Lecture 5 Flashcards
Hip distal traction indications
testing
initial treatment
pain control
general mobility
unweights weight bearing surface of superior acetabulum
pain relief for hip OA
Hip distal traction necessary steps
hip in loose pack position
20° of abduction
alter the angle as you do traction
pain/ROM = 5 min dosage, 30s oscillate
Always ask pt w/hip traction
ask if they are problems with their knee or if they have had surgery
hand needs to go above knee if answering yes
Lateral glide necessary steps
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
Lateral glide, increasing flexion
leg is more at a 90°. make sure to not rotate the leg
can do an alternate version with a second strap
Anterior glide
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
Purpose of anterior glide
increase external rotation and extension ROM
Why would someone opt for surgery?
significant limitation of motion
instability
structural break down
effusion
failed surgery/management
pain at rest
deformity
Preoperative help
education
overview of POC
gait training
bed mobility
wound care
exam/eval
Postoperative exam/eval
status of incision
post-op edema and effusion
surgical complications
Influences of POC at post op
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
Maximum protection pahse
days or 6-8 weeks after surgery
Moderate protection phase
8-12 weeks
Minimum protection phase
return to function
6-12 weeks post op to 6 months post op
Progression of exercise program after surgery
combo of criteria and time based procedure