Hip Flashcards
hip flexion arthrokinematics
anterior superior roll, posterior inferior glide
hip abduction arthrokinematics
superior roll, inferior glide
4 major ligaments at the hip
iliofemoral, ischiofemoral, pubofemoral, ligamentum teres
what does thomas test assess
iliopsoas tightness
what happens arthrokinematically at the stance hip moving from double limb to single limb stance
femoral adduction
inferior roll, superior glide
normal angle of inclination? valgus? varus?
normal = 125
valgus = 145
varus = 110
is coxa valga or vara less stable
valga
anteverted hips have excessive ______ and retroverted have excessive ________
IR
ER
which is less stable - anteverted or retroverted hips?
anteverted
*sets you up for acetabular impingement
hip flexors
iliacs
psoas
rectus femoris
sartorius
pectineus
hip extensors
glute max
hamstring
hip abductors
glute med
glute min
TFL
piriformis
hip adductors
add longus, magnus, brevis
pectineus
gracilis
hip IR
glute min
glute med
TFL
hip ER
glute max
obturator internus/externus
piriformis
gemelli sup/inf
sartorius
quad femoris
glute med
your patient had a lumbar fusion and is now complaining of lateral hip pain. why could this be?
his back cannot move while walking so they are compensating by adducting/abducting the hip
with hip OA focus on _______
function
what is the focus during the inflammatory phase
stability and ROM
what is the focus during the fibroblastic phase
full AROM
during the remodeling phase what is the focus
strength
avoid scar massage for ____ weeks after surgery
2-4
treatment options during stability/ROM (inflammatory) phase
soft tissue, joint mobs, stationary bike, treat adjacent joints, modalities, PROM/AAROM, isometrics, weight bearing, flexibility
do you want to stretch a tendon injury
no, not initially
what grade of joint mobs during stability/ROM phase
grade 1 and 2
to decrease torque, ___ the lever arm
decrease
is manual therapy well supported for hip OA?
yes
indications for AROM
dont have pain, have the strength, it is an adjacent joint
what do you do when a patient has pain at end range of AROM
limit the range
contraindications for AROM
pain
surgical repair
post-op rule of thumb
0-4 wks = control sx, PROM
4-8 wks = full PROM/AAROM
8-12 wks = AROM
12 weeks = strengthening
what are some medical conditions to be aware of during endurance training
coronary artery disease
HTN
CABG
pacemaker
DM
what is the goal of endurance training
increase blood flow to build muscle and ROM
** this starts neuromuscular re-ed
during endurance training, you want to do ___ reps and _____ weight
high, low
3-4 sets of 25-50
treatment options during endurance phase
soft tissue, manips, modalities, AROM/PROM, balance, bands, bridging, squats
what grade mobs during endurance training phase
1,2,3,4
when standing on one foot, what fires to keep our pelvis level
glute med
what kind of exercises are best for glute max
single limb squat
single limb deadlift
lunges
glute squeeze
side plank abduction
front plank w/ hip extension
what kind of exercises are best for glute med?
single limb deadlift
single limb squat
lateral band walk
side-lying abduction
front plank w/ hip extension clam shells
side plank abduction
do females or males have higher EMG values for glute max with unilateral exercises
females
T or F: cues increase excitation
T
what three motions increased glute max activation
flexion
abduction
ER
what phase can you do pylometrics, agility, and speed
strength training
how many sets/reps for strength training phase
3-4 sets or 10-15 reps
T or F: it is okay to change multiple variable of an exercise at a time
F; one at a time
anterior glide improves
extension and ER
posterior glide improves
flexion and IR
lateral glides improve
all movement
you pt is doing a hamstring stretch in supine and says their back is hurting. what can you do
have them bend the contralateral leg
how to increase stretch of hip flexor during lunge
bring the arm overhead
*have sure in posterior pelvic tilt
positional release for piriformis
pt is prone. leg is off side of table and place knee on stool. move the stool until you find the most comfortable position
sciatic nerve flossing
pt seated with feet flat on floor. start with feet down, head down. then bring the head up and extend the leg
