OA/Knee pain 7. Therapy and progressivity c.

Lateral: forward head, hiperkyphosis,

ANAMNESIS a. Medication hiperlordosis, knee flexion/recurvatum,
1. Identity: age, job b. Modalities pronated/supinated foot, in/out toeing
2. Chief complaint: c. Injection 6. Gait: no knee locking, decreased stance phase
a. Pain d. Exercise of affected limb/antalgic gait
b. Ambulation e. Surgery Sitting on bedside
c. Fall: instability when walking/fear of fall f. Walking aid 7. LE move: MMT knee extensor, ankle dorsiflexor
d. Fatigue/endurance g. Orthosis 8. Reflex patella
3. Joint pain: h. Home program Supine
a. Site 8. Limitation in activity/ADL 9. LE look: inflammation, deformity, trophy
b. Onset a. Ambulation if atrophythigh circumference
c. Charactheristic b. Climbing stairs 10. LE feel: ballotement, tone, tenderness, spasm,
d. Radiation c. ADL sensory, proprioceptive
e. ADL d. Restriction in job/school/leisure 11. LE move:
f. Time 9. Other complain: a. Pain, crepitation
g. Exacerbation a. Dyspnea b. ROM hip flexion, abduction, ankle
h. Severity b. Fatigue dorsi/plantarflexor
4. ARA criterias of OA: c. Neurological deficit: numbness, c. MMT hip flexion
a. Morning stiffness, duration weakness, tingling 12. Special test:
b. Bone tenderness 10. Comorbidity a. Patellar grinding test
c. Bone enlargement 11. Environmental factor: family, accessibility at b. Valgus/varus
d. History of x-ray/USG home, financial, insurance c. Mcmurray
e. History of laboratorium 12. Personal factor: work/school, psychological d. Fair/fabere test
5. Associated problems: problem, hope e. Drawer test
a. Obesity 13. GaleazziLLD
b. LBP PHYSICAL EXAMINATION (patient undressed) Sidelying
c. Foot/ankle problems 1. Vital sign 14. MMT hip abduction
6. Fall: 2. Nutrition Prone
a. History of fall 3. General state: eye, cor, lung, skin, 15. LE look: inflammation
b. History of near fall limbsbouchard/heberden’s nodes 16. LE feel: baker cyst, tone of hamstring/gastroc
c. Instability when walking Standing 17. LE move:
d. Fear of fall 4. Transfer sit to stand a. ROM hip extensor, knee extensor
e. Mechanism of fall 5. Posture b. MMT hip extensor, knee flexor, ankle
f. Risk factor a. Anterior: shoulder, body arm distance, knee plantarflexor
i. Intrinsic: age, cognitive, visual, sensory, varus/valgus (normal:valgus 7-9⁰) 18. LE special test: appley, distraction test
motoric, coordination b. Posterior: shoulder, vertebral allignment, 19. Trunk look: deformity
ii. Extrinsic: footwear, medication, environment pelvic obliquity, ankle 20. Trunk feel: spasm, tenderness, taut band
 a. Weight management
REHABILITATION PROBLEMS b. Exercise
1. Activity/participation: c. Proper body mechanis: avoid squatting,
a. Ambulation lifting heavy objects, minimize climb
b. ADL up/downstairs
c. Restriction in job/school/leisure
2. Impairment: ARA CRITERIA FOR OA
a. Knee pain/swelling/stiffness
b. Bursitis 1. Age >50 years
c. Contraction 2. Morning stiffness <30 minutes
d. Muscle spasm 3. Crepitus
e. ITB syndrome 4. Bony tenderness
f. Atrophy 5. Bony enlargement
g. Pronated foot 6. No palpable warmth
h. Postural imbalance 7. Osteophytes
3. Risk/history/fear of fall 8. ESR <40 mm/hour
4. Associated problems: obesity, LBP 9. RF < 1/40

REHABILITATION GOALS Clinical=Knee pain + 3 from 1-6

Short term Clinical & laboratory=Knee pain+ 5 from 1-9
1. Confirmed diagnosis: X-ray/USG Clinical & radiology=Knee pain+ 1 from 1-3 +osteophyte
2. Improve knee pain Improve ambulation/ADL
a. Medication
b. Modalities
c. Exercise
d. Injection
e. Tapping
f. Orthosis
g. Walking aid
h. Education of joint protection
3. Prevent fall
a. Education of high risk of fall
b. Walking aid
c. Home modification
Long term
1. Return to work?
2. Prevent progressivity of OA