Hip/Pelvis Flashcards
FAI
Symptom
Anterior hip pn
Clicking catching popping
PHX hip displasia
SIGNS
Fabir/ fadir
Pn c hip scouring
Reduced ROM flexion, addiction, IR (provocative)
TX
X
FIrst 2 weeks - iso, cycling, ROM
After
Glute bridge and progressions
Arabesque
Hands on wall iso hip flex
Functional
ISO ball squeeze
Copenhagen bent knee to straight knee
Osteitis pubis
MOI
Common in kicking sports
Change in volume - progressive pn
Pn w sit ups
SIGNS
Pos adductor squeeze test
Check hip ROM for imbalances
Tx
Closed chain: side plank, SL squat, glute bridge Swiss ball hamstrings
Open chain: cable hip rom, adductor slide board
Piriformis
Irritation of the sciatic nerve through or around the piriformis
Symptoms
“Tight hamstrings”
Prolonged sitting on hard surfaces
Objective
Palapate piriformis
FAIR test
PX
stretch - pigeon pose/ fig 4
myofascial release,
Clam
Fire hydrant
Greater troch pn syndrome
Gluteal tendonopathy or bursopathy
Symptoms
Lateral hip pn : thigh groin radiates
Pn lying on affected side
Recent increase in training load
SIGNS
Obers
FABER
RROM hip abd and ER
Trendekenburg
TX
Perform ISO protocol for glute med
Avoid lying on side
Hip strengthening
THR
present w THR
- anterior or posterior approach (anterior is preferred due to reduced muscle trauma and smaller incision sight and quicker recovery)
Precautions
- dislocation (anterior)
A) hip abd beyond 45 degrees
B) hip extension beyond 20 degrees
C) external rotation beyond 50 degrees
D) avoid excess adduction or crossing the legs
- high impact
- activities that require pivoting or twisting
TX
Post op: controlled pain and swelling - restore ROm
0-6 weeks: restore strength and initiate proprioceptive training, normal gait
6-12 wks: restore normal muscular strength and RT functional activities
12 weeks +: improve strength and functionality
Ex examples
Mini wall sit
Mini squats
Prone straight leg lifts
Side lying hip abd
Glute bridge
Ladder walker = step length = normal gait pattern
SLS
