Lecture 5

Question 1

Hip distal traction indications

Answer 1

testing
initial treatment
pain control
general mobility
unweights weight bearing surface of superior acetabulum

pain relief for hip OA

Question 2

Hip distal traction necessary steps

Answer 2

hip in loose pack position
20° of abduction

alter the angle as you do traction

pain/ROM = 5 min dosage, 30s oscillate

Question 3

Always ask pt w/hip traction

Answer 3

ask if they are problems with their knee or if they have had surgery

hand needs to go above knee if answering yes

Question 4

Lateral glide necessary steps

Answer 4

be parallel to patient
strap is on butt, hand faces down (not towards pelvis)

block illiac crest, limit hip flexion

pt should put the strap as far down on pelvis

Question 5

Lateral glide, increasing flexion

Answer 5

leg is more at a 90°. make sure to not rotate the leg

can do an alternate version with a second strap

Question 6

Anterior glide

Answer 6

patient is prone, figure 4 position
control tibia if its ER
heel of hand should lay on neck/head of femur

apply anterior and lateral directed force

Question 7

Purpose of anterior glide

Answer 7

increase external rotation and extension ROM

Question 8

Why would someone opt for surgery?

Answer 8

significant limitation of motion
instability
structural break down
effusion
failed surgery/management
pain at rest
deformity

Question 9

Preoperative help

Answer 9

education
overview of POC
gait training
bed mobility
wound care
exam/eval

Question 10

Postoperative exam/eval

Answer 10

status of incision
post-op edema and effusion
surgical complications

Question 11

Influences of POC at post op

Answer 11

extent of tissue pathology and damage
extent of preoperative impairements
use of tobacco, medications, etc
motivation/cognition
support system
stage of healing
characteristic of tissues
response to immobilization
integrity of structures
philosphy of surgeon

Question 12

Maximum protection pahse

Answer 12

days or 6-8 weeks after surgery

Question 13

Moderate protection phase

Answer 13

8-12 weeks

Question 14

Minimum protection phase

Answer 14

return to function
6-12 weeks post op to 6 months post op

Question 15

Progression of exercise program after surgery

Answer 15

combo of criteria and time based procedure

Question 16

Deep vein thrombosis

Answer 16

dull, aching, or severe pain, swelling or changes in skin temp and color. skin is shiny

Question 17

Pulmonary embolism

Answer 17

suden onset of shortness of breath, rapid and shallowing breathing, chest pain

Question 18

Stratification of risk for DVT and PE

Answer 18

DVT = likely is a score of 2 or higher
PE = likely is a score of 4 or higher