Brainscape's Knowledge GenomeTM

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


See full index

MSK 1 > 10/25 - Rehab and Return to Sport Following Hip Arthoscopy > Flashcards

10/25 - Rehab and Return to Sport Following Hip Arthoscopy Flashcards

1
Q

what does the research say on post-op protocols

A

subjective in nature
- research isn’t great

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

what are the 4 concepts of post-op rehab

A
  1. provide environment to optimize healing
  2. initiate early/controlled ROM as an early approach to restore mobility
  3. restore neuromuscular control
  4. restore LE and lumbopelvic strength
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what ab surgical procedures is a predictor of future fx

A

the more aggressively shaved down bone (like in CAM lesion) can inc risk of future fx

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

what should be avoided in femoroplasties

A

avoid spontaneous femoral neck fx

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

what should be limited with labral repairs

A

limited wt bearing x4wks

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

what is the main protocol w microfx

A

longer protection to encourage fibrocartilage healing response

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

expected timeline after a hip arthroscopy

A

phase 1: immediate rehab
- protection of healing structures & mobility

phase 2: intermediate rehab
- normalize gait
- initiate CKC activity

phase 3: advanced rehab
- strengthening

phase 4: sport specific training
- functional training

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

what are 5 goals of rehab in the immediate post-op phase

A
  1. minimize pain & inflammation
  2. protect surgical site
  3. compliance w HEP & precautions
  4. normal gait w AD and appropriate WB
  5. patient ed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are 5 precautions in the immediate post-op phase

A
  1. no pivoting/rotating hip when amb
  2. avoid sx provocation during ADLs and ther-ex
  3. no active SLR / no hyper-ext
  4. protective WBing (typically 20% for 3-6wks)
  5. limit ER to 30deg w capsular shift
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are ROM interventions in the immediate postop phase (6)

A
  1. circumduction (reduce incidence of post-op intra-articular adhesions)
  2. flexion (0-90deg immediately)
  3. stationary bike (high seat <90deg hip flex, low resistance, upright posture)
  4. incision site scar mobility
  5. quadruped hip flex - moving back into child’s pose (partially loaded, pt controlled)
  6. stool rotations (active hip rotation, joint loading)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what strengthening treatment interventions are done in immediate post-op phase of rehab

A

transversus abdominus

isometrics
- quad set
- ABD/ADD
- glut squeeze
- prone heel squeezes

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

why are isometrics used to strengthen in the immediate post op phase of rehab

A

NO HIP FLEX
avoid challenging ant capsule
- hip flex, ext, ER, SLR

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

what is 5 milestones to progress to intermediate post-op phase of rehab

A
  1. 90deg hip flex w/o inc pain
  2. 10deg hip ext
  3. min pain at rest
  4. tolerates 10-15min of stationary bike
  5. normal gait w AD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are 6 goals of intermediate post-op phase of rehab

A
  1. normal gait w/o AD
  2. restore full ROM
  3. no pain w ADLs
  4. protect hip flex
  5. NM control
  6. good lumbopelvic stability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are 3 precautions in intermediate post-op phase of rehab

A
  1. AD until non-antalgic gait
  2. avoid sx provocation during ADLs and ther-ex
  3. avoid hip flex if sx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are 3 interventions in the intermediate post-op phase of rehab

A
  1. joint mobs prn (6-8wks)
  2. CKC strengthening
    - hip hike, sumo walk, windmills
    - glut activation (ie bridging), min hip flex & TFL
  3. double limb -> SLS balance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are 3 milestones to progress from intermediate to advanced post-op phase

A
  1. full ROM
  2. normal gait w/o AD
  3. good pelvic control during SLS
18
Q

what are 5 goals of the advanced post-op phase of rehab

A
  1. (I) w HEP & gym program
  2. full ROM (symmetrical)
  3. pain-free ADLs
  4. return to non-labor occupational duties
  5. good dynamic balance
19
Q

what are 2 precautions in the advanced post-op phase of rehab

A
  1. sx provocation
  2. quality of movements and avoiding compensation is key w all activity
20
Q

what are 2 interventions introduced in the advanced post-op phase of rehab

A
  1. progress lumbopelvic/core exercises
  2. initiate plyometrices
    - jumping on leg press -» then move to hopping
21
Q

what are 5 milestones to progress from advanced to sport specific training phase

A
  1. hip/pelvic strength >80% of opposite limb
  2. ROM appropriate for work/sport demands
  3. lumbopelvic control w single leg activities
  4. good dynamic balance (30’’ SLS x3)
  5. cont amb >10min
22
Q

what are 2 goals of sport specific training

A

(I) w HEP and gym program
min post-exercise reactivity

23
Q

what are 2 precautions w sport specific training

A
  1. sx provocation
  2. maintain adequate strength for work / sport activity
24
Q

what are 5 interventions implemented in sport specific training

A
  1. maintain strength and flexibility
  2. advanced plyometrics
  3. initiate running program
  4. dynamic balance activities
  5. agility drills
    - challenging positions & also for endurance
25
Q

what are 4 return to sport criteria

A
  1. cleared by MD
  2. full ROM, strength (pain-free)
  3. complete functional testing
  4. sport-specific drills at full speed (pain-free)
26
Q

what role does psychological readiness play in return to sport

A

likelihood of reinjury significantly higher in less psychologically ready
- if don’t feel ready, lot of apprehension

27
Q

what are 7 qualities to consider when determining return to sport capability

A
  1. impairment info
  2. subjective/self report
  3. hop testing
  4. balance
  5. agility
  6. power
  7. psychological readiness
28
Q

what are outcome measures that can be used for return to sport

A
  1. LE functional scale
  2. hip outcome score
  3. U of Wis Running Injury and Recovery Index
29
Q

what are balance assessments that can be used (2)

A
  1. star excursion balance test (SEBT)
  2. Y balance test
30
Q

star excursion balance test vs Y balance test assessments

A

star:
- strength
- flexibility
- proprioception

Y
- ant, post-med, post lat

31
Q

what are 2 types of strength tests for return to sport

A

drop jump
hop testing

32
Q

what are functional tests (4)

A

single leg squats
lateral agility
forward running
backward running

33
Q

in single leg squats, what are we looking for to consider it a pass (5)

A

30-60deg knee flex
no knee valgus
no locking knee
no knee past toes
upright trunk

34
Q

in lateral agility of hopping side to side, what are we looking for to consider it a pass (5)

A

knee flex >30deg
no knee valgus
in landing boundaries
<1’’ landing phase
upright trunk

35
Q

what is a key quality that functional testing assesses

A

endurance

36
Q

in forward and backward running running, what are we looking for to consider it a pass (6)

A

30-60deg knee flex
in landing boundaries
no knee valgus
no locking knee
<1’’ landing phase
upright trunk

37
Q

what does a trendelenburg compensation indicate in functional testing

A

poor endurance

38
Q

what are 2 agility and speed tests

A

T-test
illinois

39
Q

what do agility and speed tests require and what do we look for

A

rapid changes of direction

look for if they are able to plant and change direction
- or do they shift to stronger side to change direction

40
Q

what is important in considering what clinical/functional tests are most beneficial in which patients

A

correlate individual demands of sport for each pt to a sound test

41
Q

what should be considered when determining the interventions (5)

A

quality of tissue
phase of healing
baseline strength
what ms should be activated
what ms activation should be minimized

MSK 1 (31 decks)

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