Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
211 exam 2
Hip Student
| Question | Answer |
|---|---|
| anterior muscles of the hip | Iliacus Psoas Rectus femoris Sartorius |
| medial muscles of the hip | Adductors (longus/brevis/magnus) Gracilis pectineus |
| posterior muscles of the hip | Glute max Semimembranosus Semitendinosus Bicep femoris Deep rotators (6) |
| lateral | Glute medius Glute minimus TFL |
| what does iliofemoral ligament prevent | hyperextension |
| what does pubofemoral ligament prevent? | excess abduction and extension |
| what does ischiofemoral prevent? | excess extension |
| closed pack position of the hip | Extension, medial rotation, and abduction |
| open pack position of the hip | 30° flexion, 30°abduction, small amount of lateral rotation |
| capsular pattern of the hip | Flexion, abduction, medial rotation Slight limitation of extension and lateral rotation |
| what area does the femoral nerve provide sensation to? | Front thigh and part of lower leg |
| what area does the femoral nerve provide motor to? | Muscles that move hip and straighten leg |
| what area does the sciatic nerve provide sensation to? | Back of thigh, outer/ back of lower leg, sole of foot |
| what area does the sciatic nerve provide motor to? | Muscles of the back of the knee and lower leg |
| what area does the obturator nerve provide sensation to? | Medial region of upper thigh via terminal branch of anterior division |
| what area does the obturator nerve provide motor to? | adductors |
| subjective measures in hip eval | Patient medical history Common Medical tests – x-ray, MRI Prior level of function Pain Level Level of function with ADL’s Social/Home situation – stairs, someone to help Equipment needs – walker, crutches, hand rails |
| objective measures in hip eval | ROM special test sensation posture functional assessments gait injured nerves/presentation |
| hip flexion ROM | 120-140 |
| hip SLR ROM | 70-80 |
| hip ER ROM | 35-50 |
| hip IR ROM | 30-45 |
| hip abduction ROM | 40-55 |
| what does 90/90 test? | hamstring length |
| what does SLR test? | hamstring length |
| what does ober test? | IT band tightness/restriction |
| what does thomas test? | hip tightness/restriction |
| what does Scour test? | labral tear |
| what does faber test? | pathology of the hip/lumbar/ SI |
| what does ely test? | rectus femoris tightness |
| what does craig test? | femoral anteversion |
| how to take leg length measurements | Use tape measure from ASIS; Greater trochanter; Gluteal folds to medial malleoli |
| hip functional assessments | Bed mobility Transfers Stairs One leg standing Running Jumping Twisting |
| Medius lurch gait | Lateral weight shift over affected side (compensated) Generally associated with a Trendelenburg gait |
| Trendelenburg gait | Weak glute med/ max causes dropping of pelvis on the Contralateral side while walking |
| maximus lurch | Weakened glute max causes trunk extension at heel strike on weakened side, interrupting forward motion of the trunk |
| what is maximus lurch compensating for? | weak hip extension |
| antalgic gait | Abnormal walking pattern secondary to pain that causes a limp Stance phase is shortened relative to swing phase |
| how does superior gluteal nerve injury present? | Trendelenburg Weak hip abduction Pain over greater sciatic notch |
| how does inferior gluteal nerve injury present? | Weakness of glute max Impaired leg sensation Deep aching pain Impaired leg extension Lurch gait |
| how does obturator nerve injury present? | Weak hip adductors Sensory loss in medial thigh of affected side Medial thigh/ groin pain |
| how does femoral nerve injury present? | Pain that radiates from back/ hips to legs Hip/ groin pain A leg/ ankle/ foot numbness Could have trouble going up/down stairs Loss of hip flexion and knee extension |
| treatment for hip fractures in the acute stage | Bed mobility Transfers Get them up and moving Assistive device use PROM/AAROM Patient/caregiver education Edema control Exercise for surrounding joints |
| treatment for hip fractures after 6-8 weeks | Balance Postural stability Isometrics AAROM-AROM Advance weight bearing as allowed Progression of prior all prior activities |
| most common cause of femoral head/neck fx | osteoporosis- women over 60 |
| most common cause of acetabular and pelvis fx? | MVA/ high fall |
| tx for THR acute phase | Ambulation with AD Knowing and understanding THR precautions Bed mobility Transfers Pot op exercises - Ankle pumps, quad sets, hamstring sets, SLR, SAQ |
| tx for THR after 6-8 weeks | Gait activities that require skilled therapy Obstacle course Uneven surfaces Advanced therapeutic / neuro activities Single leg balance Progress to Airex and bosu Integrate work and daily life activities |
| 2 causes of THR components loosening | Predisposing factors Age, excessive physical weight, high level of physical activity Bodies natural antibodies Attack debris from the polyethylene from normal use and cause low grade anti-inflammatory response which will eventually loosen components |
| non cemented THR gait | Need to be TTWB for a longer time Thigh pain for longer |
| cemented THR gait | Weight bear sooner Less thigh pain Pain free faster after surgery |
| legg perthes disease | Condition in which the femoral head temporarily looses blood supply, femoral head collapses and becomes irritated and inflamed Body will absorb dead bone cells and replace with new bone cells |
| recovery from legg perthes disease | Blood supply will return and bone will head, but shape of femoral head is changes and no longer moves smoothly in acetabulum Can cause arthritis |
| what is piriformis syndrome often a cause of? | sciatic pain |
| symptoms of piriformis syndrome | Tender at sciatic notch |
| piriformis syndrome | Sciatic nerve entrapment at the level of the ischial tuberosity |
| modalities for piriformis syndrome | Heat/ ice Ultrasound Tens |
| therex for piriformis syndrome | Piriformis stretch Glute strengthening |
| trochanteric bursitis modalities | Ultrasound Moist heat |
| trochanteric bursitis therex | Postural reeducation Hip and trunk strengthening Correction of poor movement patterns |
| iliopectineal bursitis test | Hip extension, often the Thomas test can be used. |
| modalities for iliopectineal bursitis | Teach modification of activities Glute strengthening Hip flexor stretches |
Created by:
bdavis53102
Popular Physical Therapy sets