arthritis_function

assessment of joint function and arthritis severity

assessment of joint function

modified ARA criteria:

  • ARA I:
    • normal joint function = no disease
  • ARA II:
    • adequate function despite symptoms = early disease
  • ARA III:
    • reduced function but self-care possible = disease
  • ARA IV:
    • self-care precluded by dysfunction = severe disease

physical examination of joints:

  • warmth
  • effusion
  • synovial thickening
  • deformity
  • range of motion
  • pain on motion
  • tenderness - generalised/localised; articular/peri-articular;

systematic characterisation of joint dysfunction

  • dysfunction = loss of normal function
  • disability = impairment of activity by joint dysfunction
  • handicap = effect of dysfunction on fulfillment of a role

assessment of daily functional capacity or activities of daily living (ADLs):

  • mobility:
    • getting out of bed
    • negotiating stairs
    • public transport
    • ability to wash:
    • using toilet, shaving, brushing teeth, cutting nails, bathing
  • dressing:
    • buttons, zips, laces, shoes, socks, combing hair
  • feeding:
    • preparing food; making tea; using cutlery; administration of medications;
    • chewing; swallowing;
  • housework:
    • turning taps, keys, dials
    • making beds; using telephone; hanging washing
arthritis_function.txt · Last modified: 2009/09/10 09:39 (external edit)