Exam 3 Flashcards
Hip OA classifications:
- IR less than 15 degrees, ESR <45 mm/hr or hip flexion <115
- IR >15, pain associated with hip IR, morning stiffness <60 min, over 50 years of age
gold standard to diagnose hip OA
radiographs
Clinical guidelines for hip pain interventions:
- patient education (level B)
- flexibility, strength, endurance (level B)
- Manual therapy (level B)
- functional, gait, balance training (level C)
clinical guidelines for non-arthritic hip pain intervention:
ALL LEVEL F EVIDENCE- patient education
-manual therapy
therapeutic exercise
neuromuscular reeducation
patient variables that would benefit from PT:
- unilateral hip pain
-pain >6/10
40 m self paced walk test time <25.9 sec
duration of symptoms <1 year
what percent of hip fractures occur in people over 65?
90%
mortality inthe first year after breaking a hip is:
14-36%
what tests can rule out labral tear?
FADIR
FABER
Fitzgerald
what special test is not recommended for labrum tears?
FABER
what test is good to rule out a labrum tear?
FADIR
signs indicative of intraarticular injuries:
-groin pain or general hip pain
-reproduced with either FADIR or FABER
-Mechanical symptoms
-may report feeling instability
not conflicting findings
-if no other diagnosis more likely the likelihood for intraarticular goes up
opinion that most accurate thing to indicate intraarticular injury:
- complaints of clicking
- giving way in hip
- groin and/or hip pain
absence of functioning labrum has what effect on joint?
92% increase in contact stress on articular cartilage
clinical signs of FAI Diagnosis:
- sharp groin pain in FADIR
- May have aching with prolonged sitting
- pain in deep squat (anterior, lateral, or posterior)
- limited motion (especially IR)
