Management of Hip dysfunctions(s) Flashcards
What is the primary objective in managing hip dysfunctions?
Develop and manage a plan of care that is evidence based and complies with the standards of practice.
What should be evaluated when a fellow student instructs a hypothetical patient?
Evaluate and critique the performance of a fellow student while they are instructing a hypothetical patient in an exercise program.
What is a key consideration when comparing treatments for a hypothetical patient scenario?
Choose the most appropriate treatment based on the individual patient using the best evidence to support your treatment intervention.
What is the focus of the literature review in patient treatment scenarios?
Review and analyze the literature in regards to a patient treatment scenario to determine the clinical effectiveness of the intervention.
What does joint hypomobility refer to?
Limited range of motion in a joint.
What are common pathologies related to hip dysfunction?
- Osteoarthritis (OA) * Rheumatoid arthritis (RA) * Aseptic necrosis * Slipped capital femoral epiphysis * Dislocations * Congenital deformities
What are typical symptoms of Osteoarthritis of the hip?
- Pain in groin referred to anterior thigh and knee * Stiffness after rest * Limited motion with firm capsular end-feel * Asymmetry in lower extremity * Antalgic gait (Trendelenburg)
What does a positive clinical prediction rule for hip osteoarthritis include?
- Self-reported squatting aggravates symptoms * Active hip flexion causes lateral hip pain * Scour test with adduction causes lateral hip or groin pain * Active hip extension causes pain * Passive internal rotation is less than or equal to 25 degrees
What is the focus of the Protection Phase in hip management?
- Patient education * Weight-bearing stresses * Safe ambulatory practices * Home exercise program (HEP) for non-impact activities * Decrease pain
What are the benefits of a minimally invasive surgical approach for hip surgery?
- Decreased blood loss * Reduced postoperative pain * Short hospital stay * More rapid recovery * Better cosmetic appearance of scar
What are indications for Total Hip Arthroplasty (THA)?
- Severe hip pain * Nonunion fracture * Instability * Bone deformity * Bone tumors * Failure of conservative treatment or previous joint surgery
What should be maintained during the Maximal Protection Phase post hip surgery?
- Functional level of strength and muscular endurance in upper extremity and non-operated leg * Prevent reflex inhibition and atrophy of musculature in operative limb
What is the goal during the Moderate Protection Phase of rehabilitation?
Restore range of motion while adhering to precautions.
What are the goals during the Minimum Protection Phase post hip surgery?
- Integrate strength, endurance and balance training into functional activities * Improve overall endurance * Increase time and distance of low intensity walking program
What are common pathologies associated with painful hip syndromes?
- Tendinopathies * Muscle strains * Repetitive trauma * Bursitis * Femoroacetabular impingement (FAI)
What should be focused on in the Controlled Motion Phase for hip management?
Focus on control first, then strength.
What are some exercise techniques to increase flexibility and range of motion for hip extension?
- Prone press ups * Thomas test stretch * Modified fencer stretch
What is the role of the tensor fascia latae (TFL) in hip function?
Hip flexor, abductor, and internal rotator.
What are some examples of exercises to improve postural stability and balance?
- Weight shifting in bilateral stance * Heel and toe raises * Stabilization exercises for hip/balance activity
What is the recommended approach to increase hip abduction?
Supine with hips at 90 degrees against the wall to abduct hips as far as possible.
What should be avoided during hip extension strengthening?
Do not perform beyond available range of motion.
