Hip and Pelvis Part 2
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1
what plane does pelvic tilt happen in and what are the types
sagittal plane
anterior pelvic tilt and posterior pelvis tilt
anterior pelvic tilt and posterior pelvis tilt
2
what plane does pelvic rotation happen in and what are the types
transverse plane
anterior or posterior on one side
anterior or posterior on one side
3
what plane does pelvic obliquity happen in and what is it
frontal plane
one side comes up and one does not
one side comes up and one does not
4
what is hip arthritis
degeneration of articular cartilage
5
what are the symptoms of hip arthritis
groin pain
hip stiffness
- capsular pattern: IR, flexion, abduction
hip stiffness
- capsular pattern: IR, flexion, abduction
6
what is the treatment of hip arthritis
hip arthroplasty
7
what is better anterior or posterior total hip arthroplasty
no evidence to support one approach over another
8
what are the posterior total hip arthroplasty precautions
Avoid IR, flexion over 90° and adduction
9
what are the anterior total hip arthroplasty precautions
Most surgeons have no precautions
Avoid excessive ER, extension, and abduction
Avoid excessive ER, extension, and abduction
10
what are the different levels of weightbearing
Full Weightbearing (FWB)
Partial Weightbearing (PWB)
Toe Touch Weightbearing (TTWB)
Non-weightbearing (NWB)
Partial Weightbearing (PWB)
Toe Touch Weightbearing (TTWB)
Non-weightbearing (NWB)
11
what is the common location for hip fracture
femoral neck
12
what are the treatment options for hip fracture
Hip ORIF
Hip arthroplasty
Hip arthroplasty
13
what are the precautions and ROM for hip ORIF
very restrictive WB precautions = NWB
no ROM limitations - no disruption of capsule
no ROM limitations - no disruption of capsule
14
what are the precautions and ROM for hip arthroplasty
usually FWB
ROM procedures
ROM procedures
15
how do you evaluate the hip for seating and positioning
objective measures
- width and length measurements
- goniometry
- width and length measurements
- goniometry
16
how do you evaluate the hip for ergonomics
width and length
goniometry
goniometry
17
how would you evaluate the hip in a rehab setting
Compliance with precautions/contraindications
Subjective assessment of strength and ROM for ADLs
Anterior vs posterior tilt
Subjective assessment of strength and ROM for ADLs
Anterior vs posterior tilt
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