Hip and Pelvis Part 1
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1
what is the Lumbo-Pelvic-Hip Complex
region of the body that includes spine, plevis, hip and LE
2
what is the lumbo-pelvic-hip complexes impact on body regions
Impacts spine, LE, UE, and head/neck mobility and stability
3
what is the lumbo-pelvic-hip complexes role in stability
Pelvis stability is core to postural stability
4
what is the pathophysiology of the hip and pelvis for outpatient treatment
Work comp, assistive equipment use, wheelchair or assistive device fitting
5
what is the pathophysiology of the hip and pelvis for inpatient treatment
Adaptive equipment training
Do no harm, avoid precautionary positions
Wheelchair evaluations
Do no harm, avoid precautionary positions
Wheelchair evaluations
6
what is the pathophysiology of the hip and pelvis for pediatrics
Wheelchair/assistive device fitting, training
Posture for functional tasks
Reflex integration
Posture for functional tasks
Reflex integration
7
what are the hip motions
flexion/extension
abduction/adduction
internal/external rotation
circumduction
abduction/adduction
internal/external rotation
circumduction
8
what type of joint is the hip joint
ball and socket joint
9
what is included in the acetabular labrum and what does it do
fibrocartilage
deepens socket
cushions forces from femur
deepens socket
cushions forces from femur
10
hip joint rarely dislocates due to
deep socket
labrum
strong musculature
larger ligamentous structures
labrum
strong musculature
larger ligamentous structures
11
what are the 3 bones of the pelvis
ilium
ischium
pubis
ischium
pubis
12
what makes up the ilium
Iliac crest
Anterior superior iliac spine (ASIS)
Posterior superior iliac spine (PSIS)
Anterior superior iliac spine (ASIS)
Posterior superior iliac spine (PSIS)
13
what is included in the anteior hip surface anatomy
Iliac crest
Anterior Superior Iliac Spine (ASIS)
Anterior Superior Iliac Spine (ASIS)
14
what is included in the posterior hip surface anatomy
Posterior Superior Iliac Spine (PSIS)
15
what is included in the lateral hip surface anatomy
Greater trochanter
16
what is included in the superior hip surface anatomy
iliac crest
17
what is Q-angle
Angle between femur and tibia
Pelvis width increases angle
Higher stress on knee ligaments
Pelvis width increases angle
Higher stress on knee ligaments
18
what does the female pelvis look like
Wider and shorter iliac crest
Increased Q-angle, femur more adducted at rest
Increased Q-angle, femur more adducted at rest
19
what does the male pelvis look like
More narrow and taller iliac crest
Lower Q-angle, femur more abducted at rest
Lower Q-angle, femur more abducted at rest
20
what are the other pelvis muscles
abdominals
quadratus lumborum
latissimus dorsi
quadratus lumborum
latissimus dorsi
21
what is included in the abdominals
Obliques, rectus abdominus, transverse abdominus
Posterior pelvis tilt -> tight
Anterior pelvic tilt -> weak
Posterior pelvis tilt -> tight
Anterior pelvic tilt -> weak
22
what is included in the quadratus lumborum
Unilateral upslip (obliquity) of pelvis if tight
23
what is included in the latissimus dorsi
Attaches shoulder to back of pelvis
Affects pelvis with fixed UE
Affects pelvis with fixed UE
24
what is anterior pelvis tilt
forward rotation of pelvis
25
what are the effects of anterior pelvic tilt
increases lumbar lordosis
incresed extension of upper trunk
incresed extension of upper trunk
26
what is posterior pelvic tilt
backward rotation of pelvis
27
what are the effects of posterior pelvic tilt
flattens lumbar spine
increases thoracic flexion
increases thoracic flexion
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