchard's Node
Bouchard's Node
Signup and view all the flashcards
Heberden's Node
Heberden's Node
Signup and view all the flashcards
DeQuervain's Tenosynovitis
DeQuervain's Tenosynovitis
Signup and view all the flashcards
Joint Protection Aspects
Joint Protection Aspects
Signup and view all the flashcards
Voluntary opening TD
Voluntary opening TD
Signup and view all the flashcards
Voluntary closing TD
Voluntary closing TD
Signup and view all the flashcards
Components of UE prosthesis
Components of UE prosthesis
Signup and view all the flashcards
Neuroma
Neuroma
Signup and view all the flashcards
Phantom sensation
Phantom sensation
Signup and view all the flashcards
Phantom limb pain
Phantom limb pain
Signup and view all the flashcards
Debridement
Debridement
Signup and view all the flashcards
Hypertrophic scar
Hypertrophic scar
Signup and view all the flashcards
Keloid scar
Keloid scar
Signup and view all the flashcards
Rule of Nines
Rule of Nines
Signup and view all the flashcards
ROM
ROM
Signup and view all the flashcards
Acute Pain
Acute Pain
Signup and view all the flashcards
Chronic Pain
Chronic Pain
Signup and view all the flashcards
Characteristics of Acute Pain
Characteristics of Acute Pain
Signup and view all the flashcards
Characteristics of Chronic Pain
Characteristics of Chronic Pain
Signup and view all the flashcards
Complex Regional Pain Syndrome
Complex Regional Pain Syndrome
Signup and view all the flashcards
Pain Cycle
Pain Cycle
Signup and view all the flashcards
OT Intervention for Acute Pain
OT Intervention for Acute Pain
Signup and view all the flashcards
OT Intervention for Chronic Pain
OT Intervention for Chronic Pain
Signup and view all the flashcards
Types of Fractures
Types of Fractures
Signup and view all the flashcards
Colles Fracture
Colles Fracture
Signup and view all the flashcards
ORIF
ORIF
Signup and view all the flashcards
NWB
NWB
Signup and view all the flashcards
PWB
PWB
Signup and view all the flashcards
Movements to Avoid Post-Surgery (Back)
Movements to Avoid Post-Surgery (Back)
Signup and view all the flashcards
Muscle strain
Muscle strain
Signup and view all the flashcards
Facet joint sprain
Facet joint sprain
Signup and view all the flashcards
Slipped disc
Slipped disc
Signup and view all the flashcards
Spinal stenosis
Spinal stenosis
Signup and view all the flashcards
Spondylolisthesis
Spondylolisthesis
Signup and view all the flashcards
Macrotrauma
Macrotrauma
Signup and view all the flashcards
Microtrauma
Microtrauma
Signup and view all the flashcards
Forequarter amputation
Forequarter amputation
Signup and view all the flashcards
Transhumeral amputation
Transhumeral amputation
Signup and view all the flashcards
Phantom limb pain management
Phantom limb pain management
Signup and view all the flashcards
Congenital amputation
Congenital amputation
Signup and view all the flashcards
Body-powered prosthesis
Body-powered prosthesis
Signup and view all the flashcards
Myoelectric prosthesis
Myoelectric prosthesis
Signup and view all the flashcards
Postoperative care for amputation
Postoperative care for amputation
Signup and view all the flashcards
Edema control in amputation
Edema control in amputation
Signup and view all the flashcards
Study Notes
Rheumatoid Arthritis
- Chronic, systemic autoimmune disease
- Characterized by synovitis (inflammation of the fluid around joints)
Osteoarthritis
- "Wear and tear" arthritis
- Causes cartilage damage in joints
Rheumatoid Arthritis Symptoms
- Systemic (throughout the body)
- Joint pain, swelling, and deformities
- Weight loss, fatigue
Osteoarthritis Symptoms
- Localized joint pain, swelling, and stiffness
- Deformities, weakness
- CMC (carpo-metacarpal) joint involvement
Rheumatoid Arthritis Course
- Acute (exacerbation) and chronic (remission) phases
Osteoarthritis Course
- Progressive
Arthritis Medical Treatments
- NSAIDs, DMARDs, BRMs
- Analgesics, steroids
- Synovectomy, tenosynovectomy, tendon surgery, arthroplasty, arthrodesis
Joint Nodules
- Bouchard's nodes at PIP (middle) joints
- Heberden's nodes at DIP (distal) joints
De Quervain's Tenosynovitis
- Inflammation of tendon sheath
Occupational Therapy (OT) Goals for Arthritis
- Joint protection and energy conservation
Joint Protection
- Respect pain
- Use larger joints for tasks
- Avoid positions of deformity and unnecessary loading
Energy Conservation/Work Simplification
- Pre-plan, organize
- Rest, good posture
- Avoid extremes, diaphragmatic breathing
Adaptive Equipment for Arthritis
- Button hooks, zipper pulls
- Jar openers, enlarged handles
- Shoe horns, bath sponges, reachers, dressing sticks, tub seats, grab bars, raised toilet seats
Splinting
- Rest, support, prevent deformities
Splinting Applications
- Silver ring splint: swan neck, boutonniere
- Soft splint: ulnar drift
- Wrist splint: De Quervain's
OT Treatment Phases for Arthritis
- Acute Phase: ROM only, no resistance
- Chronic Phase: ROM, gentle stretching, isometric strengthening
Modalities for Arthritis
- Heat: Decrease stiffness, increase ROM
- Cold: Decrease inflammation, swelling
Pain Definitions
- Acute Pain: < 6 months
- Chronic Pain: > 6 months
Acute Pain Characteristics
- Signals tissue damage
- Identifiable cause, well localized, objective signs
Chronic Pain Characteristics
- Occurs after tissue damage and healing
- Lack of identifiable cause, poorly localized, fluctuating subjective signs
- Multiple failed treatments, psychological effects (anxiety, anger), litigation
Chronic Pain Associated Conditions
- Cancer, arthritis, fibromyalgia
Complex Regional Pain Syndrome (CRPS)
- Sympathetic nervous system miscommunication, increasing pain response
- Reversable with early intervention
Pain Etiology (Nociception)
- Nociceptors: Pain receptors
- Thalamus: Disperses pain signals
- Somatosensory cortex: Pain localization
- Frontal cortex: Response coordination
- Descending analgesic pathways: Opioid suppression
Pain Cycle
- Pain -> Muscle Guarding -> Inactivity
Acute Pain Precautions
- Calm pain with modalities, exercises, massages
Pain Mechanism Theories
- Misinterpretation: Nerve fibers outside CNS
- Centralized pain theory: Brain "ownership"
- Gate theory: Pain signal inhibition (rubbing stubbed toe)
Chronic Pain Precautions
- Break pain cycle, avoid inactivity
OT Intervention with Acute Pain
- Trust building
- Early intervention (splinting, PAMs, soft tissue, ADLs)
- Strengthening and graded return to ADLs
OT Intervention with Chronic Pain
- Trust building
- Avoid focus on pain
- Focus on function, ADLs, body mechanics, compensation
Pain Documentation
- Location, description, intensity, aggravators, relief
Fracture
- Break or crack in a bone
Fracture Types
- Closed, open
Fracture Lines
- Transverse, oblique, spiral, comminuted, segmental, avulsed, impacted, torus, greenstick
Specific Fracture Examples (UE)
- Colles fracture: Distal radius, fall
- Mallet finger fracture: Distal phalanx avulsion
- Boxer's fracture: 5th metacarpal
- Scaphoid fracture: Specific carpal bone
Fracture Etiology
- Trauma, disease (cancer, osteoporosis)
ORIF
- Open reduction internal fixation
Fracture Healing Times
- UE: 6-12 weeks
- LE: 12-30 weeks
OT Intervention Steps for UE Fractures
- Maintain non-immobilized joints
- Splinting
- Control pain, edema, scarring
- ROM (as prescribed)
- Strength and control
- Psychosocial adjustment
- Achieve highest function (ADL, adaptive equipment)
Back Injury Precautions
- NWB, PWB, TTWB, FWB
Back Surgery Precautions (Hip Approach)
- Posterior: No flexion, internal rotation, adduction
- Anterior: No external rotation, adduction, extension
OT Goals for Fracture Recovery
- Max ADL level, safety, functional mobility, transfers, IADLs
Muscle Strain
- Tearing, bruising, bleeding, irritation of muscle fibers
Facet Joint Sprain
- Ligament/joint capsule tear or inflammation
- Avoid twisting
Slipped Disc
- Bulging/herniated disc, nerve/blood vessel compression
- Avoid forward bending
Spinal Stenosis
- Narrowing of spinal canal
Spondylolisthesis
- Superior vertebra slips over inferior
- Avoid spinal extension
Orthopedic Spinal Conditions - Signs/Symptoms
- Localized/radiating pain
- Muscle guarding/tenderness
- Weakness, numbness, tingling
- Mobility impairment
Macrotrauma
- Sudden injury from major force
Microtrauma
- Microscopic tissue injury from cumulative effects
Cumulative Back Injury Factors
- Poor posture, body mechanics
- Decreased flexibility, poor fitness
Amputation Types (UE)
- Forequarter: Humerus, scapula, clavicle removal
- Shoulder disarticulation: Humerus-glenoid fossa
- Transhumeral: Through humerus, no elbow
- Wrist disarticulation: Hand-forearm meeting point
- Transradial: Below elbow
- Elbow disarticulation: Forearm removal, humerus remains
Amputation Types (LE)
- Transcarpal: Through hand bones
- Finger/phalangeal amputation: Passive prosthesis
- Transmetatarsal: Through metatarsals
- Hemipelvectory: Through pelvis
- Transfemoral: Above knee disarticulation; A.K.A.
- Knee disarticulation: Lower leg removal, femur remains
- Transtibial: Below knee; B.K.A.
- Symes: Foot removal at ankle joint
Intervention for Increasing Muscle Strength (Amputation)
- Cuff weights, exercise bands
Intervention for Residual Limb Hygiene
- Adaptive techniques for self-care pre-prosthesis
Intervention for Phantom Limb Pain
- Mirror therapy
Intervention for Prosthetic Training
- Shoulder flexion/bilateral scapular abduction to open/close prosthesis
Intervention for Edema Control
- Reduce residual limb volume to enhance prosthetic fit
Intervention for Change of Dominance (Amputation)
- Increase radial digital coordination
Intervention for Psychological Support (Amputation)
- Active listening, stages of grief
Intervention for Increasing ROM
- Prevent soft tissue contractors
Intervention for Recreation/Leisure (Amputation)
- Activity-specific prosthetic adaptations
Congenital vs. Acquired Amputation
- Congenital: Limb absence at birth
- Acquired: Surgery/trauma
Types of UE Prostheses
- Passive hands/mitts
- Body-powered
- Myoelectric
- Brain-powered
Body-Powered Prosthesis
- TD operated by shoulder flexion/protraction
Myoelectric Prosthesis
- TD operated by muscle electrode activity
Preoperative Amputation Care
- Psychological support, prosthetic options, post-op exercise, ADL techniques
Postoperative Amputation Care
- Emotional/psychological support, prosthesis benefits
LE Amputation Intervention
- Positioning, transfers, strengthening, ADLs, IADLs, dynamic balance, driving, pre/vocational, leisure, community reintegration
UE Amputation Intervention
- Stump care/hygiene, stump wrapping, ROM, desensitization, prosthetic wear schedule, skill training
Voluntary Opening/Closing TD
- Voluntary opening: Closed at rest, opened by action
- Voluntary closing: Open at rest, closed by action
UE Prosthesis Components
- Stump sock, harness, cables/components, socket
Neuroma
- Benign tumor at the proximal end of severed nerve
Phantom Sensation
- Sensations from missing limb
Phantom Limb Pain
- Burning, shooting, squeezing sensations in amputated limb
LE Amputation Positioning
- Daily ROM, avoid pillows, neutral hip alignment, reduce contractures, edema, ulcers
Burn Positioning (Anterior Leg)
- Slight knee flexion
Burn
- Tissue damage from heat, radiation, electricity, chemicals
Eschar
- Necrotic tissue adhering to wound
Hypertrophic Scar
- Raised scar within border
Keloid Scar
- Raised scar beyond border
Contracture
- Shortening of soft tissue around joint
Debridement
- Wound tissue and foreign object removal
Burn Types
- Superficial (1st degree), partial (2nd degree), full thickness (3rd/4th degree)
Burn Depth (Skin Layers)
- Superficial: Epidermis
- Partial: Dermis
- Full Thickness: Subcutaneous/bone
Rule of Nines/Lund and Browder Chart
- Estimated burn area
Burn Complications
- Infection risk, body temperature regulation, shock, scarring, contractures, psychosocial adjustments
OT Treatment - Acute Burn Phase
- Edema control, contracture prevention
OT Treatment - Rehabilitation Burn Phase
- PROM/AROM, edema control, scar management, ADL's
Scar Management Techniques
- Wraps, compression garments, silicone, stretching, ultrasound, massage
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Explore the key differences between Rheumatoid Arthritis and Osteoarthritis. This quiz covers their symptoms, treatment options, and progression. Test your understanding of these common forms of arthritis and their impact on health.