Hip OA CPG Flashcards
Does positioning of the hip acetabulum potentially affect development of hip OA?
Yes - potentially larger association with acetabular retroversion; ischial spine sign on radiograph due to hemi-pelvic rotation ER
What deformity, CAM or pincer, has a higher association with hip OA?
Cam tends to develop hip OA more rapidly
Five factors of clinical diagnosis based on 2017 CPG:
1) age > 50
2) anterior/lateral hip pain with WB
3) morning stiffness < 60 minutes after wakening
4) hip IR < 24 // hip flexion and IR 15 deg less than nonpainful side
5) inc pain with PROM for IR
What balance assessment predicted balance performance for outcomes associated with hip OA?
Last 9 items of Berg Balance
What two outcome measures are associated specifically with hip OA?
1) hip disability and OA outcome (HOOS)
2) Western Ontario and McMaster Universities OA index (WOMAC)
According to the CPG, what 4 functional outcome tests should be conducted for hip OA?
1) 6 MWT
2) TUG
3) 30 second chair test
4) stair measure
What hip special test specifically identifies the joint’s irritability level?
FABER
True/false: there is good evidence in taking glucosamine or any combination of glucosamine and its effects on hip space, pain, function etc
False - no evidence for glucosamine or any combination
What three interventions combined to inc the survival rate of the native hip joint?
1) pt education - activity modification
2) manual therapy
3) exercise program
Which degree of OA has better outcomes associated with manual therapy/exercise?
Mild-moderate
Moderate to severe has poorer outcomes
Which modality demonstrated a potentially positive outcome when applied to the hip over a 10 tx/2 week basis?
Ultrasound - 1 Mhz, 1 W/cm2 for 5 minutes to ant/post/lateral hip
True/false: collaborative support to provide pt with education with weight reduction is helpful with outcomes
True - esp in those obese and overweight - weak evidence for now
