1\Over View
1\ A- Target population:This unit is directed to the second class students in the
physiotherapy department
1\ B- rationale:Therapeutic method is very important subject to be studied in
order to have a full knowledge about its definition, and causes
of disease, clinical feature, medical treatment, surgical
treatment, and physical treatment.
1\C- central idea:123456-
Rheumatoid arthritis (R.A) definition
Clinical feature of (R.A)
Radiographic features
Pathological changes
Principle of management
Treatment metnod
2\ performance objectives:1- Define of R.A
2- Determine the clinical feature
3- Explain the radiographic feature and Pathological
changes
4- Discus the Principle of management
5- Mention the treatment method
3\ pre test:1- R.A means
a- Systemic disease rang few joint mildly affected to
caplet and bed ridden state
b- Metabolic disease
c- Pulmonary disease
2- One of clinical feature for the R.A
a- Larg joint in hand and feet affected first
b- Pain during the rest
c- Morning stiffness of variable duration
3- radiographic feature appearance
a- loss of muscle tone
b- bone erosions
c- hard tissue swelling
4- pathological change occur in
a- cyst formation in muscle fiber b- myositis formation
c-cartilage and bone erosion
5- in chronic stage principle of management
a- bed rest for poly arthritis b- encourage mobility
c-gentle active movement
Note:
-Check your answer in key answer page at the ending of
this modular unit.
-2degree for each.
4\ the text:The R.A is a systemic disease rang few joint mildly affected to complete
alkalosis and bed ridden state.
Quiz 1 Define of R.A?
Note
Check your answers in key answer page at the ending of
this modular unit.
1.
2.
3.
4.
5.
Small joint in hand and feet affected first.
Pain on movement.
Poly arthritis often symmetrical.
Morning stiffness of variable duration.
Synovial thickening.
a) Loss of R.O.M.
b) Flexion contracture.
c) Finger deformities.
* swan neck
_clawed toes.
_valgus ankle.
* ulnar devation.
* subluxation.
_generally valgus knee.
Quiz 2 Determine the clinical feature?
Note
Check your answers in key answer page at the ending of
this modular unit.
a.
b.
c.
d.
e.
f.
Osteo paresis.
Soft tissue swelling.
Loss of joint space.
Bone erosions.
Subluxation and deformity.
Bony ankylosis.
1.
2.
3.
4.
Synovial inflammation and proliferation.
Cartilage and bone erosion.
Cyst formation in bone.
Bone loss.
Quiz 3 Explain the radiographic feature and Pathological
Changes?
Note
Check your answers in key answer page at the ending of
this modular unit.
1. Acute stage
pain relief
 Anti inflammatory and analgesic drugs.
 Rest acutely painfully.
 Use splints if necessary.
 Bed rest for poly arthritis.
 Ice pack.
2. Sub acute
 Increase mobility.
 Ice back.
 Gentle active movement.
 Isometric contraction.
 Avoid sticks crutches to pressure upper limb joint.
3. Chronic stage
 Encourage mobility.
 Increase muscle power.
 Give necessary walking aids.
 Advise on self care.
Quiz 4 Discus the Principle of management?
Note
Check your answers in key answer page at the ending of
this modular unit.
 Pain relief
1- Rest
2- ice pack
3- resting splint plaster
 Mobility
1- Exe within pain free rang
2- hydrotherapy
 Strengthening
1- Graduated isometric exe.
2- Introduce isotonic exe.
3- Pay particular attention to postural muscle.
Quiz 5 Mention the treatment method?
Note
Check your answers in key answer page at the ending of
this modular unit.
5\ post test
1- radiographic feature appearance
a. loss of muscle tone
b. bone erosions
c. hard tissue swelling
2- pathological change occur in
a. cyst formation in muscle fiber
b. myositis formation
c. cartilage and bone erosion
3- in chronic stage principle of management
a. bed rest for poly arthritis b- encourage mobility
c-gentle active movement
4- R.A means
a. Systemic disease rang few joint mildly affected to
caplet and bed ridden state
b. Metabolic disease
c. Pulmonary disease
5- One of clinical feature for the R.A
a. Larg joint in hand and feet affected first
b. Pain during the rest
c. Morning stiffness of variable duration
6\ key answer
1- Pre test
1-a
2-c
3-b
4-c
5-b
2- post test
1-b
2-c
3-b
4-a
5-c
Quiz 1: The R.A is a systemic disease rang few joint mildly affected to
complete alkalosis and bed ridden state.
Quiz 2 :
12345-
Small joint in hand and feet affected first.
Pain on movement.
Poly arthritis often symmetrical.
Morning stiffness of variable duration.
Synovial thickening.
a) Loss of R.O.M.
b) Flexion contracture.
c) Finger deformities.
* swan neck
_clawed toes.
_valgus ankle.
* ulnar devation.
* subluxation.
_generally valgus knee.
Quiz 3 :
a.
b.
c.
d.
Osteo paresis.
Soft tissue swelling.
Loss of joint space.
Bone erosions.
e. Subluxation and deformity.
f. Bony ankylosis.
1.
2.
3.
4.
Synovial inflammation and proliferation.
Cartilage and bone erosion.
Cyst formation in bone.
Bone loss.
Quiz 4 :
1. Acute stage
pain relief
 Anti inflammatory and analgesic drugs.
 Rest acutely painfully.
 Use splints if necessary.
 Bed rest for poly arthritis.
 Ice pack.
2. Sub acute
 Increase mobility.
 Ice back.
 Gentle active movement.
 Isometric contraction.
 Avoid sticks crutches to pressure upper limb joint.
3. Chronic stage
 Encourage mobility.
 Increase muscle power.
 Give necessary walking aids.
 Advise on self care.
Quiz 5 :
 Pain relief
2- Rest
2- ice pack
3- resting splint plaster
 Mobility
2- Exe within pain free rang
2- hydrotherapy
 Strengthening
d. Graduated isometric exe.
e. Introduce isotonic exe.
f. Pay particular attention to postural muscle.
References
 Internet
 Tidys massage and remedial exercises

Medical condition for physiotherapy