Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

THER EX 2: LQ > lecture 5: hip lecture > Flashcards

lecture 5: hip lecture Flashcards

1
Q

what is the order of progression

A

mobility , control and load

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what do u need before strengthening

A

stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the 2 waves to produce stability

A

static and dynamic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the neuromuscular control

A

body’s ability ri react and control movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the goal for neuromuscular control

A

goal is to provide dynamic stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the goal for neuromuscular control is to provide dynamical stability … to do this you need good ___ and ___

A

proprioception and
kinesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

if a pt doesn’t have good neuromuscular control they body will take the ….

A

path of least resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when restoring and building isolated strength and the integrating it into ____ and ___ training then leads to big results in impact from recovery vs.. ____ in isolations the focus is more towards ___ and ____

A

stability and functional

strengthening , hypertrophy and aaesthetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how is the acetabulum oriented ?

A

anteriorly , laterally and inferiorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how is the femur oriented

A

anteriorly , medially and superiorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the frontal plane: angle of inclination

normal
coxa vara
coxa valga

A

 Normal: 125°
 Coxa Vara: <110°
 Coxa Valga: >140°

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

in the hip the strong articular spatula is reinforced by what 3 ligaments

A

iliofemoral , pubofemoral and ischiofemoral ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

the acetabular labrum

___ ____ acetablum
___ absorber , joint ____ and pressure distributor
adds a partial vacuum that adds abtliity

A

depends concave
shock and lubricator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the most congruent positions of the hip

A

flex/abd/ ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is hip flexion and what is hip flexion w knee extedned

A

120°
90° if knee extended n (limited in hamstrings)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is hip extension

A

10-30° and less with knee flexion (RF and TFL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is hip abduction adn adduction and what is limited

A

Abduction = 45-50°; limited by gracilis
 Adduction = 20-30°; limited by TFL & ITB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the hip ROM for IR and ER

A

42-50° in 90° flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the closed pack positon of the hip

A

extension with some abduction and IR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is the loose packed position for hip ROM

A

flexion / abduction . ER ( hooklying)

30°-30°-30°

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what fucntional ROM is needed for gait in the hip

A

30° flexion, 10° ext, 5° of abd/add & MR/LR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how much average ROM is needed from shoe tying , sitting ,stooping and squatting

A

shoe tying: 120° flex
sitting : 112° flex
stooping: 125° flex
squatting : 115° , 20° and 20° IR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is hip ORM needed for ascending stairs , descending stairs

A

ascending stairs: 67°
descending stairs: 36°
putting foot on opposite thigh: 120° , 20° abd 20° ER
putting on pants : 90° flex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

during closed chain motions what kind of pelvic tilt does hip flexion casue?

A

anterior pelvic tilt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

during closed chain motions what kind of pelvic tilt does hip extension casue?

A

posterior pelvic tilt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

in closed chain , lateral pelvic tilt produces ___ or ___

A

abd or add

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

in a closed chain position if the opposite side of pelvis hikes then the stance hip is in ___

A

abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

in a closed chain positon if the opposite side of pelvic DROPS , then the stance hips ___

A

adduct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

lateral pelvic shift in bilateral stance , ____ on shift side ___ on opposite

A

adduction and abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

anteiror (foward) pelvic rotation produces ____ ____ of the stance hip

A

medial rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

posterior rotation produces hip ___ rotation

A

lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

for the hip joint in stance the line of gravity creates an ___ ____ counterbalance by ligaments/iliopasa tension

A

extensor movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what is the hip flexors fucntion in open chain and closed chain

A

open chain- leg swing in gait

closed chain: control WB ext forces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what is the fucntion of the TFL

A

flex , abd and IR hip rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what are teh secondary hip flexors

A

pectineus , add longus , add magnus , gracilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

adductors can flex the hip from an ___ position

A

extended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

what is the function of the sartorius

A

flex , abd , LR of hip

FLex/ IR of knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what is the fucntion of the hip adductors

A

stabilizes hip in standing , can help flex hip from extension and extend from flexed positon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

what is the 5 mm for hip adductors

A

pectineus
adductor brevis
adductor longus
adductor magnus
gracilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

what are secondary movers of the hip adductors

A

 Biceps femoris long head, glute max, quadratus
femoris, obturator externus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

what are the 2 mm for hip extensors

A

glute max and hamstrings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

what is hip extension assisted by what 3 mms

A

post glut med
add magnus
piriformis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

what are the 3 mm that do hip abductors

A

glute medius
glute minimus
TFL

44
Q

what is the hip abductors assisted by ? (3 mm)

A

piriformis
sartorius
RF

45
Q

what do the anterior and posterior fibers of the glute medius do

A

ant fibers MR and post fibers LR

46
Q

what are the 5 hip lateral rotators

A

 Glute Max
 Obturator internus & externus
 Gemellus superior and inferior
 Quadratus femoris
 Piriformis

47
Q

when does the piriformis do IR of the hip

A

when it is flexed > 90°

48
Q

what 3 mm is the hip ER assisted by

A

 Post glut med & min
 Sartorius
 Biceps femoris long head

49
Q

what mm are for hip IR

A

no primary one

 Ant gluteus medius
 Ant gluteus minimus
 TFL
 Adductors

50
Q

what mm length test can u do to test abdominal length

A

prone press up

51
Q

what test can be used to test the length of the iliopsoas , TFL and RF

A

modified thomas test

52
Q

what is the 3 things that can cause pain for resistive testing

A

bursa
tendon
peritendon

53
Q

when will they have bursa pain and how do u treat it

A

pain w compression

dont treat w compression o r manual

54
Q

when will they have tendon pain and how do u treat it

A

w contraction or pull
treat w isometric then isotonic

55
Q

when will they have peritendon pain and how do u treat it

A

pain w stretching of tendon

treat w cross friction massage

56
Q

how do u mm strength the postieor glute medius and glute min and glute max

A

 Posterior glut medius (PGM) –sidelying abd
with extension, LR
 Glut min – sidelying abd with extension
 Glut max – prone hip ext with knee flex

57
Q

if the TFL is dominant what is weak

A

iliopsoas

58
Q

if the hip adductors are dominant what is week

A

hip abductors

59
Q

if the hamstrings as hip extensors are the dominant mm waht is the weak mm

A

glute max

60
Q

if the hamstrings are dominant as knee extensors in closed chain what mm is weake

A

quads

61
Q

if the biceps femoris is strong in ER what is mm is weak

A

piriformis and ER’s

62
Q

what are the top 3 knee issues that hip mm weakness is linked too

A

 Patellofemoral dysfunction
 ACL injury
 ITB syndrome (at hip and knee)

63
Q

if you are doing a hip tendon palpation on the R hip with the patient sidelying what mm is at

12 o’clock
1 o’clock
6 o’clock
7-8 o’clock
10 o’clock
11 o’clock

A

12 o’clock: glute med and bursa

1 o’clock: glute min and bursa

6 o’clock: glute max

7-8 o’clock: quad fem

10 o’clock: gemelli and oburator internus

11 o’clock: piriformis

64
Q

if you are doing a hip tendon palpation on the L hip with the patient sidelying what mm is at

12 o’clock
1 o clock
2 oclock
4-5 o’clock
6 o’clock
11 o’clock

A

12 o’clock: glute med and bursa

1 o’clock: piriformis

2o’clock: gemelli and oburator internus

4-5 o’clock: quadratus femoris

6 o’clock: glute max

11 o’clock: glute min and bursa

65
Q

what is the difference between acetabular dysplasia and profunda

A

dysplasia is a shallow socket

profunda is a deep socket

66
Q

what is the different of PAILS (progressive angular isometric loading) and RAILS (regressive angular isometric loading)

A

pails: isometric contraction of the mm in a lengthen positioned (

rails: isometric contraction of the tissue in a shortened position

67
Q

what is the benefits to PAILS/RAILS

A
  • bypass the stretch reflex
    -creates cortical mapping
  • increase neural drive to the tissue
  • casues a cellular adapatation in the tissue
  • increased blood flow to both the PAILS and RAILS tissue
68
Q

describe the PAILS/RAILS performance

A

1/ stretch for 1-2 mins
2. being to irradiate by slowing tensing ur mms
3. being PAILS ( SLOWLT begin to produce force with the tissue you are stretching ISOMETRICALLY and work up from 20% effect to 100%
4. hold this max effect of isometric for 10-15 secs
5. being RAILS by immediately reversing and maximally engaging the tissue that pulls you deeper into the stretch
6. hold for 5-10 secs
7. slowly relax but stay int his stretch or new range of motion
8. slow ur breathing

69
Q

how do u really isolated the glute max for hip extension

A

abd hit 30° and bend the knee

70
Q

how to test the deep rotators of the hip

A

side lye and just abduct and ER no hip extension

71
Q

if you are performing a single knee to chest and u see your pt’s knee go out and foot go in what mm are they using

A

sartorius

72
Q

if you are having ur pt do single knee to chest and you notice their foot going in what is happening

A

tibia IR and u want the foot to be neutral to just focus on iliopsoas

73
Q

when does hip IR occur

A

when extending toward 0° from a flexed positon

flexed 60-100°

74
Q

hip ___ ___ drives force into the ground

A

internal rotation

75
Q

what happened at teh sacrum during hip IR in open cain

A

sacral nutation( flexion)
posterior rotation of innominates

76
Q

how much flex, IR and abd does squatting refrigerate

A

115* of flex
20° of IR
20° of abd

77
Q

what are the CPG for hip pain with mobility deficits (OA)

A
  • pain is indiosus onset
  • mornign stiffness less then 1 hour
  • hip IR ROM less than 24° (highlighted in slide)
  • IR and hip flexion 15° less than other side
78
Q

hip OA CPR

A
  • self reported squatting aggravates symptoms
  • active hip flexion causes a later hip pain (highlighted in slide)
  • the scour test with adduction causes lateral hip or groin pain
    -active hip extension causes pain
  • passive internal rotation is less than or equal a to 25°
79
Q

according to the CPG recommended interventions for hip OA what is considered level A evidence

A

working on flexibiltiy , strenghengin and endurance exercise is

manual therapy

80
Q

what FAI is related to the femorla head/neck morphology?

A

cam pingment

81
Q

the cam impingment is seen often in patients with history of what

A

SCFE or legg calve or present with femorla head anteversion or coxa cara

82
Q

is cam impingment more common in men or females

A

men

83
Q

what is the pincer impingement related to

A

acetabular morphology

84
Q

what else is pincer impingment associated with

A

acetabular retroversion, coxa profunda,
acetabular protrusions

85
Q

who is th epincer impingment more common in

A

middle ages , active women

86
Q

what may make us think a pt has a FAI

A

 Moderate+ hip or groin pain
 Stiffness
 Decreased ROM
 Click/catching
 Giving way

87
Q

during ur examination what may we deiscorver of we think the pt has an FAI

A

 Passive hip MR- painful and limited
 Passive hip flexion-painful and limited
 Trendelenburg gait or abductor lurch

88
Q

what are the 6 functions of the labrum

A
  • deepends the socket
  • decreases forces
  • negative intra articular pressure
  • may okay a role in proprioception
  • may be. a potential source of pian
89
Q

labral tears may be a precursor to hip ___

A

OA

90
Q

what traumatic mechanism could causes a acetabular labral teat

A

rapid twisting
pivoting
falling
forceful rotation with hip hyperextended

91
Q

labral tears increase with ___

A

AGE

92
Q

what are s/s for labral tears

A

 Complain of anterior hip or groin pain.
 Clicking/locking/popping
 Giving way
 Catching Stiffness
 Dull ache with running/stairs
 Limited ability with sitting, twisting, walking, stairs
 May have audible pop

93
Q

what are 4 special test for assessing for labral involvement

A
  • fadir
  • quadrant
  • scour test
  • fitzgeralds
94
Q

what are the related factors for structural instability

A

shallow acetabulum )dysplasia
excessive femoral anteversion
inferior acetabulum insufficiency
neck shaft angle > 140° (coxa valga)

95
Q

____ ____ may play a role in stabilization, resist subluxation forces,
especially with hip in ER/flexion and IR/extension

A

ligamentum teres

96
Q

what hip path are we thinking if the kid is between 4-8 , shorter and there is a deformity of the femorla head

A

Legg-Calve-Perthes
Disease (LCPD

97
Q

what may ur examination tell u if a patient has Legg-Calve-Perthes Disease (LCPD

A
  • decreased hip IR and abduction
  • trendelenburg sign
  • may have tenderness to palpat
  • affected leg may be short
  • may have anterior tight atrophy
98
Q

for slipped capital femoral epiphysis

they are usually between ___ ___ y/o
child tends to be ___
displacement of the femorla ____
usually treated with waht

A

10-15
over weight
neck
sx - internal fixation

99
Q

if a patient has SCFE what may be found during ur exMinaiton

A

 Decreased hip MR, abduction, and flexion
 LE goes into LR with passive hip flexion
 May have hip tenderness to palpation

100
Q

if there is too much movemtn what is the intervention

A

stabilize (motor control)

101
Q

if there is not enough movemtn what is the intervention

A

mobs , manipulation , stretches

102
Q

what should u ALWAYS include during ur interventions to patients

A

EDUCATION

103
Q

what takes linger to heal ?

THA
labral repair
microfracture
hardware .. plate or nail

A

plate

104
Q

what is the posterior hip precautions after a THA

A
  • no hip flexion > 90°
  • no hip IR
  • no adduction
105
Q

what is the anterior hip precautions after a THA

A
  • no hip extension or hip ER
  • no birding. no prone lying
106
Q

for a hip labral repair what are things u shoudl avoid in the first month (0-4 weeks)

A
  1. active hip flexion
  2. ER past 20°
  3. ROM outside of 0-90°
  4. walking w more or less than 20 lbs of pressure
  5. tip top or tow touch WB (should be flat foot WB)
  6. hip extension past 0°
  7. hip abduction pst 20°
107
Q

when can u full WB after a hip microfracture

A

8 weeks

THER EX 2: LQ (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions