Rehabilitation Gait and Sports Quiz
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Questions and Answers

What is the gait speed threshold below which rehabilitation is required?

  • < 0.6 m/s
  • < 1.2 m/s
  • < 1.0 m/s (correct)
  • < 1.4 m/s
  • Which of the following sports is not permitted for participation?

  • Basketball (correct)
  • Low-impact aerobics
  • Cross country skiing
  • Bowling
  • What is one of the primary functions of the hip labrum?

  • To increase bone density
  • To produce synovial fluid
  • To enhance joint stability (correct)
  • To facilitate muscle contraction
  • Which factor is not listed as a potential etiology for labral tears?

    <p>Age-related degeneration</p> Signup and view all the answers

    What gait consideration indicates an increased risk of falls?

    <p>Gait speed &lt; 0.6 m/s</p> Signup and view all the answers

    What is the primary cause of hip fractures in individuals aged 65 and older?

    <p>Falls from ground level</p> Signup and view all the answers

    Which type of hip fracture accounts for the highest percentage in the United States?

    <p>Intertrochanteric fractures</p> Signup and view all the answers

    What percentage of male Medicare beneficiaries were hospitalized with hip fractures in 2016?

    <p>109,000</p> Signup and view all the answers

    Which statement correctly describes the financial impact of femoral neck fractures?

    <p>They account for a cost of 4.9 billion dollars annually.</p> Signup and view all the answers

    What characterizes a fragility fracture?

    <p>Occurs from low-energy falls</p> Signup and view all the answers

    What proportion of hip fractures are classified as subtrochanteric in the US?

    <p>14%</p> Signup and view all the answers

    What determines the surgical treatment for hip fractures?

    <p>The location and type of fracture</p> Signup and view all the answers

    What is one factor contributing to the rising incidence of hip fractures worldwide?

    <p>An aging population</p> Signup and view all the answers

    What is the primary focus of clinical practice guidelines for diagnosing hip osteoarthritis?

    <p>Assessing mobility of the hip joint and strength of surrounding muscles</p> Signup and view all the answers

    Which of the following predictors significantly increases the likelihood of hip osteoarthritis diagnosis according to research?

    <p>Active hip flexion causing lateral hip pain</p> Signup and view all the answers

    In the context of hip osteoarthritis, what does the Drehmann sign indicate?

    <p>Movement of the knee into abduction and external rotation during hip flexion</p> Signup and view all the answers

    According to the information, what age group should clinicians focus on when considering the risk factors for developing hip OA?

    <p>Adults aged over 50</p> Signup and view all the answers

    Which of the following statements about manual therapy and exercise therapy in treating hip osteoarthritis is correct?

    <p>Exercise therapy has high-quality evidence supporting its benefits.</p> Signup and view all the answers

    What does a positive likelihood ratio (LR) indicate in predicting hip OA from range of movement?

    <p>The probability of the disease given a positive test result</p> Signup and view all the answers

    Which of the following features is NOT part of Test Item Cluster 2 for identifying hip osteoarthritis?

    <p>Hip internal rotation range of motion &lt; 15 degrees</p> Signup and view all the answers

    What should be taken into consideration when diagnosing hip osteoarthritis in adults over 50 years old?

    <p>Limitations in hip internal rotation and hip flexion</p> Signup and view all the answers

    What is a commonly recommended treatment for individuals with hip osteoarthritis?

    <p>Patient education combined with exercise</p> Signup and view all the answers

    What is indicated by the fact that the -LR in predicting hip OA from movement is low as planes of movement are restricted?

    <p>The test effectively rules out the disease</p> Signup and view all the answers

    What is the primary indication for total hip replacement (THR)?

    <p>Osteoarthritis</p> Signup and view all the answers

    Which approach to total hip arthroplasty is associated with a higher rate of hip dislocation?

    <p>Posterior approach</p> Signup and view all the answers

    What is a common consequence of advanced age in patients undergoing hip arthroplasty?

    <p>Longer acute care admission</p> Signup and view all the answers

    Which of the following exercises is NOT commonly included in a hip osteoarthritis rehabilitation program?

    <p>Bicycle ergometry</p> Signup and view all the answers

    What is the recommended average daily repetition for quadriceps isometrics post-hip arthroplasty?

    <p>100 reps</p> Signup and view all the answers

    In which situation is a hemi-arthroplasty primarily indicated?

    <p>Femoral head/neck fracture not treatable with ORIF</p> Signup and view all the answers

    Which surgical technique allows for preserving muscle continuity and typically results in a lower dislocation rate?

    <p>Anterior approach</p> Signup and view all the answers

    What percentage of adults aged 65 and older is affected by osteoarthritis?

    <p>33.6%</p> Signup and view all the answers

    What is the average length of stay in acute care following hip arthroplasty?

    <p>3 days</p> Signup and view all the answers

    Which of the following factors significantly impacts rehabilitation outcomes following hip arthroplasty?

    <p>Age and pre-operative function</p> Signup and view all the answers

    Which rehabilitation exercise is recommended to improve gluteal activation during the sit-to-stand movement?

    <p>Mini squats</p> Signup and view all the answers

    What complication is most commonly monitored during acute care rehabilitation following hip arthroplasty?

    <p>Deep vein thrombosis (DVT)</p> Signup and view all the answers

    Which specific motion is prohibited for patients who have undergone a posterior or posterior lateral approach to hip arthroplasty?

    <p>Hip flexion &gt; 90 degrees</p> Signup and view all the answers

    What is the most common surgical intervention for acetabular labral tears?

    <p>Arthroscopic surgery</p> Signup and view all the answers

    Which procedure may provide better outcomes than debridement for labral tears?

    <p>Labral repair</p> Signup and view all the answers

    What factor is associated with worse outcomes in acetabular labral surgery?

    <p>Presence of chondral damage</p> Signup and view all the answers

    What is a common technique used for hip mobilization in labral treatment?

    <p>Contralateral pelvic rocking</p> Signup and view all the answers

    In the context of managing hip mobility, which position is recommended to avoid inferior shear forces across the labrum?

    <p>Hip in abduction</p> Signup and view all the answers

    What injury is characterized by apophyseal issues and usually occurs due to repeated stress?

    <p>AVULSION FRACTURES</p> Signup and view all the answers

    Which of the following is NOT a factor contributing to avulsion fractures?

    <p>Low-impact exercise</p> Signup and view all the answers

    What's the typical duration for recovery from apophyseal injuries?

    <p>6-8 weeks</p> Signup and view all the answers

    What role does the shoulder block serve during hip rehabilitation?

    <p>Allows for contract-relax interventions</p> Signup and view all the answers

    Which demographic is most affected by hip fractures?

    <p>Individuals aged 65 and older</p> Signup and view all the answers

    What is the most common activity that triggers perceived snapping at the hip?

    <p>Running</p> Signup and view all the answers

    Which of the following conditions is closely associated with athletic pubalgia?

    <p>Pain with resisted curl-up</p> Signup and view all the answers

    What is the recommended initial conservative management for piriformis syndrome?

    <p>Rest, activity modification, and NSAIDs</p> Signup and view all the answers

    In the examination of hip dysfunction, which test is most indicative of iliopsoas muscle involvement?

    <p>Straight Leg Raise</p> Signup and view all the answers

    Which physical finding is characteristic in diagnosing athletic pubalgia?

    <p>TTP at the pubic ramus</p> Signup and view all the answers

    What is a primary cause of piriformis syndrome according to current theory?

    <p>Entrapment of the sciatic nerve</p> Signup and view all the answers

    What examination technique helps assess for greater trochanteric pain syndrome?

    <p>Resisted External De-Rotation Test</p> Signup and view all the answers

    Which of the following options would NOT be included in the conservative management of hip pain?

    <p>Immediate surgical intervention</p> Signup and view all the answers

    In the assessment of the hip, what finding is significant for the Thomas test?

    <p>Less than 10-15 degrees of hip extension</p> Signup and view all the answers

    What differential diagnosis should be considered if a patient does not present with a palpable hernia in suspected athletic pubalgia?

    <p>Labral tears</p> Signup and view all the answers

    Which mechanism of injury is most commonly associated with athletic pubalgia?

    <p>Repeated eccentric loading</p> Signup and view all the answers

    In the management of gluteal tendinopathy, what is the focus of initial rehabilitation exercises?

    <p>NWB exercises</p> Signup and view all the answers

    Which test is NOT appropriate for assessing intra-articular pathologies of the hip?

    <p>Trendelenburg Sign</p> Signup and view all the answers

    Which condition is most commonly associated with patients aged 8-15 years?

    <p>Slipped Capital Femoral Epiphyses</p> Signup and view all the answers

    What type of pain is typically described as sharp and may be accompanied by clicking or locking sensations?

    <p>Sharp pain</p> Signup and view all the answers

    Which potential source of pain is NOT typically associated with musculoskeletal issues?

    <p>Abdominal sources</p> Signup and view all the answers

    At what age is Ischemic femoral necrosis typically observed?

    <p>35-50 years</p> Signup and view all the answers

    Which symptom is most likely associated with nerve entrapment in the hip region?

    <p>Burning pain</p> Signup and view all the answers

    What age group is associated with the development of osteoarthritis?

    <blockquote> <p>45 years</p> </blockquote> Signup and view all the answers

    Which condition is characterized by posterior hip or buttock pain potentially due to SIJ dysfunction?

    <p>Hamstring syndrome</p> Signup and view all the answers

    What type of pain is described due to trochanteric bursitis?

    <p>Posterolateral hip pain</p> Signup and view all the answers

    What is the typical length of stay in an inpatient facility for subacute rehabilitation following a hip procedure?

    <p>7-10 days</p> Signup and view all the answers

    Which of the following is an important consideration for achieving independence in stair climbing?

    <p>Increased hip extension ROM</p> Signup and view all the answers

    What exercises are recommended to overcome deconditioning during rehabilitation?

    <p>Aerobic exercises such as cycling and treadmill</p> Signup and view all the answers

    Which outcome measures are used to assess rehabilitation progress in patients undergoing hip rehabilitation?

    <p>LEFS, WOMAC, and SF-36</p> Signup and view all the answers

    What should be prioritized in outpatient rehabilitation to ensure a return to the previous level of function?

    <p>Improvement of muscle weakness and gait normalization</p> Signup and view all the answers

    What is the primary position of the lower extremity during the Anterior Impingement Test?

    <p>Hip flexion, adduction, and internal rotation</p> Signup and view all the answers

    Which of the following examination techniques has the highest sensitivity for ruling out FAI?

    <p>FADIR</p> Signup and view all the answers

    What implication does a positive result on the Anterior Impingement Test indicate?

    <p>Increased hip or groin pain</p> Signup and view all the answers

    Which condition must be ruled out when assessing for hip labral tears?

    <p>Lumbar spine pathology</p> Signup and view all the answers

    What is the primary characteristic evaluated in hip flexion when diagnosing FAI?

    <p>Limited hip flexion and internal rotation</p> Signup and view all the answers

    Which exercise is most effective for strengthening the gluteus medius based on EMG activity?

    <p>Side plank DL up</p> Signup and view all the answers

    What aspect of lumbopelvic control should be improved to facilitate better functional activities?

    <p>Lumbopelvic dissociation</p> Signup and view all the answers

    What is the initial progression of balance training in patients aiming to improve ambulation?

    <p>Bilateral activities on stable surfaces</p> Signup and view all the answers

    Which exercise might cause cramping in the gluteus maximus during rehabilitation?

    <p>Bridging</p> Signup and view all the answers

    What should be considered before progressing a patient to closed kinetic chain exercises?

    <p>Degree of weight-bearing restrictions</p> Signup and view all the answers

    Which is a recommended starting position for teaching neutral spine to patients?

    <p>Supine or quadruped</p> Signup and view all the answers

    What is the primary goal of gait training in rehabilitation?

    <p>Enhance symmetrical step length and stance time</p> Signup and view all the answers

    Which dynamic balance activity should be progressed to after mastering stable two-leg exercises?

    <p>Unstable one-leg stands</p> Signup and view all the answers

    What is the average cost associated with arthroscopy in patients diagnosed with hip disorders?

    <p>$21,000</p> Signup and view all the answers

    Which type of femoral acetabular impingement (FAI) is characterized by an increased radius at the femoral head/neck junction?

    <p>Cam impingement</p> Signup and view all the answers

    What percentage of labral tears occurs due to traumatic lesions in hip disorders?

    <p>46%</p> Signup and view all the answers

    In FAI, which gender is more commonly affected by cam impingement?

    <p>Males</p> Signup and view all the answers

    What clinical finding has a positive likelihood ratio (LR) of 6.67 in the diagnosis of hip disorders?

    <p>Clicking or popping sounds</p> Signup and view all the answers

    Which type of lesion is least prevalent in the context of hip disorders?

    <p>Congenital lesions</p> Signup and view all the answers

    Which type of hip impingement does not appear to play a role in the development of hip osteoarthritis?

    <p>Pincer impingement</p> Signup and view all the answers

    Which symptoms are commonly reported in patients experiencing femoral acetabular impingement?

    <p>Groin pain and clicking</p> Signup and view all the answers

    What is the primary purpose of gaining hip extension in the gait cycle?

    <p>To enhance overall cadence and efficiency</p> Signup and view all the answers

    Which technique is used to add hip range of motion through soft tissue mobilization?

    <p>Pelvic rocking</p> Signup and view all the answers

    What position is recommended for a patient undergoing indirect traction to increase hip flexion?

    <p>Supine with pelvis secured</p> Signup and view all the answers

    In the process of direct mobilization to increase hip extension, which condition must be checked?

    <p>Quadriceps length</p> Signup and view all the answers

    During mobilization to increase hip abduction, where should the clinician stand?

    <p>Same side as the treated leg</p> Signup and view all the answers

    What is one of the primary goals of mobilizing hip joints?

    <p>Enhance mobility</p> Signup and view all the answers

    What mobilization technique is specifically designed for increasing hip internal rotation?

    <p>Posterior glide</p> Signup and view all the answers

    Which factor is essential when determining the dosage of joint mobilization?

    <p>Clinical reasoning</p> Signup and view all the answers

    What movement should be avoided while mobilizing directly through the patella?

    <p>Knee extension</p> Signup and view all the answers

    What aspect should be closely monitored during rehabilitation following a total hip arthroplasty?

    <p>Autogenic inhibition</p> Signup and view all the answers

    What should be the focus when beginning exercises for gluteal neuromuscular control?

    <p>Simple exercises</p> Signup and view all the answers

    In assessing hip mobility, why is therapist positioning crucial?

    <p>To maintain proper body mechanics</p> Signup and view all the answers

    What enhances muscle recruitment during rehabilitation after hip surgery?

    <p>Gradual adjustments to difficulty</p> Signup and view all the answers

    Which of the following is NOT a goal of manual therapy?

    <p>Stabilize the surgical site</p> Signup and view all the answers

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