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MPT 2 > Hip > Flashcards

Hip Flashcards

1
Q

hip flexion arthrokinematics

A

anterior superior roll, posterior inferior glide

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2
Q

hip abduction arthrokinematics

A

superior roll, inferior glide

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3
Q

4 major ligaments at the hip

A

iliofemoral, ischiofemoral, pubofemoral, ligamentum teres

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4
Q

what does thomas test assess

A

iliopsoas tightness

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5
Q

what happens arthrokinematically at the stance hip moving from double limb to single limb stance

A

femoral adduction
inferior roll, superior glide

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6
Q

normal angle of inclination? valgus? varus?

A

normal = 125
valgus = 145
varus = 110

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7
Q

is coxa valga or vara less stable

A

valga

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8
Q

anteverted hips have excessive ______ and retroverted have excessive ________

A

IR
ER

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9
Q

which is less stable - anteverted or retroverted hips?

A

anteverted
*sets you up for acetabular impingement

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10
Q

hip flexors

A

iliacs
psoas
rectus femoris
sartorius
pectineus

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11
Q

hip extensors

A

glute max
hamstring

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12
Q

hip abductors

A

glute med
glute min
TFL
piriformis

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13
Q

hip adductors

A

add longus, magnus, brevis
pectineus
gracilis

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14
Q

hip IR

A

glute min
glute med
TFL

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15
Q

hip ER

A

glute max
obturator internus/externus
piriformis
gemelli sup/inf
sartorius
quad femoris
glute med

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16
Q

your patient had a lumbar fusion and is now complaining of lateral hip pain. why could this be?

A

his back cannot move while walking so they are compensating by adducting/abducting the hip

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17
Q

with hip OA focus on _______

A

function

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18
Q

what is the focus during the inflammatory phase

A

stability and ROM

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19
Q

what is the focus during the fibroblastic phase

A

full AROM

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20
Q

during the remodeling phase what is the focus

A

strength

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21
Q

avoid scar massage for ____ weeks after surgery

A

2-4

22
Q

treatment options during stability/ROM (inflammatory) phase

A

soft tissue, joint mobs, stationary bike, treat adjacent joints, modalities, PROM/AAROM, isometrics, weight bearing, flexibility

23
Q

do you want to stretch a tendon injury

A

no, not initially

24
Q

what grade of joint mobs during stability/ROM phase

A

grade 1 and 2

25
Q

to decrease torque, ___ the lever arm

A

decrease

26
Q

is manual therapy well supported for hip OA?

A

yes

27
Q

indications for AROM

A

dont have pain, have the strength, it is an adjacent joint

28
Q

what do you do when a patient has pain at end range of AROM

A

limit the range

29
Q

contraindications for AROM

A

pain
surgical repair

30
Q

post-op rule of thumb

A

0-4 wks = control sx, PROM
4-8 wks = full PROM/AAROM
8-12 wks = AROM
12 weeks = strengthening

31
Q

what are some medical conditions to be aware of during endurance training

A

coronary artery disease
HTN
CABG
pacemaker
DM

32
Q

what is the goal of endurance training

A

increase blood flow to build muscle and ROM
** this starts neuromuscular re-ed

33
Q

during endurance training, you want to do ___ reps and _____ weight

A

high, low
3-4 sets of 25-50

34
Q

treatment options during endurance phase

A

soft tissue, manips, modalities, AROM/PROM, balance, bands, bridging, squats

35
Q

what grade mobs during endurance training phase

A

1,2,3,4

36
Q

when standing on one foot, what fires to keep our pelvis level

A

glute med

37
Q

what kind of exercises are best for glute max

A

single limb squat
single limb deadlift
lunges
glute squeeze
side plank abduction
front plank w/ hip extension

38
Q

what kind of exercises are best for glute med?

A

single limb deadlift
single limb squat
lateral band walk
side-lying abduction
front plank w/ hip extension clam shells
side plank abduction

39
Q

do females or males have higher EMG values for glute max with unilateral exercises

A

females

40
Q

T or F: cues increase excitation

A

T

41
Q

what three motions increased glute max activation

A

flexion
abduction
ER

42
Q

what phase can you do pylometrics, agility, and speed

A

strength training

43
Q

how many sets/reps for strength training phase

A

3-4 sets or 10-15 reps

44
Q

T or F: it is okay to change multiple variable of an exercise at a time

A

F; one at a time

45
Q

anterior glide improves

A

extension and ER

46
Q

posterior glide improves

A

flexion and IR

47
Q

lateral glides improve

A

all movement

48
Q

you pt is doing a hamstring stretch in supine and says their back is hurting. what can you do

A

have them bend the contralateral leg

49
Q

how to increase stretch of hip flexor during lunge

A

bring the arm overhead
*have sure in posterior pelvic tilt

50
Q

positional release for piriformis

A

pt is prone. leg is off side of table and place knee on stool. move the stool until you find the most comfortable position

51
Q

sciatic nerve flossing

A

pt seated with feet flat on floor. start with feet down, head down. then bring the head up and extend the leg

MPT 2 (11 decks)

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