Note
This topic is the continuation of the topic ́s:
- Rheumatoid Arthritis
Synonyms in a broader sense
- Rheumatoid Arthritis (R. A.RA)
- Chronic polyarthritis (c. P.cP)
- Disease from the rheumatic form, primarily chronic polyarthritis (pcPp. c. P.)
Therapy rheumatoid arthritis
The therapy orients itself at the activity of the inflammation and at the stage of the rheumatoide Arthritis (RA). Therapy goals are the slowing down of the inflammatory process, pain relief and, if possible, the preservation of the function and strength of the joints. The therapy of primary chronic polyarthritis always covers several areas:
- Physiotherapy
- ErgotherapySplintingSupply of aids
- Physical therapy
- Psychosomatics
- Drug systemic and local therapy
- Operations
Physiotherapy
Should adapt to the respective disease activity and be discussed with the doctor. In the case of high disease activity, usually only the passive movement of the joints, traction for pain relief and the painless positioning are used. In the case of low disease activity, active movement exercises should be carried out to stabilize, mobilize and compensate for muscle degeneration, which the patient can also perform in part by himself. Furthermore, the use of aids, e.g. crutches (UAG ́s) should be practiced after operations.
ErgotherapySplintingSupply of aids
In occupational therapy, the patient trains everyday functions that he or she needs to integrate into family and professional life. The therapy is individually adapted to the personal performance capacity. The gait and back training as well as measures for joint protection are shown.
The use of tools, equipment or aids is also practiced, and splints are made. Positioning splints are available, but also dynamic splints for training the joint function. Knee joint bandages or crutches, for example, can be used with walking aids. Shoe fittings are also frequently required, e.g. insoles, metatarsal rolls or buffer heels. Further aids are e.g. cutlery with thickened handle, button fastener, dressing stick etc.
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