Midterms Flashcards
A 75 y/o patient received total hip replacement 2 days ago. The priority PT POC should be
Pt education on restricted movements and positions
Bear up to 5 lbs of weight on her involved extremity. The patient’s weight bearing status would be best described as
Partial weight bearing
Because of the shape and congruency of the hip joint, which of the following mobilization is most commonly used to increase joint mobility thus, increasing ROM
Distraction
CP of the Hip
Flexion > Abduction > IR
Considered the first sign of hip dysplasia in adolescent and young adults
Limping or Antalgic Gait
Considered as the most common surgical approach for patients with Femoroacetabular impingent
Hip Arthroscopy
Correct use of the quad cane should be in patients with left hip fracture
Used the quad cane on the right leg with the longer leg positioned away from the px
In children with LCPD, it is important to perform
Full weight bearing as tolerated implemented ASAP
On the Int’l Hip Outcome Tool questionnaire, the ff domains are covered
Job-related concerns
ADLs/iADLs
Recreational activities
In total hip arthroplasty, this surgical approach is the most preferred due to the sparing of the hip abductor mm
Posterior approach
Indicated for patients with advanced OA < 60 y/o. Main advantages of this procedure is the preservation of the femoral bone stock and return to a more normal walking pattern.
Hip resurfacing
iHOT is a self-reported outcome measure which assesses the ability to return to an active lifestyle for patients with hip pathology. To complete this questionnaire, the px is asked to consider his symptoms, activities, and concerns in the last
One month
One day status post non-cemented hip replacement to begin gait training. Most likely weight bearing status would be
Toe touch weight bearing
One purpose for the CPM placement after surgery is to:
Decreased post-op pain
Px is undergoing PT for post-op periarticular osteotomy for the acetabular dysplasia of the (R) hip. At which phase of the rehab protocol can the px apply < 20 lbs of their body on the affected LE?
Phase 1: 0-6 weeks
Precautionary movement for px with post-op hip replacement
Hip adduction
Refers to the abnormalities relating to size, shape, orientation or organization of either the femoral head or the acetabulum or both
Hip dysplasia
Strengthening exercises for the hip extensors but patient foes not have adequate strength to perform hip thrusts/bridging. Best to perform is
Isometric gluteal sets
Surgeon indicates that he would like the px to wear a knee immobilizer in order to help prevent hip dislocation. The primary action for the rationale is
The knee immobilizer reduces knee flexion and maintains knee extension
Systemic risk factors of OA
Age
Genetics
Congenital joint diseases
This deformity is commonly seen in femoroacetabular impingement and is characterized by abnormal/asoherical morphology of the proximal femur
Cam deformity
Femoral head incomplete fracture with minimal dislocation
Garden I
Femoral head complete fracture and non-displaced
Garden II
Femoral head complete fracture with partial displacement
Garden III
Femoral head completely displaced with no enlargement of the two fragments
Garden IV