Hip Region Flashcards
When the femur flexes what direction does it roll and slide?
Roll: Anterior
Slide: Posterior
When the femur extends what direction does it roll and slide?
Roll: Posterior
Slide: Anterior
When the femur abducts what direction does it roll and slide?
Roll: Lateral
Slide: Inferior
When the femur adducts what direction does it roll and slide?
Roll: Medial
Slide: Superior
When the femur internally rotates what direction does it roll and slide?
Roll: Medial
Slide: Posterior
When the femur externally rotates what direction does it roll and slide?
Roll: Lateral
Slide: Anterior
Which hip muscles are out of balance when someone portrays a slouched posture?
- Shortened rectus femoris and hamstrings
- General limitation of hip rotators
- Weak, stretched iliopsoas
- Weak and shortened posterior portion of the gluteus medius
- Weak, poorly developed gluteus maximus
What are some LE compensations associated with slouched posture?
- hip extension
- medial rotation of the femur
- genu recurvatum
- genu varum
- pes valgus
What do the hip flexors do during gait?
- Control hip extension at the end of stance
- Contract concentrically to initiate swing
What do the hip extensors do during gait?
- Control the flexor moment at initial foot contact
- Gluteus maximus initiates hip extension
What do the hip abductors do during gait?
- Control lateral pelvic tilt during swinging of the opposite leg
- Lateral shifting of the trunk occurs over the weak side during stance when the opposite leg swings
What are a few pathologies associated with hip joint hypomobility?
- Osteoarthritis
- Rheumatoid arthritis
- Aseptic necrosis
- Congenital deformities
How do you manage someone with hip joint hypomobility?
First you must….
- Decrease pain at rest
- Decrease pain during weight-bearing activities
- Decrease effects of stiffness and maintain available motion
And then you can….
- Progressively increase joint play and soft tissue mobility by way of stretching, joint mobilizations, and/or soft tissue massage
What are a few pathologies associated with paintful hip syndromes?
- Tendinitis or Muscle Pull
- Trochanteric Bursitis
- Psoas Bursitis
- Ischiogluteal Bursitis (Tailor’s Bottom)
What are some common structural and functional impairments associated with painful hip syndromes?
- Pain
- Gait deviations
- Imbalance in muscle flexibility ad strength
- Decreased muscular endurance
When there is decreased flexibility in the hip where is the movement transmitted to?
The spine; also on the knee
Tight hip extensors cause increased lumbar _____ when the thigh flexes
flexion
Tight hip extensors cause increased lumbar _____ when the thigh extends
extension
What does asymmetrical leg length cause?
Lateral pelvic tilting
What is coxa valga?
A pathologically large angle of inclination between the femoral neck and shaft of the femur
What is coxa vara?
A pathologically small angle of inclination between the femoral neck and shaft of the femur
Coxa vara leads to what?
knock-kneed
Cox valga leads to what?
Bowleggedness
Unilateral cox valga results in what?
A relatively longer leg on that side and associated genu varum
