Rheumatology: 9. Physical and occupational therapy in the management of arthritis.by: BM Clark
CMAJ, Vol. 163, No. 8. (17 October 2000), pp. 999-1005.
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Notes for this articlePhysical therapy, which is also known as physiotherapy, and occupational therapy are integral components of the management of many forms of arthritis (Table 1). Physical and occupational therapists will establish a therapeutic home program and educate patients about the disease and its management.
Although this article focuses on the prescription of these services in the management of osteoarthritis, physical therapy will also benefit patients with chronic inflammatory conditions, such as ankylosing spondylitis, and patients with connective tissue disease may also require these disciplines if their disease affects the musculoskeletal system. Patients with rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus or other chronic polyarthritic rheumatic diseases will follow a similar process and may be best referred to therapists familiar with these specific problems who have the time and resources to devote to patient education. In all of the chronic arthritides, treatment will ideally be multidisciplinary and education will be a major component. Limited problems such as tendinitis or bursitis are usually well managed in the community without specific referral.
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