Hip Flashcards
Primary roles of the hip
support weight of body, especially during upright postures and dynamic weight-bearing activities
provides pathway for transmission of forces
Motions of _____ result in motion for the ______ and _______
pelvis
spine
femurs
To prevent excessive pelvic motion when femur is in motion, the pelvis must be stabilized by
trunk musculature
What are two typical compensatory gait patterns related to weakness, motor control deficits, and/or pain at the hip?
antalgic gait
trendelenburg gait
Antalgic gait
balancing COM over femoral head
Trendelenburg gait
swing leg hip drops down on NWB side due to abductor insufficiency on stance side
Hip impairments can be connected to
low back pain
patellofemoral pain
knee OA
_______ is the most common arthritic disease of the hip
osteoarthritis
Other causes for degeneration of hip leading to hypomobility
RA
avascular necrosis
slipped epiphyses
congenital deformities
prolonged immobility
What will a pt complain of when they have hip hypomobility?
pain in groin, anterior thigh
stiffness after rest
balance, postural control, gait are altered
difficulty when dressing
Early stage of hip joint degeneration
progressive pain during gait, end of day after repetitive LE use, weight-bearing
Later stage of progressive degeneration
difficulty getting out of chair, walking short distances, standing or walking on uneven surfaces, climbing stairs, squatting
What might a clinical exam reveal of hip joint?
hard capsular or boney end feel
limited IR (FIRST TO DECREASE), extension, flexion
femur is adducted & ER
Consequences of limited motion in hip
limited hip extension leads to limited full knee extension, increases extension forces at lumbar spine, leads to low back pain
Acute phase of hip pain management
pt education
decrease pain during WB
promote core control
normalize step length
decrease stiffness
MWMs
weight reduction
