Rheumatology: Evidence-Based Practice for Physiotherapists and Occupational Therapists

Front matter......Page 2
Dedication......Page 5
Copyright page......Page 6
Contributors......Page 7
Foreword......Page 10
Preface......Page 11
Acknowledgements......Page 12
Rheumatology and 
the rheumatologist......Page 13
Nursing......Page 14
General practice......Page 16
Physiotherapy......Page 18
Occupational therapy......Page 19
Podiatry......Page 20
Health psychology......Page 22
A brief introduction to evidence-based medicine......Page 24
The user-patient journey – mapping project......Page 28
From newly diagnosed to achieving mastery in......Page 33
Guidelines and standards......Page 34
Conclusion – the user patient journey......Page 35
Acknowledgement......Page 36
Key points......Page 38
Screening for locomotor problems......Page 41
Principles of investigations in evaluating patients with rheumatic diseases......Page 43
Acknowledgement......Page 44
Key points......Page 46
Measuring health......Page 47
Measuring health: the patients’ perspective......Page 49
Proms: Quality assessment......Page 55
Proms – applications......Page 59
Logistics of applying proms in routine practice......Page 64
Conclusion......Page 67
References and further reading......Page 69
Introduction......Page 74
Section 2: The impact of rheumatological conditions......Page 75
Section 3: Pain......Page 77
Section 4: Health behaviour, coping and concordance......Page 78
References and further reading......Page 84
Key points......Page 87
Defining patient education......Page 88
Developing patient education interventions: a 7-step approach......Page 89
Evidence for patient education interventions......Page 101
References and further reading......Page 103
Joints = Movement......Page 108
Range of Movement......Page 109
Function......Page 110
Formal Rehabilitation Programmes......Page 111
Safety......Page 112
Psychosocial Effects of Physical Activity and Exercise......Page 113
Getting People to Begin and Continue Exercising......Page 114
Conclusion......Page 115
References and further reading......Page 116
Introduction......Page 120
Electrophysical agents......Page 121
Acupuncture......Page 124
Thermotherapy and cryotherapy......Page 125
Manual therapy......Page 126
Conclusion......Page 128
Key points......Page 132
Assessment of activity limitation......Page 133
The impact of rheumatic diseases on self care and household activities......Page 136
The impact of rheumatic diseases on employment......Page 138
The impact of rheumatic diseases on community, social and civic life......Page 141
Conclusion......Page 142
Introduction......Page 146
Joint protection......Page 147
Fatigue management......Page 150
Evidence for joint protection and energy conservation effectiveness......Page 152
Conclusion......Page 156
Introduction......Page 160
Stress and chronic illness......Page 161
Assessing stress......Page 162
Cognitive representations of 
illness......Page 163
Defining mood disorders and 
assessing mood......Page 165
Practical cognitive behavioural 
methods......Page 166
Acknowledgements......Page 168
References and further reading......Page 169
Conclusion......Page 172
The wrist extension orthosis......Page 173
Foot involvement in the rheumatic diseases......Page 179
Biomechanics of the foot and ankle......Page 184
Podiatry......Page 186
Section 1 Diet and dietary therapies......Page 193
Section 2 Complementary therapies......Page 199
Summary......Page 200
Introduction......Page 206
Principles of clinical pharmacology......Page 207
Drugs used in rheumatic diseases......Page 208
Conclusion......Page 215
Inflammatory arthritis......Page 217
Characteristics of rheumatoid arthritis......Page 218
Clinical evaluation......Page 221
Rehabilitation interventions for RA......Page 228
Occupational therapy interventions......Page 231
Conclusion......Page 234
Osteoarthritis......Page 240
Prevalence and incidence......Page 241
Aetiology, pathology, immunology......Page 242
Diagnosis, differential diagnosis, special tests......Page 243
Symptoms and signs......Page 244
Clinical evaluation, assessment, subjective and objective examination......Page 247
Aims and principles of management......Page 248
Core therapy interventions: exercise, self-management and joint protection......Page 250
Conclusion......Page 253
Fibromyalgia syndrome and chronic widespread pain......Page 260
Introduction......Page 261
Assessment of the patient in pain......Page 263
Management of FMS and CWP......Page 267
Multidisciplinary management of FMS and CWP......Page 272
Conclusion......Page 273
Introduction......Page 278
Ankylosing spondylitis......Page 279
Psoriatic arthritis......Page 281
Assessment......Page 282
History taking in as......Page 283
The bath indices......Page 284
General assessment of function and movement......Page 286
Treatment of as and the spondyloarthropathies......Page 287
Acknowledgements......Page 290
Key points......Page 293
Diagnosis......Page 294
Differential diagnosis......Page 296
Clinical evaluation......Page 297
Radiography......Page 298
Progression and prognosis......Page 299
Therapy management of osteoporosis......Page 300
Assessment......Page 301
Common pharmacological approaches......Page 303
Management of fractures......Page 304
Acknowledgement......Page 305
Connective tissue disorders......Page 310
Scleroderma......Page 311
Systemic lupus erythematosus......Page 314
Dermatomyositis......Page 317
Polymyositis......Page 319
Mixed connective tissue disease......Page 320
Conclusion......Page 321
References and further reading......Page 323
Physiotherapy and occupational therapy for children and young people with juvenile idiopathic arthritis......Page 326
Assessment......Page 327
Management......Page 331
Acknowledgements......Page 334
Miscellaneous conditions......Page 339
Part 1: Septic arthritis, gout, pyrophosphate arthropathy, sarcoidosis and diabetes mellitus......Page 340
Gout......Page 341
Pyrophosphate arthropathy......Page 343
Sarcoidosis......Page 344
Definition......Page 345
Medium vessel vasculitis......Page 346
Differential diagnosis......Page 347
Rehabilitation......Page 348
Acknowledgement......Page 349
A......Page 353
C......Page 354
E......Page 355
G......Page 356
J......Page 357
M......Page 358
O......Page 359
P......Page 360
R......Page 361
S......Page 362
V......Page 363
Y......Page 364