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15 Cards in this Set
- Front
- Back
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Diagnosis for SLE--
lupus specific antibody titres(ANA,dsDNA,smith,etc) CBC CPK aldolase TFT U/A ESR Rheumatic factor CXR/MRI/CT Renal Biopsy(1/3 of patients have renal ds) Compliment assay |
Management of SLE-
Pharmacological- NSAID's Antimalarials(plaquenil) Low dose Glucocorticoids (2mg or less for LA) High dose corticoids (for LN) Immunomodulators- Methotrexate IV immunoglobulins Multi vitamins/anti-oxidants,DHEA Anticoagulants (if APL +ve)(DVT) Cyto- Immunosuppresants- cyclophosphamides(cytoxan) azothioprine(Imuran) cyclosporines |
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Rehab Management Of SLE-
If patients maintained on corticosteroids It can affect exercise plans because of risk for tendon rupture, bone fractures No aggressive strengthening /stretching Joint protection strategies. |
Must stick to an exercise regime.
"use it or loose it" Lupus patients should maintain a good baseline physical fitness |
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PT management of LUPUS-
Goals are to- minimise loss of function/flares decrease stress on Inflammed joints Reduce the impact on cardio-pulm resreves decrease susceptibility to fatigue decrease risk of injury |
Studies show that patients with inflammatory arthritis when exercised regularly had
less Flare episodes. less fatigue less pain less disability Lupus patients with renal/lung/heart complics may have reduced tolerance for exercises. An Inappropriate exercise program may exacerbate symptoms leading to flares |
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During the flares Of Lupus.
One can cut back on exercise but still keep at it. Avoid overtiring to fatigue levels Avoid forceful stretches/pulls Adequate hydration Adequate sleep/relaxation Consistancy in Exercise regime |
Joint flexibility (stretching)(ROM)
strengthening(isometrics, isotonics) pain reduction- cold compress,Modalities Conditioning exercises to improve endurance (swimming,biking,jogging) |
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|
The usual slogan of "No pain ,No gain"
does not apply for Inflammatory arthritis. |
Other Therapies for SLE-
Visual Imagery Deep Breathing Meditation Mind- Body therapies( to de-stress) Accupuncture Massage therapy (relaxation, to de -stress) |
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|
Diagnosis for SLE--
lupus specific antibody titres(ANA,dsDNA,smith,etc) CBC CPK aldolase TFT U/A ESR Rheumatic factor CXR/MRI/CT Renal Biopsy(1/3 of patients have renal ds) Compliment assay |
Management of SLE-
Pharmacological- NSAID's Antimalarials(plaquenil) Low dose Glucocorticoids (2mg or less for LA) High dose corticoids (for LN) Immunomodulators- Methotrexate IV immunoglobulins Multi vitamins/anti-oxidants,DHEA Anticoagulants (if APL +ve)(DVT) Cyto- Immunosuppresants- cyclophosphamides(cytoxan) azothioprine(Imuran) cyclosporines |
|
|
Rehab Management Of SLE-
If patients maintained on corticosteroids It can affect exercise plans because of risk for tendon rupture, bone fractures No aggressive strengthening /stretching Joint protection strategies. |
Must stick to an exercise regime.
"use it or loose it" Lupus patients should maintain a good baseline physical fitness |
|
|
PT management of LUPUS-
Goals are to- minimise loss of function/flares decrease stress on Inflammed joints Reduce the impact on cardio-pulm resreves decrease susceptibility to fatigue decrease risk of injury |
Studies show that patients with inflammatory arthritis when exercised regularly had less Flare episodes.
less fatigue less pain less disability Lupus patients with renal/lung/heart complics may have reduced tolerance for exercises. An Inappropriate exercise program may exacerbate symptoms leading to flares |
|
|
During the flares Of Lupus.
One can cut back on exercise but still keep at it. Avoid overtiring to fatigue levels Avoid forceful stretches/pulls Adequate hydration Adequate sleep/relaxation Consistancy in Exercise regime |
Joint flexibility (stretching)(ROM)
strengthening(isometrics, isotonics) pain reduction- cold compress,Modalities Conditioning exercises to improve endurance (swimming,biking,jogging) |
|
|
The usual slogan of "No pain ,No gain"
does not apply for Inflammatory arthritis. |
Other Therapies for SLE-
Visual Imagery Deep Breathing Meditation Mind- Body therapies( to de-stress) Accupuncture Massage therapy (relaxation, to de -stress) |
|
|
Diagnosis for SLE--
lupus specific antibody titres(ANA,dsDNA,smith,etc) CBC CPK aldolase TFT U/A ESR Rheumatic factor CXR/MRI/CT Renal Biopsy(1/3 of patients have renal ds) Compliment assay |
Management of SLE-
Pharmacological- NSAID's Antimalarials(plaquenil) Low dose Glucocorticoids (2mg or less for LA) High dose corticoids (for LN) Immunomodulators- Methotrexate IV immunoglobulins Multi vitamins/anti-oxidants,DHEA Anticoagulants (if APL +ve)(DVT) Cyto- Immunosuppresants- cyclophosphamides(cytoxan) azothioprine(Imuran) cyclosporines |
|
|
Rehab Management Of SLE-
If patients maintained on corticosteroids It can affect exercise plans because of risk for tendon rupture, bone fractures No aggressive strengthening /stretching Joint protection strategies. |
Must stick to an exercise regime.
"use it or loose it" Lupus patients should maintain a good baseline physical fitness |
|
|
PT management of LUPUS-
Goals are to- minimise loss of function/flares decrease stress on Inflammed joints Reduce the impact on cardio-pulm resreves decrease susceptibility to fatigue decrease risk of injury |
Studies show that patients with inflammatory arthritis when exercised regularly had less Flare episodes.
less fatigue less pain less disability Lupus patients with renal/lung/heart complics may have reduced tolerance for exercises. An Inappropriate exercise program may exacerbate symptoms leading to flares |
|
|
During the flares Of Lupus.
One can cut back on exercise but still keep at it. Avoid overtiring to fatigue levels Avoid forceful stretches/pulls Adequate hydration Adequate sleep/relaxation Consistancy in Exercise regime |
Joint flexibility (stretching)(ROM)
strengthening(isometrics, isotonics) pain reduction- cold compress,Modalities Conditioning exercises to improve endurance (swimming,biking,jogging) |
|
|
The usual slogan of "No pain ,No gain"
does not apply for Inflammatory arthritis. |
Other Therapies for SLE-
Visual Imagery Deep Breathing Meditation Mind- Body therapies( to de-stress) Accupuncture Massage therapy (relaxation, to de -stress) |
