LE Diagnostic Packet - Hip Mobility Deficits Flashcards
what outcome measures are suggested for hip OA
western ontarion and mcmaster university arthritis index (WOMAC)
hip disability and osteoarthritis score (HOOS)
lower extremity functional scale (LEFS)
hip harris score (HHS)
what are the mobility deficits of the hip
osteoarthritis
what are common population characteristics of hip OA
> 55 years old
moderate anterior/lateral hip pain during weight bearing
morning stiffness <1 hr
when looking at motion at the hip, what findings would indicate hip OA
IR <24 degrees
or
IR and Flexion <15 degrees of contralateral side
and/or
increased hip pain with PROM IR
those with hip OA typically have the most difficulty with
ambulation
squatting
stair climbing
muscle performance finding associated with hip mobility deficits
strong and painless
– glute weakness is common
palpation finding associated with hip mobility deficits
may elicit symptoms with local palpation
joint mobility finding associated with hip mobility deficits
decreased in all planes
special tests associated with hip mobility deficit
scour test
hip quadrant
FABER
what intervention is indicated to increase flexibility in the hip? what is its protcol?
hip capsule, fascia, muscle stretching
1-5x per week
6-12 exercises for mild to moderate
what motions need to be focused on to improve hip flexibility? what about strengthened?
all planes - focus on flexors and ERs
muscles = hip flexors, abductors, ER and extensors
what is specifically indicated when thinking of manual therapy interventions in a hip mobility deficit
soft tissue mobilization
- iliacus, hip ERs, posterior glute med, quadratus femoris, glute max
what specific manual therapy techniques are indicated for hip OA
hip distraction mob
posterior/anterior glide
distraction with movement
explain patient education in those with hip OA
addressing weight bearing activity modification
– prescribe exercise that achieves goal w/o weight bearing
maybe assistive devices
what modalities are indicated for those with hip OA
ultrasound / heat packs
– short term pain / activity limitation management (up to 2 weeks)
medical interventions for hip OA
total hip arthroplasty
– end stage hip OA
NSAIDs
what are some interventions for hip OA with a little less evidence of efficacy
functional, gait and balance training (C)
weight management (C)
bracing (F)
what is the gold standard imaging method of hip OA
A-P radiograph
