Hip OA

Question 1

Lifestyle and comorbidity factors of someone with hip OA

Answer 1

-Family history of OA (+LR- 2.1)
- History of knee OA (+LR- 2.1)
Overweight

Question 2

Symptoms to rule up hip OA

Answer 2

• PAin worst in groin or medial thigh (+LR- 7.8)
• Pain on walking upstairs or down slopes (=LR- 2.1)
• Morning stiffness under 60 mins
• Pain with squatting

Question 3

Symptoms to rule down hip OA

Answer 3

• Age under 60 (-LR- .11)
• Morning stiffness greater than 60 mins (- LR-.22 to .65)
• Absence of pain with walking or stairs/slopes

Question 4

Examination items limited with hip OA

Answer 4

• Age over 60, symptoms greater than 3 months, no pain with sitting, groin tenderness, decreased hip ER (4 or more- +LR- 4.9)
• Decreased ROM in 3 planes (+LR- 4.4)
  -Decreased hip IR (x<24 in CPG)
  Or hip flexion and IR 15 degrees less than nonpainful side
• Weakness in hip abduction

Question 5

Evidence for hip OA interventions

Answer 5

• Exercise- grade A- 1-5 times per week over 6-12 weeks
• Manual therapy grade A- MWM and high force distraction
• Pt education grade B
• Modalities- Grade C- US for 2 weeks
• Weight loss Grade C