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Therapeutic Exercise > Hip > Flashcards

Hip Flashcards

1
Q

What are the 3 ligaments are the hip? What do they limit?

A

Iliofemoral (Y or Bigelow) - ER
Pubofemoral - ABD
Ischiofemoral - IR

Help to limit excessive extension of the hip

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2
Q

What are the pelvic motions of APT?

A

Hip Flexors

Trunk Extensors

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3
Q

What are the pelvic motion of PPT?

A

Hip extensors

Truck Flexors

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4
Q

What does Unilateral short leg cause?

A

Pelvic tilting and trunk lateral flexion

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5
Q

Define Coxa Valga

A

Longer leg and Genu Varum = bow legs

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6
Q

Define Coxa Vara

A

Shorter leg and Genu Valgum = knock knee

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7
Q

Anteversion

A

Increased torsion of femoral neck = toes point in

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8
Q

Retroversion

A

Decrease torsion of femoral neck = toes point out

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9
Q

Where does the Sciatic nerve run?

A

Back of hip and hamstrings

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10
Q

Where does the Obturator nerve run?

A

Inner thigh

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11
Q

Where does the Femoral nerve run?

A

Front hip and quad

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12
Q

Define Osteoarthritis

A

Focal loss of articulate cartilage with variable subchondral bone reaction

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13
Q

Osteoarthritis Capsular Pattern

A

IR > Flexion > ABD

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14
Q

Define Avascular Necrosis

A

Loss of blood supply to the femoral head

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15
Q

What is the greatest vascularized area in the hip?

A

Femoral intertrochanteric area

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16
Q

Extracapsular vs Intracapuslar hip fractures

A

Extra- proximal femoral shaft, subtrochanteric and intertrochanteric

Intra- Femoral head, femoral neck, subcapital areas

17
Q

What does ORIF stand for

A

Open Reduction Internal Fixation

18
Q

Max protection phase of Hip Fractures

A

21 days

NO active SLR
NO bridges in first 6-8 weeks
Limited WB
NO stretching

19
Q

Mod protection phase of Hip Fractures

A

3-6 weeks

20
Q

Min protection phase of Hip Fractures

A

6-8 weeks

21
Q

What causes an Ant Hip Dislocation? Posterior?

A

Ant = EXT & ER

Post = FLEX & ADD & IR

22
Q

What is a Proximal Femoral Osteotomy?

A

Performed when patients experience hip pain associated with subchondral bone erosion from Degenerative Joint Disease

Progress after x-ray shows evidence of bone healing

23
Q

What is a Hemiarthoplasty

A

Is caused when the femoral head has osteonecrosis or severe femoral head fractures.

The femoral head is replaced with bipolar prostheses but does require normal acetabular surface

24
Q

What is a Total Hip Arthroplasty?

A

Replacement of the femoral head and acetabular surface

RA, OA, Osteonecrosis, Fractures, Pain, Tumors

25
Q

What are the precautions for a Posterior Total Hip

A 
AVOID: 
Hip ADD
IR
FLEX greater than 90*
Any combination of the above
Dont
Squat
Bend over and tie shoes
Cross legs
Stand on involved leg and rotate toward it
26
Q

What are the precautions for an Anterior Total Hip

A

AVOID:
Hip ER
EXT

Dont
Cross legs
Stand on involved side and rotate away

27
Q

S/S of a DVT

A

Pain in calf
Painful resisted plantarflexion
increased temp
edema

28
Q

Define Legg-Calve-Perthes Disease

A

Non-inflammatory, self-limting syndrome where the femoral head becomes flattened at weight bearing surface secondary to avascular necrosis

Typically in children 4-8

29
Q

PT for Legg-Calve

A

Regain motion and reduce pain dysfunction and strengthen all around hip and LE on both legs. Gradually progress based on pain tolerance.

30
Q

Define Pubalgia

A

Term for all disorders causing chronic pain in the region of the pubic tubercle and inguinal region

31
Q

PT for Pubalgia

A

Identify causative factors, stretch tight structures, strengthen weak structures (glutes + ABD)

32
Q

What causes Hamstring Strains?

AVOID?

A

Sudden forceful contraction of hams or (eccentric) deceleration of lower leg against concentric contraction of the quads during running

AVOID:
Knee Flex with Hip Ext

33
Q

AVOID what with an ADD Strain at the Hip?

A

ABD and resisted ADD

34
Q

What causes Ilipsoas Strain?

AVOID what with Iliopsoas Strain at the Hip?

A

Sudden forceful hip ext or forced hip flex against resistance

-Hip Ext

35
Q

What causes Hip Pointer or Contusion?

AVOID?

A

Sudden forceful contraction or over stretching of TFL and Glute Med

-Massage at effected area

36
Q

Special tests for the Hip?

A 
Hip Scour- OA
Craigs Test- Anteversion
90/90- Hamstring flexability
Obers Test- ITB Flexibility
Piriformis Test- Piriformis flexibility
Thomas Test- Hip flexor flexibility
Elys Test- rectus femoris tightness
37
Q

Easiest to Hardest activation of the Hip ABD (Glute Med)

A 
Bilateral LE Bridge 28%
Standing Hip ABD 33%
S/L Hip ABD 42%
Single LE Bridge 47%
Side Bridge 74%

Therapeutic Exercise (5 decks)

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