LE Diagnostic Manual - MPD of Hip Flashcards
what are the muscle power deficits associated with the hip
greater trochanteric pain syndrome
outcome measures for GTPS
PSFS
LEFS
explain how GTPS is brought on
precipitated by trochanteric bursitis
– can be attributed to glute med or min tendinopathy (+/-) pathology to trochanteric bursa
what causes tendinopathies in hip musculature
abnormal hip biomechanics
common subjective reports of GTPS
lateral hip pain
pain in SLS
pain in side lying on involved side
symptom aggravation with prolonged standing, walking and sitting
range of motion finding associated with GTPS
tightness of lateral soft tissue
- abductors/IT band
muscle performance finding associated with GTPS
pain/weakness in testing of:
– hip extensors, abductors, and external rotators
pain with hip abduction (AROM/PROM)
palpation finding associated with GTPS
localized pain at greater trochanter
joint mobility finding associated with GTPS
normal/unremarkable
neurological finding associated with GTPS
normal
special tests associated with GTPS
hip abduction weakness/pain with GT palpation
LR+ = 6.09, LR- = 0.45
education intervention associated with GTPS
modification/altering overuse activities
intervention match irritability
how to improve tissue tolerance in those with GTPS
symptom modulation
mobility
loading
return to function
how to improve force production in the hip
strengthening core and other hip muscles
how will improving kinetic chain improve hip pain in those with GTPS
improving abnormal biomechanics and strengthening those muscles leads to normalized movement
medical interventions for GTPS
oral anti inflammatory
corticosteroids
gold standard imaging method for GTPS
MRI
