RA Mx
Ashish Prabhakar
Asst. Professor
Department of Musculoskeletal Sciences
DVVPF’s College of Physiotherapy, Ahmednagar
Physiotherapy management
• Goals
• Patient and family education.
• Reduce pain
• Improve and maintain joint ROM
• Improve and maintain muscle strength
• Improve joint stability and reduce biomechanical
stresses on all affected joints.
• Increase endurance in all functional activities
• Promote independence in ADLs including bed mobility
and transfers.
• Improve efficiency and safety of gait pattern.
• Improve respiratory function.
• Pain management –
• HMP, wax, hydrotherapy, TENS, IFT
• Prevention of deformity-
• Patient education
• Exercise
• Passive stretching
• splinting
• Maintain and restore joint ROM –
• Active ex,
• PNF
• Splinting
• Hydrotherapy
• Teach proper positioning techniques
• Strengthening -
• Isometric- minimize atrophy
• Prepare for dynamic and wt bearing activities
• Improve muscle tone
• Maintain and increase static strength
• Dynamic - improve muscle power, improve function,
improve strength of bone and cartilage.
• Hand splints.
4/12/2018 6Arthritis
Splintings
Starling sliver splint ring
4/12/2018 7Arthritis
Index small finger MP flexion
and ulnar deviation restriction
splint.
splint
4/12/2018 8Arthritis
Can also be used for gout
4/12/2018 9Arthritis
Thank You

Rheumatoid arthritis Mx

  • 1.
    RA Mx Ashish Prabhakar Asst.Professor Department of Musculoskeletal Sciences DVVPF’s College of Physiotherapy, Ahmednagar
  • 2.
    Physiotherapy management • Goals •Patient and family education. • Reduce pain • Improve and maintain joint ROM • Improve and maintain muscle strength • Improve joint stability and reduce biomechanical stresses on all affected joints. • Increase endurance in all functional activities • Promote independence in ADLs including bed mobility and transfers. • Improve efficiency and safety of gait pattern. • Improve respiratory function.
  • 3.
    • Pain management– • HMP, wax, hydrotherapy, TENS, IFT • Prevention of deformity- • Patient education • Exercise • Passive stretching • splinting
  • 4.
    • Maintain andrestore joint ROM – • Active ex, • PNF • Splinting • Hydrotherapy • Teach proper positioning techniques
  • 5.
    • Strengthening - •Isometric- minimize atrophy • Prepare for dynamic and wt bearing activities • Improve muscle tone • Maintain and increase static strength • Dynamic - improve muscle power, improve function, improve strength of bone and cartilage.
  • 6.
    • Hand splints. 4/12/20186Arthritis Splintings
  • 7.
    Starling sliver splintring 4/12/2018 7Arthritis
  • 8.
    Index small fingerMP flexion and ulnar deviation restriction splint. splint 4/12/2018 8Arthritis
  • 9.
    Can also beused for gout 4/12/2018 9Arthritis
  • 10.