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29 Cards in this Set
- Front
- Back
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hip function
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-dynamic link b/t trunk and LE
-keeps pelvis and femur balanced -full movement capacity seldom used |
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areas that refer pain to hip
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-lumbar spine (most common)
-SI joint -knee (to prox femur and acetabulum) -foot and ankle (rare; altered kinematic chain) |
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areas the hip refers pain too
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-knee (most common; hip may be painless)
-thigh (quads) -uncommonly to lumbar spine, SI, foot, ankle |
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capsular pattern at hip
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-limitations in ROM that occur in predicatble proportions (specific to each joint)
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arthritisi
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-limitations in capsular pattern
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what is most limited motion w/ hip capsular pattern
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-internal rotation
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common contractile problems
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-lesions
-contusions -overuse |
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lesions
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-most common are tears @ insertion of tendon to bone
--osteotendonous junction |
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common contractile problems: glut med/max
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-tears or contusions rare because they are large and deep
-weakness associated w/ OA |
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common contractile problems: iliopsoas
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-overuse common
-eccentric (forced hip extension) -concentric (forceful, repetitive hip flexion) |
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common contractile problems: rectus femoris
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-eccentric (hip extension w/ knee flexion)
-concentric (forceful or repetitive hip flexion) -contusions (contact sports) |
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common contractile problems: adductor longus/gracilis
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-eccentric (groin pull, forced hip ER, forced hip abduction)
-concentric (forceful open chain adduction, imbalance b/t force and muscle length) |
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common contractile problems: hamstrings
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-usually muscle belly tear
-eccentric (forced hip flexion w/ knee extension) -concentric (forceful hip extension or knee flexion) |
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common contractile problems: piriformis
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-common problem is shortness and/or chronic contraction
-associated w/ SI joint dysfunction -sciatic nerve runs through or beneath -common in runners, bikers, w/ prolonged standing |
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immediate intervention for contractile problems
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-minimize bleeding
-RICE or PRICE |
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intervention for contractile problems after 24 hours
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-anti-inflammatory modalities
-heat/ice -friction massage -stretching -modify activities/rest |
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intervention for contractile problems when full, painfree ROM
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-sub-max isometrics
-progress to full isometrics-->slow short arc isotonics-->isotonics w/ increased load and range-->increase speed |
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common non-contractile problems
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-bursitis
-iliotibial band syndrome |
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iliopsoas bursa
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-aka iliopectineal bursa
-deep to iliopsoas -pain w/ hip flexion -differential diagnosis (bursitis vs OA vis iliopsoas tear) -pain w/ full passive extension |
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trochanteric bursa
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-over greater trochanter
-diagnosed w/ palpation |
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ischial bursa
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-weaver's bottom
-over ischial tuberosity -pain w/ sitting, relieved w/ standing |
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intervention for bursitis
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-rest
-ice -anti-inflammatory medication -anti-inflammatory modalities -injection |
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iliotibial band syndrome
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-shortness of IT band
-diagnosed by stretching (ober test/ modified ober) |
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femoral artery
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-in femoral triangle
-vulnerable to injury -anterior hip dislocation can disrupt artery |
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femoral nerve
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-vulnerable in femoral triangle
-overstretched w/ anterior hip dislocation -overstretched w/ hip hyperextension/knee hyperflexion |
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sciatic nerve
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-vulnerable @ piriformis
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hip dislocation
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-posterior
-anterior |
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posterior hip dislocation
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-tends to be superior
-LE in flexion, adduction, IR -9/10 are posterior |
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anterior dislocation
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-tends to be inferior
-LE in hip flexion, abduction, ER |
