Joint protection program for the lower limb
- Sharon Alzner, MPT
Sharon Alzner, MPT
- Senior Physical Therapist
- Brigham and Women's Hospital Outpatient Rehabilitation Services Department
- Zacharia Isaac, MD
Zacharia Isaac, MD
- Section Editor — Soft Tissue Rheumatic Disease
- Assistant Professor in Physical Medicine and Rehabilitation
- Harvard Medical School
Every patient with a chronic joint disorder should be educated regarding the principles of joint protection, as excess stress and strain on arthritic joints can add to inflammation and degeneration . The goal of lower extremity joint protection is to avoid overloading vulnerable joints/tissues, prevent recurrent sprains and strains, reduce pain and inflammation, and thus preserve joint integrity.
Joint protection is best achieved through patient education, behavior modification, energy conservation; in selected cases, use of orthotic devices, splints, adaptive devices; and, in the case of the lower extremities, proper footwear. Conservative care includes preventive care, and joint protection is a fundamental way to provide preventive joint care.
Joint protection for the lower extremities will be reviewed here. An overview of joint protection and joint protection for the upper extremities and neck are discussed elsewhere. (See "Overview of joint protection" and "Joint protection program for the upper limb" and "Joint protection program for the neck".)
PRINCIPLES OF JOINT PROTECTION
The principles of joint protection are derived from the simple, practical application of proper body mechanics, posture, and positioning of joints. Joint protection reduces local joint stress and preserves joint integrity. Guiding the patient to perform a task in a manner that puts less stress on joints is generally preferred to prohibiting the task [2,3].
The principles of joint protection include:
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