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Osteoarthritis and Exercise

Patient Presents

Marie is a 52-year-old woman who was diagnosed with OA in 1994. She volunteered to participate in a study on arthritis, conducted at the University of Missouri Physical Therapy department. A telephone screening determined her eligibility for the study.

During her first visit, she was given a fitness evaluation, and answered three questionnaires pertaining to her arthritis pain, her beliefs about exercise, and her exercise self-efficacy. The fitness evaluation included tests of upper and lower body strength, posture, and cardiovascular fitness.

Chief Complaint

She stated that pain interferes with recreational activities and work. Weight management is difficult; she cannot jump or dance. Arthritis was affecting her knees, hips, hands, wrists and neck.

Physical Examination

Height: 66.5" Weight:156 lbs
HR: 74 bpm
BP: 120/80 mmHg

Marie exhibited symptoms consistent with osteoarthritis. At the time of her fitness evaluation she was not taking any prescription medication, although she was taking extra strength Tylenol as needed for pain. Her radiographs showed characteristics typical to OA; however, no apparent bony deformities were observed. Although she was diagnosed in 1994, she had been experiencing pain and stiffness in her knees for many years before that. When Marie was diagnosed, her doctor told her she should not be doing any kind of weight-bearing exercise.

Marie's radiographs.

Questions

List common symptoms of OA, common deformities, and population affected.

Compare OA and RA.

What are common medications prescribed for OA?

What is VO2 max?