Lecture 5 Flashcards

1
Q

Hip distal traction indications

A

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

pain relief for hip OA

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2
Q

Hip distal traction necessary steps

A

hip in loose pack position
20° of abduction

alter the angle as you do traction

pain/ROM = 5 min dosage, 30s oscillate

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3
Q

Always ask pt w/hip traction

A

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

hand needs to go above knee if answering yes

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4
Q

Lateral glide necessary steps

A

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

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5
Q

Lateral glide, increasing flexion

A

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

can do an alternate version with a second strap

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6
Q

Anterior glide

A

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

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7
Q

Purpose of anterior glide

A

increase external rotation and extension ROM

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8
Q

Why would someone opt for surgery?

A

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

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9
Q

Preoperative help

A

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

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10
Q

Postoperative exam/eval

A

status of incision
post-op edema and effusion
surgical complications

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11
Q

Influences of POC at post op

A

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

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12
Q

Maximum protection pahse

A

days or 6-8 weeks after surgery

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13
Q

Moderate protection phase

A

8-12 weeks

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14
Q

Minimum protection phase

A

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

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15
Q

Progression of exercise program after surgery

A

combo of criteria and time based procedure

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16
Q

Deep vein thrombosis

A

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

17
Q

Pulmonary embolism

A

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

18
Q

Stratification of risk for DVT and PE

A

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