Hip Interventions Flashcards
strong evidence for hip fx
- prevention and identification of delirium
- prevention of falls
what is expert opinion for hip fx
- pain assessment and management
- prevention of pressure ulcers
- secondary fx prevention
- determination & communication of functional assistance requirements
- identification of individual goals
- transition of care
what is good early post-op interventions for hip fx inpatient setting
- assisted transfer / ambulation
- high freq. in-hospital PT following surgery, including HEP
what is weak early post-op interventions for hip fx inpatient setting
- upper body aerobic training in postacute period
- e-stim for quad strengthening if other not effective
- e-stim for pain management if not sufficient with usual strategies
what is good for postacute period homecare and community setting for hip fx
- must provide opportunities for additional therapies if deficits remain beyond 8-16 weeks following fx
- outpatient services, progressive HEP or evidence based community exercise programs
good interventions for postacute period homecare and community setting for hip fx
- provide recs to patient to maximize safe physical activity
weak interventions postacute period homecare and community setting for hip fx
- aerobic training in addition to progressive resistive, balance and mobility training in the community setting for older adults after hip fx
phase 1 to improve mobility
- activation/coordination exercises
- mobility
- inhibitory ex
- STM
- joint mobs
phase 2 to improve mobility
- progression to strength/endurance training of stabilizers
phase 3 to improve mobility
- increase challenge of exercise
order of best interventions for osteoarthropathy
- flexibility, strengthening and endurance exercises
- pt ed
- functional, gait and balance training
ankylosing spondylitis
can affect ribs, hips, spine
2nd-3rd decade
males > females
interventions for ankylosing spondylitis
- spine ext & peripheral joint exercise
- breathing exercise
- prone lying several times/day for spine/hip ext
- sleeping on firm mattress & avoidance of SL position
- swimming
phase 1 to improve stability
- exercise: physiologic effects
- activations/coordination
- joint mobs
phase 2 to improve stability
progress to strength/endurance of stabilizers
phase 3 to improve stability
increase challenge of exercise
conservative phase 1 labral tear
- activity modification/pt ed
- gait training with AD
- oscillation mobs
- soft tissue mobs
- mobility/pain management exercise
conservative phase 2 labral tear
- lumbopelvic coordination/strengthening exercises
- LE strengthening
- balance/coordination exercises
conservative phase 3 labral tear
- increase challenge of exercises
operative phase 1 labral tear
- days 1-7
- w/b to tolerance with crutches
- iso quad/glut
- AROM
- closed chain bridge, weight-shift, balance exercise
- open chain hip flex, ext, add/abduction
avoid what in operative phase 1 labral tear
SLR
operative phase 2 labral tear
- weeks 1-3
- d/c crutches, progress gait
- progress ROM, gradual stretch at end range within tolerance
- stationary bike
- light open chain above the knee resistance exercises
operative phase 3 labral tear
- week 4-6
- progress flexibility
- progress resisted strengthening
- functional exercises introduced as tolerated
glut med activation
side bridge SL deadlift SL squat pelvic drop side lying hip abd
