Acknowledgements Arthritis SA would like to acknowledge the booklets - - PowerPoint PPT Presentation

acknowledgements
SMART_READER_LITE
LIVE PREVIEW

Acknowledgements Arthritis SA would like to acknowledge the booklets - - PowerPoint PPT Presentation

Acknowledgements Arthritis SA would like to acknowledge the booklets and fact sheets published by Arthritis Australia as the source material for this screen cast and the work of Ben Corso from the Physio clinic for his work on OA hip and knee.


slide-1
SLIDE 1

Acknowledgements

Arthritis SA would like to acknowledge the booklets and fact sheets published by Arthritis Australia as the source material for this screen cast and the work of Ben Corso from the Physio clinic for his work on OA hip and knee.

slide-2
SLIDE 2

Common forms of Arthritis

The impact on walking.

slide-3
SLIDE 3

Arthritis In Australia

slide-4
SLIDE 4

What is Arthritis ?

Arthritis is a name for a group of conditions affecting the joints. These conditions can cause damage to the joints. Arthritis can affect any joint in the body. Each joint may be affected differently.

slide-5
SLIDE 5

Over 120 Different Types

slide-6
SLIDE 6

Gout 192,000

Rheumatoid Arthritis 407,900

Osteoarthritis 2.1 million

Source :AIHW 2016

Arthritis in Australia

slide-7
SLIDE 7

Common Elements

  • No Cure

Chronic life long conditions

  • Variable symptoms

Variable =Good days and bad days

  • Pain and stiffness

e.g. after sitting for long periods

  • May affect other body systems

e.g. heart , lungs, eyes

slide-8
SLIDE 8

Common Principles for all people with Arthritis

Movement is good

Studies have shown similar benefits for pain and arthritis

irrespective of type – strength, aerobic, tai chi, aquatic, home ex Exercise can be as effective as drugs for both pain and function Zhang et al 2010, Henriksen et al 2016 Exercise is effective whether done as an individually delivered treatment or in a small group

slide-9
SLIDE 9

Common Principles for All

Attitude matters

‘Believing that exercise is achievable, safe, and likely to benefit health-related

  • utcomes is motivational for
  • lder people
slide-10
SLIDE 10

Osteoarthritis

Contributing Factors

High Body Mass index High-level, high-impact sport or occupations Repetitive occupational factors Being female Congenital joint abnormalities Ethnicity

slide-11
SLIDE 11

Joint Anatomy

slide-12
SLIDE 12

Joint Anatomy

slide-13
SLIDE 13

What does that mean in everyday life?

Common symptoms:

  • Pain
  • Grinding or cracking noises
  • Stiffness in the morning or after inactivity
  • Weakness
  • Loss of full movement in the joint e.g. can’t

fully bend toes ,ankles Common complaints:

  • Difficulty standing/walking long periods
  • Difficulty up and down stairs
  • Trouble getting in/out of car
  • Sitting in low chairs and getting up
  • Difficulty with fine motor skills in every day

activities ( i.e. opening jars)

  • Problems cutting food
slide-14
SLIDE 14

What management strategies are recommended?

Manage pain Healthy lifestyle Healthy attitude Pacing and joint protection

slide-15
SLIDE 15

Pain can be a negative cycle

slide-16
SLIDE 16

Positive ways out

  • f the pain cycle
slide-17
SLIDE 17

Practical issues-OA

Pain: can increase pressures through the arthritic joint

x3 body weight goes through knees when walking on level ground x4 body weight goes through knees with stair walking/ up hills More force goes through the knee cap when walking DOWN stairs/slopes

D’ Lima et al 2012 Consider your route and any slopes involved Encourage individuals to seek appropriate medical or allied health support if pain persists

slide-18
SLIDE 18

Practical issues-OA

Time off : After an arthritis flare, or surgery there is often loss of

muscle bulk and strength Muscles act as natural cushioning and shock absorption Without them , more force goes through the joint Without them pain is often worse and abilities are reduced Consider if individuals have missed sessions if they need a shorter easier walk to get back into the habit. Encourage individuals to seek appropriate medical or allied health support . A pre-walk stretching program

  • r graded return to exercise program may help.
slide-19
SLIDE 19

Practical issues-OA

Overdoing it: Pacing means taking a break BEFORE you need it

for the person and the tissues of their joint to recover In a group, individuals may find it hard to self pace Over time the capacity of individuals may change Take the lead, let people know its ok to rest. Plan routes with seats and benches or looped routes.

slide-20
SLIDE 20

Rheumatoid Arthritis

Autoimmune condition that affects joint linings, causing painful swelling. Symptoms vary between individuals.

Problems can include:

  • Inflammation
  • Pain
  • Swelling of joint/s
  • Bone erosion & joint deformity if the disease is

uncontrolled

  • Can affect organs e.g. heart ,lungs ,eyes
  • Changes soft tissue around joints
  • Can cause ongoing fatigue
slide-21
SLIDE 21

What does that mean in everyday life?

Common symptoms:

  • Pain
  • Hot feeling in joints
  • Stiffness much worse in the morning
  • Loss of joint movement
  • Loss of strength in joints

Common complaints:

  • Deformity of joints ( more common in

the past)

  • Low energy levels ( fatigue)
  • Inflamed tendons
  • Other organ issues ( heart, lungs, eyes)
  • Difficulty early in the day
slide-22
SLIDE 22

What interventions are recommended?

Medication Manage pain Healthy lifestyle Healthy attitude Flares & triggers

slide-23
SLIDE 23

Practical issues-RA

Fatigue: Can be both mental and physical and affect ability to

perform ALL daily tasks i.e showering, dressing, socialising Accept abilities can vary Understand attendance may be erratic Build in short and long route options to your session to maximize opportunities for participation May still impact even if the disease is well controlled with medications or in in remission.

slide-24
SLIDE 24

Practical issues-RA

Flare ups: auto immune conditions are naturally variable

that may be precipitated by a certain event or come out of no where. Set up contingency plans! Encourage people to tell you if they have had a flare so you can adjust as needed Learn how to look for patterns related to flare ups Learning how to manage flare ups is a skill both physically and emotionally.

slide-25
SLIDE 25

Practical issues-RA

Sensitivity: many auto immune conditions affect ability of

individual to deal with changes in temperature/climate Basic sun and skin care vital Check people are well prepared in cold conditions Consider your hot and cold weather policy as it relates to some individuals Think about shaded and sheltered walks and rest spots Sensitivity to sunlight may be related to the disease and the medication used to treat it. Blood vessels can be affected creating cold sensitivity

slide-26
SLIDE 26

GOUT

Gout is a common and painful condition that affects the joints. Small crystals form in and around the joint, causing inflammation, pain and

  • swelling. These crystals are made of one of the body's normal waste

products, uric acid

slide-27
SLIDE 27

Practical issues-Gout

Footwear: whilst it may affect any joint it commonly affects

the toes/feet. Advise individuals about suitable footwear before they start Check your route with footwear in mind Consider how the weather may change the route A Podiatrist should be seen as a core member of the health care team and can assist with selecting shoes, orthotics, foot care and exercises

slide-28
SLIDE 28

Arthritis What else should I consider?

For many, arthritis is an invisible illness Affects of medications Falls risk Impact on daily Life

slide-29
SLIDE 29
slide-30
SLIDE 30

Arthritis What else should I consider?

Individuals with inflammatory arthritis are at risk of bone loss due to the disease and to the use of medications such as steroids taken to treat the disease.

slide-31
SLIDE 31

What else should I consider? Falls

Falls: any arthritic condition can reduce the signals sent from the

joints to the brain, reducing reaction time and increasing the likelihood of a fall. Falls should always be noted even if there is no immediate injury. Individuals should always be encouraged to tell their GP of falls and seek advice . There are many programs to improve balance and help people at risk of falls. Falls can have serious consequences particularly for those also living with osteoporosis/ osteopenia.

slide-32
SLIDE 32

What else should I consider?

Managing Arthritis in Daily Life

Changing or modifying the following can help people participate:

  • the environment
  • the way activities are

performed

  • habits
  • peoples expectations
  • individual expectations

Remember Keep Moving !

slide-33
SLIDE 33

Sources of Support

Empowered

www.empowered.org.au Psoriatic Arthritis ,Rheumatoid Arthritis and Ankylosing Spondylitis

My Joint Pain

www.myjointpain.org.au Osteoarthritis

Comfy Feet Go a Long Way

http://www.sahealth.sa.gov.au Falls Prevention Factsheets SA Health

slide-34
SLIDE 34

Questions

Do you have a question that was not answered on this screen cast? Did the presentation raise a new question? Arthritis SA will be available to discuss these at the interactive conference call on Wed 8th March

slide-35
SLIDE 35

To contact Arthritis SA 08 8379 5711 1800 011 041 info@arthritissa.org.au www.arthritissa.org.au

slide-36
SLIDE 36

Thank you

ASA