Hip Flashcards

1
Q

hip flexion arthrokinematics

A

anterior superior roll, posterior inferior glide

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2
Q

hip abduction arthrokinematics

A

superior roll, inferior glide

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3
Q

4 major ligaments at the hip

A

iliofemoral, ischiofemoral, pubofemoral, ligamentum teres

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4
Q

what does thomas test assess

A

iliopsoas tightness

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5
Q

what happens arthrokinematically at the stance hip moving from double limb to single limb stance

A

femoral adduction
inferior roll, superior glide

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6
Q

normal angle of inclination? valgus? varus?

A

normal = 125
valgus = 145
varus = 110

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7
Q

is coxa valga or vara less stable

A

valga

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8
Q

anteverted hips have excessive ______ and retroverted have excessive ________

A

IR
ER

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9
Q

which is less stable - anteverted or retroverted hips?

A

anteverted
*sets you up for acetabular impingement

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10
Q

hip flexors

A

iliacs
psoas
rectus femoris
sartorius
pectineus

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11
Q

hip extensors

A

glute max
hamstring

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12
Q

hip abductors

A

glute med
glute min
TFL
piriformis

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13
Q

hip adductors

A

add longus, magnus, brevis
pectineus
gracilis

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14
Q

hip IR

A

glute min
glute med
TFL

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15
Q

hip ER

A

glute max
obturator internus/externus
piriformis
gemelli sup/inf
sartorius
quad femoris
glute med

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16
Q

your patient had a lumbar fusion and is now complaining of lateral hip pain. why could this be?

A

his back cannot move while walking so they are compensating by adducting/abducting the hip

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17
Q

with hip OA focus on _______

A

function

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18
Q

what is the focus during the inflammatory phase

A

stability and ROM

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19
Q

what is the focus during the fibroblastic phase

A

full AROM

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20
Q

during the remodeling phase what is the focus

A

strength

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21
Q

avoid scar massage for ____ weeks after surgery

22
Q

treatment options during stability/ROM (inflammatory) phase

A

soft tissue, joint mobs, stationary bike, treat adjacent joints, modalities, PROM/AAROM, isometrics, weight bearing, flexibility

23
Q

do you want to stretch a tendon injury

A

no, not initially

24
Q

what grade of joint mobs during stability/ROM phase

A

grade 1 and 2

25
to decrease torque, ___ the lever arm
decrease
26
is manual therapy well supported for hip OA?
yes
27
indications for AROM
dont have pain, have the strength, it is an adjacent joint
28
what do you do when a patient has pain at end range of AROM
limit the range
29
contraindications for AROM
pain surgical repair
30
post-op rule of thumb
0-4 wks = control sx, PROM 4-8 wks = full PROM/AAROM 8-12 wks = AROM 12 weeks = strengthening
31
what are some medical conditions to be aware of during endurance training
coronary artery disease HTN CABG pacemaker DM
32
what is the goal of endurance training
increase blood flow to build muscle and ROM ** this starts neuromuscular re-ed
33
during endurance training, you want to do ___ reps and _____ weight
high, low 3-4 sets of 25-50
34
treatment options during endurance phase
soft tissue, manips, modalities, AROM/PROM, balance, bands, bridging, squats
35
what grade mobs during endurance training phase
1,2,3,4
36
when standing on one foot, what fires to keep our pelvis level
glute med
37
what kind of exercises are best for glute max
single limb squat single limb deadlift lunges glute squeeze side plank abduction front plank w/ hip extension
38
what kind of exercises are best for glute med?
single limb deadlift single limb squat lateral band walk side-lying abduction front plank w/ hip extension clam shells side plank abduction
39
do females or males have higher EMG values for glute max with unilateral exercises
females
40
T or F: cues increase excitation
T
41
what three motions increased glute max activation
flexion abduction ER
42
what phase can you do pylometrics, agility, and speed
strength training
43
how many sets/reps for strength training phase
3-4 sets or 10-15 reps
44
T or F: it is okay to change multiple variable of an exercise at a time
F; one at a time
45
anterior glide improves
extension and ER
46
posterior glide improves
flexion and IR
47
lateral glides improve
all movement
48
you pt is doing a hamstring stretch in supine and says their back is hurting. what can you do
have them bend the contralateral leg
49
how to increase stretch of hip flexor during lunge
bring the arm overhead *have sure in posterior pelvic tilt
50
positional release for piriformis
pt is prone. leg is off side of table and place knee on stool. move the stool until you find the most comfortable position
51
sciatic nerve flossing
pt seated with feet flat on floor. start with feet down, head down. then bring the head up and extend the leg