Hip Interventions

Question 1

strong evidence for hip fx

Answer 1

• prevention and identification of delirium

- prevention of falls

Question 2

what is expert opinion for hip fx

Answer 2

• pain assessment and management
• prevention of pressure ulcers
• secondary fx prevention
• determination & communication of functional assistance requirements
• identification of individual goals
• transition of care

Question 3

what is good early post-op interventions for hip fx inpatient setting

Answer 3

• assisted transfer / ambulation

- high freq. in-hospital PT following surgery, including HEP

Question 4

what is weak early post-op interventions for hip fx inpatient setting

Answer 4

• 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

Question 5

what is good for postacute period homecare and community setting for hip fx

Answer 5

• 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

Question 6

good interventions for postacute period homecare and community setting for hip fx

Answer 6

• provide recs to patient to maximize safe physical activity

Question 7

weak interventions postacute period homecare and community setting for hip fx

Answer 7

• aerobic training in addition to progressive resistive, balance and mobility training in the community setting for older adults after hip fx

Question 8

phase 1 to improve mobility

Answer 8

• activation/coordination exercises
• mobility
• inhibitory ex
• STM
• joint mobs

Question 9

phase 2 to improve mobility

Answer 9

• progression to strength/endurance training of stabilizers

Question 10

phase 3 to improve mobility

Answer 10

• increase challenge of exercise

Question 11

order of best interventions for osteoarthropathy

Answer 11

1. flexibility, strengthening and endurance exercises
2. pt ed
3. functional, gait and balance training

Question 12

ankylosing spondylitis

Answer 12

can affect ribs, hips, spine
2nd-3rd decade
males > females

Question 13

interventions for ankylosing spondylitis

Answer 13

• 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

Question 14

phase 1 to improve stability

Answer 14

• exercise: physiologic effects
• activations/coordination
• joint mobs

Question 15

phase 2 to improve stability

Answer 15

progress to strength/endurance of stabilizers

Question 16

phase 3 to improve stability

Answer 16

increase challenge of exercise

Question 17

conservative phase 1 labral tear

Answer 17

• activity modification/pt ed
• gait training with AD
• oscillation mobs
• soft tissue mobs
• mobility/pain management exercise

Question 18

conservative phase 2 labral tear

Answer 18

• lumbopelvic coordination/strengthening exercises
• LE strengthening
• balance/coordination exercises

Question 19

conservative phase 3 labral tear

Answer 19

• increase challenge of exercises

Question 20

operative phase 1 labral tear

Answer 20

• 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

Question 21

avoid what in operative phase 1 labral tear

Answer 21

SLR

Question 22

operative phase 2 labral tear

Answer 22

• 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

Question 23

operative phase 3 labral tear

Answer 23

• week 4-6
• progress flexibility
• progress resisted strengthening
• functional exercises introduced as tolerated

Question 24

glut med activation

Answer 24

side bridge
SL deadlift
SL squat
pelvic drop
side lying hip abd