Arthritis
Total Hip Precautions
Total Knee Replacement
A/E
Anatomy of the Lower Extremity
100

Name the two common types of arthritis.

OA and RA

100

What is the purpose of total hip precautions?

To protect the pt from dislocating/injuring the surgical site/themselves

100

What is the most common degenerative condition that leads to a TKR?


arthritis, OA, degenerative joint disease

100

This is the name of A/E that helps a person don a sock.

sock aid

100

Name the three main bones of the lower extremity.


femur, tibia, fibula

200


What is the name of the fluid that surrounds joints and provides lubrication an nourishment to them?


synovial fluid

200

Name two movements to avoid after a total hip replacement. 

Flexion of hip beyone 90*

Trunk flexion

Trunk rotation

IR/ER of hip

Hyper extension of hi


200

What is the most difficult movement to regain S/P TKR?


terminal knee extension/extension= 0*

200

This item can help a person wash their feet w/o having to bend over

long-handled sponge

200

 What kind of joint is the hip?


ball and socket

300

Describe what the difference is between OA and RA.


RA more severe- systemic, autoimmune, most common in hands and feet, but occurs in many joints- result of synovitis

OA- more localized- (e.g.- knee, hips, hands spine), degenerative (wear and tear), bone spurs can occur, loss of AROM, dull achy pain- cartilage wears down

300

What are the different types of weight bearing that can be prescribed to a patient S/P THR?

NWB, TTWB, PWB, WBAT, FWB

300

What are common post-operative complications of a total knee replacement?

 

infections, possible loss of AROM, increased pain

300
When OT places a piece of foam on a small item (fork handle, tooth brush) to make the item easier to grip, the item is now preceded with this term and called: a _______  ___ "fork", "toothbrush"

built up

300

In order to be classified as a "hip Fx", what bone must be Fx?


femur

400

Name two deformities of the hand(s) that are common with arthritis.


ulnar deviation/drift, swan neck, boutonniere, Bouchard's & Herbeden's nodes

400

What is the timeframe for following total hip precautions post-surgery?

Up to 12 weeks

400

Explain the role of OT after a total knee replacement.


mobilizing the pt via functional mobility training (walking as much as possible) to complete ADLs/IADLs for increased I, pt ed RE: risk reduction, safety, etc.

400

In order for someone to maintain a safe toileting position S/P THR, what kind of equipment is indicated for the bathroom?

elevated toilet seat

400

What is the main purpose of the ligaments surrounding the knee?


To protect it from dislocating/displacing

500

Describe different types of A/E and compensatory strategies for coping and functioning with arthritis.

built up things, joint protection techniques

500

Describe the different types of A/E, AD or DME that can help a person adhere to hip precautions S/P THR.

sock aid, long-handled devices like reachers, dressing sticks, shoe horns, sponges (A/E), t/f tub bench, shower chairs, elevated toilet seats (DME), SW, RW, w/c (AD)

500

Discuss the importance of early mobility after a total knee replacement and name the machine that can help a patient mobilize while in bed.

must do in order to regain full AROM, increase circulation, decrease swelling, promote weight bearing to stimulate healing process (osteoblast), Continuous Passive Motion (CPM)

500

This is the name of an AD w/4 wheels that would be far too dangerous for someone that is NWB S/P THR to use.

Rollator

500

Name an demonstrate the 3 motions of the hip joint.

flexion, extension, hyperextension, IR, ER, adduction, abduction

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