ARTHRITIS—The Use of Physical Therapy as an Aspect of Management

摘要

In some cases arthritis can be controlled even in the acute stage by physical therapy alone. In many cases, recovery depends on how thoroughly and intelligently such methods are applied.Heat, ultrasound and therapeutic baths relieve pain and spasm, permitting greater freedom in passive and active exercise. Exercise is necessary in maintaining and restoring function to arthritic limbs. Because the atrophy produced by rheumatoid arthritis is greater than that due to mere disuse for the same length of time, resistive exercise is especially valuable in building muscle, and this can be carried out even during active inflammation. Without exercise the muscles weaken and throw a greater burden on the already disabled joints.At the same time the patient must be relieved of undue stress and trauma by planned rest, splinting, bed posture and, later, crutches and other aids to ambulation. Efforts should be made to prevent contractures and deformities.Occupational therapy increases muscle strength, range of motion, work tolerance and mental status. A dynamic and carefully planned rehabilitation program hastens restoration of the patient's independence and usefulness.