Pelvis and Hip Age-Related Changes Flashcards
Most common cause of _____ _____
hip pain
Etiology
Mostly ________
prior ______
________
___________
_______ lifestyle
degenerative
trauma
againg
genetics
sedentary
________ predicted subsequent with _______ in those with hip disease
LBP
ARJC
Risk Factors
> ______ years of age
Previous ______ injury
Increasing ______
________ activity (squats or stairs)
No exposure to ____ or _____ activity
50
joint
BMI
Occupational
sports; physical
Pathogenesis
_______ _______ thins and joint space ______
__________ or ______ formation (excessive bony stress)
Fibrous capsule _______, _______, ________
Synovial ________ produces LESS synovial _______
__________ tissue inflammation (ligaments/capsule/mm.)
Articular cartilage; narrows
Osteophyte; spur
slackens/thickens/stiffens
membrane; fluid
Perarticular
Symptoms
AM stiffness < _____ min
Less tolerant to _____ activities and ______ with possible limp
C- sign of P! ( _____/______ hip/_______) could refer where and turn into ______ pain
30
WBing
sitting
groin
lateral
buttock
Signs
Observation
_________ gait (specifically which one?)
_______ pelvic tilt with walking
________ shift in standing
Asymmetrical
Lateral
Weight
Signs
ROM
≥ ____ planes of motion restricted
Combined Motion:
_______ block
Resisted/MMT: weak and p!ful with ______
Stress Test: Positive with _____ and relief with ______
Accessory Motion- _______
3
consistent
ABD
compression; distx
hypomobility
Special Tests
OA CPR ≥ 3 present
1.
2.
3.
4.
5.
Hip P! with squat
Hip P! with hip EXT
Lat Hip P! with FLX
IR ≤ 25°
+ Scour (Combined Motion) and FABER
OA Combined Results if ALL absent
1.
2.
3.
4.
5.
Hip P!
IR < 15°
IR P!
AM stifness ≤ 60 min
> 5o years old
Impaired functional Testing
1.
2.
Impaired balance test
1.
TUG
6 min walk test
Berg Balance
PT Rx
POLICED
Modalities for P! and ______
-no more than ____ weeks
- only _____ term
_______ ______ to minimize/avoid limping
P. education - ______ support
Limit Hip _____ past ____°
- avoid ____ seats and sit on wedge
- No ____ to ______ stretches
Weight Management
______ for cartilage integrity and mobility
inflammation
2
short
assistive device
moderate
fix; 90
low
knee to chest
JM
MET primarily for _____ integrity, m. _______, and _________
should be _______ and include _____ and ______ anti-gravity mm. groups
Work on ______ training with progression
____-_____x/wk for ___-_____ wks
cartilage
function
mobility
aerobic
hip; trunk
balance
1; 2
6; 12
MD Rx- Chondroitin and Glucosamine supplements are _________
Best Sx: ________
insufficient
THA
