Juvenile Chronic Arthritis
Juvenile chronic arthritis
Seronegative or Seropositive Chronic inflammatory arthritis starting before the age of 16 & of more than three month duration.
Cause
Unknown
2 times onset.
# First peak onset—-> 2 to 4 years (only 5% carry).
# second peak onset——>TNG or Puberty (second peak seropositive).
Sign and Symtom :
Second Peak Poly Arthritis.
1. Poly arthritis——-> Systemic illness. Poly arthritis first affected knee and hip join usually big joint affected (lumber spine, Cervical spine.)
Poly arthritis leading to ankylosing.
Poly arthritis leading to ankylosing.
2. Spinal involvement.
3. First peak——>Swelling, Tenderness, Fluid accumulated.
5.Urinary tract infection.
6. Loss of apetide .
7. Decreased mobility.
8. Fever.
9. General malaise.
1. Pain.
2. Swelling.
3. Joint stiff.
4. Muscle Contracture.
5. Muscle weakness.
6. Muscle wasting.
7. ADL——-> Lose of function.
8. Psychological problem——> Depression.
Physiotherapy Management:
1. Pain
# Acute.
# Chronic.
#Acute:
1. Ice or ice jell bag.
2. Isometric Contraction of muscle.
# Chronic: If pain six months.
1. Hot Compression— IRR.
2. Mobilisation — All Joint.
Spine —- Prone Mobilisation.
3. Swelling—- # Ice Compression.
# Elevation.
# Crape Bandage.
4. Stiffness—- # Grede 3 Mobilisation.
# Passive Movement.
5. Muscle Contracture—- Stretech —> before stretching—> Hot—> Friction—> Hold Relax Stretch.
6. Muscle weakness—-# All kind of strengthening.
# Manual— Resisted Exercise.
# Mechanical—- Cycleing, Dumble, Sling.
7. Muscle wasting—- Same as muscle weakness.
8. ADL—— Avoid to all work.
9. Psychological support—- Councelling the patient.
Thanks a lot, this post is very helpful. Wish you good luck
ReplyDeleteNice & useful post. Thanks
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