The Hip

Question 0

hamstring injuries typically occur in __ phase of gait due to ….

Answer 0

terminal swing due to ecc conc of hamstrings/insufficient strength/activation of glut max

Question 1

THR therex

Answer 1

Ankle pumps, QS, GS, balance training, SLR, gait training, heel slides NOT>90 isometrics esp hip ABd ONLY if no trochanteric osteotomy

Question 2

hamstring injuries progression of tx

Answer 2

1. RICE 2. multiangle isometrics, conc strengthening, CV cond. 3. ecc strengthening of glut max, stretching hams, 4. return to running 5. return to competition

Question 3

PREDISPOSING factors to hamstrings injury

Answer 3

hams tight, insuff. strength/act of glut max, tight hip flexors

Question 4

typical MOI for labral tear (3 possibilities)

Answer 4

hyperext w ER (ant dislocation), excessive rotation, or repetitive microtrauma due to pivoting

Question 5

with a labral tear, what WBing activities provoke pain?

Answer 5

forced IR

Question 6

if pt. has (+) impingement sign (flex/add/IR pain), suspicious of ___ & want to do ___ strengthening

Answer 6

FAI – glut med/max strengthening, education for proper positioning to DECR hip FLEXION

Question 7

If your pt has ITB frxn, want to strengthen..

Answer 7

glut med/max, gastroc/soleus (prevent pronation), hamstrings (looking to prevent excessive IR of tibia/femur, valgus stress, pronation); progress from OKC conc –> CKC ecc & stretch ITB 3x/d for 30 sec + foam roll