Patho - Hip Flashcards

1
Q

Inadequate Hip Flexion

A

Failure to achieve normal amount of flexion.

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2
Q

Excessive Hip Flexion

A

More than normal range.

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3
Q

Inadequate Hip Extension

A

Persistent hip flexion when the hip should be extending.

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4
Q

Inadequate Hip Flexion - Loading Response Causes

A

Quadriceps Weakness
Hip Extensor weakness
Decreased Heel Rocker

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5
Q

Inadequate Hip Flexion - Loading Response Penalties

A

Decreased Shock Absorption at the knee (Increased Bone and Cartilage Loading).

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6
Q

Inadequate Hip Flexion - Pre-swing, Initial Swing and Mid-Swing Causes

A

Hip Flexor Weakness

Muscle or Joint Pain (avoidance)

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7
Q

Inadequate Hip Flexion - Pre-swing, Initial Swing and Mid-Swing Penalties

A

Decreased Limb Advancement
Decreased Stride Length
Decreased Foot Clearance

Excessive Knee Flexion and Circumduction is a compensatory strategy for inadequate hip flexion.

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8
Q

Excessive Hip Flexion - Pre-Swing, Initial Swing and Mid-Swing Causes

A

Compensatory Strategy to Clear Foot - From excessive plantarflexion and/or inadequate knee flexion.

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9
Q

Excessive Hip Flexion - Pre-Swing, Initial Swing and Mid-Swing Penalties

A

Increased Energy Expenditure Related to Muscle Overuse - Hip Flexors

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10
Q

Past-Retract Maneuver

A

A compensatory strategy to extend the knee in terminal swing.

A dynamic event to achieve knee extension in terminal swing. A rapid hip flexion with a quick (Snap) hip extension allowing the knee to snap into extension. Done in patients with weal quads or prothesis’s.

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11
Q

Inadequate Hip Extension - Midstance and Terminal Stance Causes

A

Hip Flexor Tightness
Hip Flexion Contracture
Knee Flexion Contracture

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12
Q

Inadequate Hip Extension - Midstance and Terminal Stance Penalties

A

Reduced Stride Length

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13
Q

Excessive Anterior Pelvic Tilt and Backward Rotation

A

Compensations for Inadequate Hip Extension

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14
Q

Excessive Hip Adduction - Stance Phases Causes

A

Hip Abductor Weakness

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15
Q

Excessive Hip Adduction - Stance Phases Penalties

A

Increased Knee Stress - Varus Moment
Increased spine Stress - Facet Joint Compression
Muscle Overuse - Paraspinals , QL

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16
Q

Excessive Hip Rotation - Stance Phases Causes

A

Excessive Pronation

Weakness of Hip External Rotators

17
Q

Excessive Hip Rotation - Stance Phases Penalties

A

Knee Joint Stress/Strain - MCL Stress, Pes Anserinus Stress, ITB Strain.
Patellofemoral Joint Stress

18
Q

Hip Abductor Weakness Compensatory Mechanisms

A

Lateral Trunk Lean - Which causes overuse of paraspinals and QL.

Note: The compensation is the lateral trunk lean while the hip drop and adduction is a result of the weak abductors.