Physical
Rehabilitation in Arthritis: Module 2
Course
Goals:
This
course is intended to instruct the student through
self-paced study of the physical rehabilitation and
treatment of patients with arthritic diseases.
Student
Objectives:
At
the end of this course the student will be able to:
1.
Identify 5 reasons physical and occupational therapists
should be familiar with an arthritic client’s drug
regimen.
2.
Identify considerations for therapists when treating
patients taking: acetaminophen, NSAIDs, salicylic acid
derivatives, corticosteroids, antimalarials, gold
compounds, penicillamine, sulfasalazine, methotrexate,
azathioprine, leflunomide, etanercept, infliximab,
colchicine and allopurinol.
3.
Recognize warning signs requiring referral to a
physiciain for patients taking: acetaminophen, NSAIDs,
salicylic acid derivatives, corticosteroids,
antimalarials, gold compounds, penicillamine,
sulfasalazine, methotrexate, azathioprine, leflunomide,
etanercept, infliximab, colchicine and allopurinol.
4.
Identify 6 factors that compromise surgical
intervention.
5.
Identify factors to be considered in the decision of
whether to intervene surgically in the management of an
arthritic patient.
6.
Identify the purpose of debridement, osteotomy,
arthrodesis, arthroplasty, synovectomy, bursectomy,
tendon transfers, nerve decompression and nodule
resection surgeries.
7.
Identify the general priority of surgical procedures.
8.
Identify common surgical procedures of the spine,
shoulder, elbow, wrist, hand, hip and knee for arthritic
patients.
9.
Identify the 6 subtypes of Juvenile Idiopathic Arthritis
10.
Identify the manifestations of Juvenile Rheumatoid
Arthritis
11.
Identify the disease course and prognosis for
pauciarticular, polyarticular and systemic juvenile
rheumatoid arthritis
12.
Identify assessment approaches for the child with
juvenile rheumatoid arthritis
13.
Identify potential impacts on the family of a child with
juvenile rheumatoid arthritis.
14.
Identify patterns of contracture and restriction that
can be clinically present in patients with juvenile
rheumatoid arthritis
15.
Identify values of hydrotherapy when treating patients
with juvenile rheumatoid arthritis
16.
Identify 7 joints that are particularly susceptible to
flexion contractures in the juvenile rheumatoid
arthritis patient.
17.
Identify characteristics of a “good splint”
18.
Identify methods to enhance splint-wearing adherence in
the juvenile rheumatoid arthritis patient
19.
Identify protocols for stretching, muscle strengthening,
and aerobic training for the juvenile rheumatoid
arthritis patient.
20.
Identify barriers to patient adherence of treatment
plans and goals with the juvenile rheumatoid arthritis
patient.
21.
Identify potential barriers and adaptation strategies
for the juvenile rheumatoid arthritis patient’s school
environment.
22.
Identify 5 objectives of physical and occupational
therapy in the management of patients with rheumatoid
arthritis.
23.
Identify 8 general principles in the physical
rehabilitation of rheumatoid arthritis.
24.
Identify the effects of heat or cold modalities on the
rheumatoid arthritis patient.
25.
Identify the effects of heat/cold packs, paraffin wax,
short-wave diathermy and microwave diathermy,
ultrasound, TENS, interferential currents and electrical
muscle stimulation on rheumatoid arthritis patients.
26.
Identify 6 objectives of therapeutic exercise in the
treatment of patients with rheumatoid arthritis.
27.
Identify 2 PNF techniques that can be effective in
mobilizing a rheumatoid arthritic joint with
restrictions.
28.
Identify 5 principles that should be considered in
planning a strengthening exercise program for a
rheumatoid arthritis patient.
29.
Identify the difference between isolated movements and
mass patterns with therapeutic exercise and identify the
preferred technique in treating rheumatoid arthritis
patients.
30.
Identify when isometric or isotonic exercises should be
used in the therapeutic exercise program of a rheumatoid
arthritis patient.
31.
Identify the difference between low back pain and
ankylosing spondylitis.
32.
Identify common functional activities that a patient
with ankylosing spondylitis may have problems
performing.
33.
Identify indications for the use of PNF when treating a
patient with ankylosing spondylitis.
34.
Identify key musculature for stretching and
strengthening when treating a patient with ankylosing
spondylitis.
35.
Identify key exercises for the treatment of ankylosing
spondylitis.
