Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Therapeutic Exercise > Exam 3: The Hip > Flashcards

Exam 3: The Hip Flashcards

1
Q

What are possible pathomechanics found in the hip region

A

decreased flexibility
asymmetrical leg length
hip muscle imbalances and their effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are possible causes of asymmetrical leg lengths

A

unilateral short leg
coxa valga and coxa vara
anteversion and retroversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A person with a unilateral short leg will cause a pelvic ____ and sends the (thoracic/lumbar) spine into a side bend

A

tilt; lumbar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

If a person has an anterior pelvic tilt, what muscles could be tight?

A

hip flexors and low back extensors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If a person has an anterior pelvic tilt, what muscles could be over stretched?

A

Abs and hamstrings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If a person has a posterior pelvic tilt, what muscle could be tight

A

abs and hamstrings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If a person has a posterior pelvic tilt, what muscles could be over stretched

A

hip flexors and low back extensors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which muscle groups of the hip are important to function during gait

A

flexors, extensors, and abductors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which muscle group is important to function during initial contact to limit hip extension

A

hip flexors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why do the hip flexors need to function during gait

A

They are needed for IC to limit hip extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which muscle group is important to function during stance phase and initial contact to control the hip as we load

A

hip extensors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why do the hip extensors need to function during gait

A

They are needed for initial contact and stance phase to control the hip as we load

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which muscle group is important to function during gait, especially during single limb stance to keep the pelvis neutral instead of dropping to one side

A

Hip abductors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why do the hip abductors need to function during gait

A

They are needed in single limb stance to keep the pelvis neutral instead of dropping to one side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If a patient’s pelvis drops to onside during single limb stance instead of remaining in a neutral position (Trendelenburg’s) which muscle group is probably at fault

A

hip abductors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which 3 nerves of the hip are subject to injury or entrapment

A

sciatic nerve
femoral nerve
obturator nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The sciatic nerve will be entrapped from the _____ muscle, causing pain to go down most of the leg

A

piriformis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which nerve runs through the piriformis, often getting entrapped by this muscle and causing pain to run through the leg

A

sciatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The femoral nerve runs (anterior/posterior) to the hip and is often injured from a femoral or pelvis fracture.

A

anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How is the femoral nerve commonly injured? Remember that it runs anterior to the hip

A

A femur or pelvis fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Which nerve runs anterior to the hip and can be injured if a femoral or pelvis fracture occurs

A

femoral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How is the obturator nerve usually injured?

A

In females that are giving birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which nerve is most likely to get injured in females that are giving birth

A

obturator nerve

24
Q

What are the common sources of referred paid in the hip and buttock region

A

nerve roots L1-L3, S1-S2

Lumbar intervertebral and SI joints

25
Q

What are some pathologies that could be related to joint hypomobility of the hip that do no need surgical management

A

osteoarthritis
degenerative changes
post immobilization

26
Q

What are some examples of degenerative changes in the hip that would cause joint hypomobility

A

aseptic necrosis
slipped epiphysis
dislocations
congenital deformities

27
Q

What is aseptic necrosis

A

bone death of the femoral head

28
Q

When would a patient have a slipped epiphysis

A

adolescents and young males during times of accelerated growth

29
Q

What is slipped epiphysis

A

the femoral head slips in and out of place at the growth plate

30
Q

What are some common impairments of body structure and function at the hip relating to hypomobility (Hint: There’s 6 possible reasons)

A 
pain in groin and anterior thigh to knee
stiffness after rest
limited motion with a firm end feel
antalgic gait
limited hip extension
impaired balance and postural control
31
Q

Which common impairment of body structure and function relates to true hip joint pain

A

pain in groin and anterior thigh to knee

32
Q

Which common impairment of body structure and function relates to patients with arthritis

A

stiffness after rest

33
Q

what is antalgic gait

A

painful gait

34
Q

Common activity/functional limitations and participation restrictions in patients with joint hypomobility include pain with WB activities, cleaning, shopping - especially at the end of the day. Would this be considered during the early or progressive stage of degeneration

A

early

35
Q

Common activity/functional limitations and participation restrictions in patients with joint hypomobility include difficulty rising from a chair, climbing stairs, squatting, bathing, and dressing. Would this be considered during the early or progressive stage of degeneration

A

progressive

36
Q

What are common activity/functional limitations and participation restrictions of a patient with hip joint hypomobility in the early stage of degeneration

A

pain with WB activities, cleaning, shopping - especially at the end of the day.

37
Q

What are common activity/functional limitations and participation restrictions of a patient with hip joint hypomobility in the progressive stage of degeneration

A

difficulty rising from a chair, climbing stairs, squatting, bathing, and dressing.

38
Q

During the protection phase, what are three goals that a clinician would have for their patient in treating joint hypomobility in the hip

A

decrease pain at rest
decrease pain during weight bearing activities
decrease effects of stiffness and maintain available motion

39
Q

During the protection phase, how would a clinician decrease hip pain at rest

A

low grade joint mobilizations

40
Q

During the protection phase, how would a clinician decrease pain during weight bearing activities

A

use assisted devices

adapt seating surfaces

41
Q

During the protection phase, how would a clinician decrease effects of stiffness and maintain available motion

A

ROM exercise

aquatic therapy and non impact activities

42
Q

During the controlled motion and return to function phases, how would a patient improve joint tracking and pain free motion

A

increase IR, flexion, extension and increase extension during WB activities

43
Q

During the controlled motion and return to function phases, how would a patient improve muscle performance in supporting muscles

A

neuromuscular facilitation with muscle setting, and strengthening exercises progressing to functional activities and balance then low impact exercise program

44
Q

What are examples of painful hip syndromes and overuse syndromes that do not require operative management

A

tendonitis/muscle strain
trochanteric bursitis
psoas bursitis
ischiogluteal bursitis

45
Q

____ bursitis occurs with excessive flexion and can be paired with a popping or clicking sound

A

psoas

46
Q

psoas bursitis occurs with excessive (flexion/extension)

A

flexion

47
Q

What is another name for ischiogluteal bursitis

A

tailor’s or weaver’s bottom

48
Q

Tailor’s or weaver’s bottom is another name for ______ ____

A

ischogluteal bursitis

49
Q

What are some common body structure and function impairments and activity limitations and participation restrictions related to painful hip syndromes and overuse syndromes

A

pain
gait deviations
imbalance in muscle flexibility and strength
decreased muscular endurance

50
Q

How would a clinician manage painful hip syndromes and overuse syndromes in the protection phase

A

By controlling inflammation and promoting healing as well as developing support in related areas

51
Q

Which phase of managing painful hip syndromes and overuse syndromes would a clinician develop balance in length and strength of muscles, develop stability of closed chain function, and develop muscle and cardiopulmonary endurance

A

controlled motion

52
Q

How would a clinician manage painful hip syndromes and overuse syndromes in the return to function phase

A

progress strength and functional control

return to full function

53
Q

Which phase of managing painful hip syndromes and overuse syndromes would a clinician have a patient perform accelerating and decelerating sprints to practice quick starts and slowing down

A

return to function

54
Q

What are a patient’s limitations after a total hip replacement performed from a posterolateral approach

A

Patient cannot exceed hip flexion greater than 90

patient cannot exceed adduction and IR greater than neutral

55
Q

What is the number one initial goal for the clinician when treating a post-op patient

A

protect healing of soft tissues surrounding surgical procedure

56
Q

A patient will fall under a (hypermobility/hypomobility) classification for slow progression of exercise within the restraints of WB and motion precautions after operation

A

hypomobility

Therapeutic Exercise (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions