12 Questions
Which intervention is recommended to treat associated soft tissue dysfunction in the glutes and deep hip rotators?
Joint Mobilization
What type of exercise should be avoided to prevent end range pain during mobilization?
Overly vigorous stretching/flexibility exercises
Which exercise is recommended for strengthening the glutes, short hip rotators, and core stability?
Bridges
What is the purpose of sensory balance retraining in hip rehabilitation?
To improve control of the hip joint and distal LE control
Which exercise should be performed within the available pain-free hip range of motion?
Hip flexor mobility
What does adding a 2nd level task (cognitive, visual, auditory) to previous therex involve?
Enhancing sensory input during exercises
What is a common risk factor for developing hip osteoarthritis?
Engaging in rigorous sports with twisting and pivoting movements
Which test is likely to be positive in a patient with hip osteoarthritis during examination?
Stinchfield test
What is the typical pain pattern observed in patients with FAI (Femoroacetabular Impingement)?
Groin pain
Which type of lesion is characterized by a pistol grip deformity of the hip?
Cam lesion
What is a common observation in patients with end-stage hip osteoarthritis?
Progression to limping
Which of the following activities would be categorized as advanced gluteal strengthening exercises?
Single leg RDL's
Study Notes
Hip Osteoarthritis (ESOA)
- ESOA typically affects individuals over 50 years old, with the highest risk between 60-74 years old.
- Risk factors include heavy loads, physical work, prior history of labral or congenital hip conditions, and FAI.
- Male gender and higher BMI (although research is mixed) are also associated with ESOA.
- Pain pattern is typically buttock pain, worsened with weight-bearing.
- Observation: decreased hip overall ROM, hip flexion, and internal rotation, with morning stiffness and progression to limp/Trendelenburg.
- Examination: positive Hip Scour, FADIR, FABRE, and Stinchfield test.
- Treatment involves joint mobilization, LE traction, and contract-relax stretching, as well as exercises to improve hip joint mobility and flexibility.
FAI (Hip Impingement)
- FAI typically affects individuals between 25-50 years old, with rigorous sports and prior history of hip strain or trauma being risk factors.
- Male gender is slightly more common, but later onset, while FAI may be more common in females in their 40's.
- Pain pattern is typically groin pain, pain with end range of motion at the hip, and stiffness.
- Observation: decreased hip ROM, pain with end range of motion, and mid-range hip mobility restrictions.
- Examination: positive FADIR, FAIR test, FABRE, and end range hip mobility restrictions.
- Treatment involves mid-range mobilizations, soft tissue release, and exercises to improve hip joint mobility and flexibility, while avoiding end range pain and overly vigorous stretching.
Learn about the pain patterns, risk factors, and observations associated with hip osteoarthritis. Understand the impact of age, heavy loads, prior hip conditions, and other factors on the condition.
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