Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

THEREX 2 > Hip Lecture > Flashcards

Hip Lecture Flashcards

1
Q

How can you increase a patients proprioception during a treatment?

A

Eyes closed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What do you need for dynamic stability

A

Proprioception and kinesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Squat has the most force:

Open chain leg extension has the most force:

A

squat: in deepest position

Open chain: at the end range of ext

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The acetabulum is oriented:

the femur is oriented:

A

anterior, lateral, inferior

anterior, medially, superiorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the normal angle of inclination?

A

125

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is considered coxa vara?

Coxa valga?

A

Under 110

Over 140

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the most congruent position for the hip

A

Flex, Abd, lateral rotation

Open packed position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What muscle limits abduction?

What muscle limits adduction?

A

Gracilis

TFL and ITB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is normal hip Flexion?

Ext?

Abducton?

Adduction?

A

120 or 90 depending on knee position

10-30

45-50

20-30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How much ROM do you need for gait?

Flexion:

Ext:

Ab/ad/er/ir

A

30

10

5/5/5/5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

in close chain, anterior pelvic tilt causes hip __________

posterior pelvic tilt produces hip ___________

A

flexion

ext

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If you hike one side of your pelvis, what motion happens at the hip on that same side

what happens at the opposite side?

A

adduction

abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

rotating backwards on your stance leg produces what rotation of the hip?

rotating forward?

A

lateral rotation

medial rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Forward bending sequence:

A
  1. Head and upper trunk initiates flexion
  2. pelvis shifts posterior
  3. Trunk continues to bend forward controlled by extensors
  4. pelvis rotates and tilts anteriorly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

In BL stance, the line of gravity creates an __________ moment counterbalanced by _________

A

extensor moment

iliopsoas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the best way to target the glute med MMT?

A

Hip Abd, ER, Extension w/ knee straight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the primary Hip Abduction compensator?

A

TFL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 2ndary Hip ER muscles?

A
  1. Post glute med & min
  2. Sartorius
  3. Biceps fem long head
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the primary Hip IR muscles?

A

Trick Question!

there are none!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the 2ndary Hip IR Muscles?

A
  • Ant glute med
  • Ant glute min
  • TFL
  • ADductors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

In Ober’s Test, if it is a (+) test what does that mean?

A

Tight IT Band

Tight in Internal Rotation (the bony structures aren’t allowing IR)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

If I create compression around the Greater Trocahnter area, and there is pain, what structure may be the primary pain generator?

A

Bursa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

If I have the patient contract or resist and that causes pain, what may be the primary pain generator?

A

Tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

If I have the patient stretch and that causes pain, what may the primary pain generator?

A

Peritendon (covering of a tendon)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
For the **Iliopsoas** should we test in sitting flexion or supine?
Supine *he said with sitting flexion, they tend to compensate and lean back and the hip is already flexed*
26
Testing Hamstrings, if I knee flex and IR, I am testing ______ if I knee flex and ER, I am testing _____
Semimem & Semiten Biceps Fem
27
What is the most lateral attachment on the Isch Tub?
Semimembranosus
28
[review hip tendon palpation - the clock]
29
When measuring LLD, what landmarks should we use most of the line? (acc. to Palumbos)
**Greater Trochanter --> Lat Mall** (instead of ASIS because if there is an upslip or SIJ issue, measuring from the GT won't account for that) *be careful of the exception*
30
[note: add x-ray pics]
ok
31
Do we want the primary movers to be stronger than our stabilizer muscles?
NO = that is a problem!
32
What is a PAIL?
Isometric contraction of the muscle in a **lengthened** position
33
What is a RAIL?
Isometric contraction of the tissue in a **shortened** position
34
What are the benefits of PAILS/RAILS?
* bypass the stretch reflex * creates **cortical** mapping * increase **neural** drive to the tissue * cause a **cellular** adaptation in the tissue * increase **blood** flow to both tissue
35
What does PAIL stand for? RAIL
Progressive/Regressive Angular Isometric Loading
36
When we ask the patient to abduct their hip in sidelying, what are we likely to see?
Abduction with hip flexion **iliopsoas** is dominant even in abduction & **TFL** kicks in
37
When testing glute max MMT, what position do we have their hip in?
30 degrees abduction to make it a prime mover
38
When testing the PGM, what position do we place the hip?
* hip Extension * ER * ABDuction
39
When testing Glute Min, what position do we place the hip?
* Abduction * Extension *no ER*
40
When we want the deep rotators to activate, what position do we put the hip in?
* Abduction * ER *no extension*
41
When does hip IR occur?
* when extending towards 0 degrees from a flexed position * flexed 60-100 degrees
42
Hip Pain with Mobility Deficits CPG * Pain of ______ onset, first with WB * moderate ____ or ____ hip pain during WB * morning stiffness < ____ in duration * hip IR ROM < ___ degrees * IR and hip flexion ___ less than nonpainful side * increased hip pain with ____ hip IR
Hip Pain with Mobility Deficits CPG * Pain of **insidious** onset, first with WB * moderate **anterior** or **lateral** hip pain during WB * morning stiffness < **1 hour** in duration * hip IR ROM < **24** degrees * IR and hip flexion **15 degrees** less than nonpainful side * increased hip pain with **passive** hip IR
43
Sutlive Hip OA CPR * self-reported ____ causes symptoms * active hip ____ causes lateral hip pain * Scour test with ____ causes lateral hip or groin pain * Active hip __ causes pain * Passive IR is <= ____ degrees
Sutlive Hip OA CPR * self-reported **squatting** causes symptoms * active hip **flexion** causes lateral hip pain * Scour test with **adduction** causes lateral hip or groin pain * Active hip **extension** causes pain * Passive IR is <= **25** degrees
44
Non-Arthritic Hip Joint Pain CPG: FAI * structural variations may result in abnormal contact between femoral head-neck junction and ______ rim * associated with ____ and ____ damage * combination of pincer/cam is most common * ____ can also cause FAI * FAI can lead to development of ______
Non-Arthritic Hip Joint Pain CPG: FAI * structural variations may result in abnormal contact between femoral head-neck junction and **acetabular** rim * associated with **labral** and **chondral** damage * combination of pincer/cam is most common * **SCFE** can also cause FAI * FAI can lead to development of **secondary hip OA**
45
CAM FAI is on the _____ Pincer FAI is on the_____
CAM: femoral head/neck Pincer: acetabulum
46
Which impingement is more common in younger males?
CAM
47
Which impingement is more common in middle-aged, active women?
Pincer impingement
48
What are the functions of the labrum?
* **deepens** the socket * decreases forces * negative intra-articular **pressure** creating a seal * may play a role in **proprioception** * potential source of **pain**
49
T/F: we see increased incidence of acetabular labral tears with increased age.
True
50
Age we see Legg-Calve-Perthes (LCPD) in? It is a deformity of ____ ___
Children 4-8 years old Deformity of the femoral head
51
Usually LCPD presents as ______, then as it progresses there may be pain in_____
Painless limp Pain in the hip/groin/thigh/knee *typically male & family history*
52
Examination of LCPD includes:
* decrease hip IR and ABD * Trendelenburg * TTP * affected leg may be short (in severe cases) * anterior thigh atrophy
53
LCPD is an example of when we want to use what 2 landmarks to measure LLD?
* ASIS to lat mall to account for the femoral head deformity
54
We usually see SCFE in what age? displacement of ______
10-15 overweight kids displacement of **femoral neck**
55
Examination of SCFE includes:
* decreased hip IR, ABDuction, flexion * LE goes into ER with passive hip flexion * hip TTP
56
THA posterior precautions
* no hip flex > 90 degrees * no hip IR * no adduction beyond neutral * no combined
57
THA anterior precautions
* no hip ext/ER beyond neutral * no bridging, prone lying, no combined * when supine, keep hip flexed >=30 degrees * pillow under pt's knees and raise head of bed
58
THA lateral precautions
* hip ABD restrictions
59
Hip Labral Tear Things to avoid post-op 1st month * Active Hip ____ * ER > ___ * ROM outside of ____ - ____ * Walking with ___ lbs of pressure through surgical limb * TTWB * Hip Ext > ___ * Hip ABD > ___
Hip Labral Tear Things to avoid post-op 1st month * Active Hip **Flex** * ER > **20** * ROM outside of **0** - **90** * Walking with **20** lbs of pressure through surgical limb * TTWB * Hip Ext > **0** * Hip ABD > **20**
60
Hip Microfracture Precautions * Control WB forces for ___ weeks * Protect against excessive forces onto hip joint * Promote ____ ____ healing * Limit aggressive functional activities until advices by physician
Hip Microfracture Precautions * Control WB forces for **8-10** weeks * Protect against excessive forces onto hip joint * Promote **articular cartilage** healing * Limit aggressive functional activities until advices by physician
61
Hip Microfracture WB Progression Weeks 0-4: Week 4-6: Week 7-8: Week 8-10:
Hip Microfracture WB Progression Weeks 0-4: **TTWB with 2 crutches** Week 4-6: **25% BW w/ 2 crutches** Week 7-8: **50-75% BW w/ 2 crutches (goal is full by end of week 8)** Week 8-10: **weaning off the crutches**

THEREX 2 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions