Chapter 24 - Hip

Question 1

The hip socket is called the ____________

Answer 1

acetabulum

Question 2

What does anterolateral mean?

Answer 2

Anterior - in front of body; lateral - away from the midline

Question 3

What does inferior mean?

Answer 3

Below

Question 4

What kind of position is the hip socket? And what is the hip socket called again?

Answer 4

inferior and antelateral; acetabulum

Question 5

What angle is the femoral neck?

Answer 5

125 degrees

Question 6

What is it called if the femoral neck is at an angle greater than 125 degrees? And what’s wrong with it?

Answer 6

Coxa valga - causes increased pressure into the joint - increased risk of osteoarthritis

Question 7

What is it called if the femoral neck is less than 125 degrees? What’s wrong with that?

Answer 7

coxa vara - increased stress of the femoral neck, more susceptible to fractures

Question 8

If the angle of the femoral neck to the femur is greater than 15 degrees what is this condition called?

Answer 8

anteversion

Question 9

If the femoral neck’s position is less than 15 degrees to the femur’s long axis, what is this called?

Answer 9

retroversion

Question 10

What does anteversion and retroversion do?

Answer 10

They alter the knee alignment and change the forces acting throughout the entire lower extremity

Question 11

When can nerve irritations occur in terms of the hip?

Answer 11

When the soft tissues surrounding the hip impinge on a nerve

Question 12

What muscle does the sciatic nerve run beneath and sometimes through before it travels along the posterior thigh?

Answer 12

piriformis

Question 13

Which muscles play a very important role in pelvic stability?

Answer 13

hip extensors and abductors

Question 14

If hips are weak

Answer 14

other parts of the chain must make up for the hip’s inability to provide the needed LE forces.

Question 15

The hips must be the platform from which the _______ functions

Answer 15

pelvis

Question 16

The pelvis is the platform from which the ________ functions

Answer 16

scapula

Question 17

Scapula is the platform from which the __________ functions

Answer 17

shoulder complex

Question 18

Pelvis movement has a direct influence on hip movement because the hip joint’s socket is comprised of _________

Answer 18

pelvic bones

Question 19

When a cane or one crutch is used ton the side opposite the weakness, a(n) ________ force is transmitted through ____________ to counterbalance the __________ gravitational force on the same side

Answer 19

upward; the appliance; downward

Question 20

If a patient cannot ambulate normally, then what?

Answer 20

He or she must use assistive devices until normal ambulation is possible without them

Question 21

An abnormal gait may result from ______, _________, or ___________.

Answer 21

pain, inadequate muscle control, or apprehension

Question 22

If the abnormal gait continues, then what could happen?

Answer 22

stresses will increase on the hip, back, or other LE segments resulting in further injury

Question 23

Why did Adelle cross the road?

Answer 23

to get unto the other side!

Question 24

T or F: As the problem causing the need for crutches or other assistive devices resolves, the patient is weaned off of them.

Answer 24

True

Question 25

If the hip is painful, joint stress is reduced by ____

Answer 25

Shortening the stride length during walking or running

Question 26

Why a smaller stride?

Answer 26

It decreases the force and motion demands on the muscles, tendons, and ligaments

Question 27

What other body parts does a hip depend on for its balance and quality of motion?

Answer 27

back, pelvis, knee, and ankle - these areas must be strengthened as well

Question 28

Hip Rehab Phase 1

Answer 28

passive phase

Question 29

What is involved with Phase 1 passive phase?

Answer 29

anti-inflammatories, reduced activity, and modalities (eg: e-stim or ice)

Question 30

Hip Rehab Phase 2

Answer 30

active phase

Question 31

What is involved with Phase 2 active phase?

Answer 31

emphasized flexibility with early strength and proprioceptive activities

Question 32

Hip Rehab Phase 3

Answer 32

Resistive Phase

Question 33

What is involved with Phase 3 resistive phase

Answer 33

strength and agility exercises to move patient to return to normal activities

Question 34

Hip Rehab Phase 4

Answer 34

Aggressive Phase

Question 35

What is involved with Phase 4 aggressive phase?

Answer 35

Return to full-sport or RTW - concentrating on plyometrics (muscles exert maximum force in short intervals of time, with the goal of increasing power)

Question 36

What is an inferior glide?

Answer 36

traction - patient is supine and you are pulling