Hip Intervention

What hip joint mobs will help improve hip flexion?

• AP mobilization

• Inferior mobilization

• Traction (longitudinal or lateral)

What hip joint mobs will help improve hip extension?

• PA mob

• Traction (longitudinal and/or lateral)

What hip joint mobs will help improve hip Abduction?

• Medial

• Traction

What hip joint mobs will help improve hip IR?

• AP

• Traction

• Lateral traction with/without IR PROM

What hip joint mobs will help improve hip ER?

• PA

• Traction

• Figure-4 anterior mob

How do you get a passive stretch with the 90/90 stretch (IR)?

Laterally bend towards the trail ankle

How do you perform a PAIL in the 90/90 stretch position (IR)?

Press the trail leg (ankle to knee) into the floor?

How do you perform a RAIL in the 90/90 stretch (IR)?

Lateral bend towards the trail leg

How do you get a passive stretch when doing the 90/90 stretch (ER)?

Lean forward towards the lead leg with the chest perpendicular to the floor

How do you do a PAIL in the 90/90 stretch (ER)?

Press the lead leg (ankle to knee) into the floor

How do you do a RAIL in the 90/90 stretch (ER)?

Sacral nutation

How do you do a passive stretch while in the sleeper stretch position?

Press the hand into the lateral knee to force it towards the floor

How do you do a PAIL in the sleeper stretch?

ER of hip into one’s hand

How do you do a RAIL in the sleeper stretch?

IR of hip to move the medial aspect of the knee to the floor

How do you get a passive stretch in the hip one joint frog sit position?

Using the elbows to give an inferior pressure on the medial thigh to approximate the knees to the floor

How do you do a RAIL int the hip one joint frog sit?

Abduct the hips

How do you do a PAIL in the hip one joint frog sit position?

Adduction of the hips against the force of the elbows

How do you do a passive stretch in the hip one joint bear sit position?

Slide the knees laterally to allow the torso to sink into the floor

How do you do a PAIL in the hip one joint bear sit position?

Adduction of the hips via compressing the medial knees into the floor

How do you do a RAIL int the hip one joint bear sit position?

Abduction of the hips

What factors give someone a higher likelihood of a positive outcome with non-op of FAI or a labral tear?

• Being male

• Symptoms have been less than 3 months

• Low to moderate lvl of function

What factors give someone a lower likelihood of a positive outcome with non-op of FAI or a labral tear?

• Being female

• Chronic (>9 months) of symptoms

• Dancer/figure skater

• 35+ yrs old

What are the recommended interventions for someone with hip OA?

• MT 1-3x/wk for 6-12 wks (if mild to moderate)

• Position modification (sit with chair inclined, lie supine with pillow under knees, getting up frequently)

• Hip/LE strengthening

• Deweighted interventions

What is the proper management of GTPS?

• Temporary activity modifications (supine sleeping with pillow between or below knees, avoid crossing legs in sitting, standing in wide stance, cane if necessary)

• Gradual strengthening

• Slow progression of glute medius strengthening

Describe the progressive sitting program for a proximal hamstring tendinopathy

1. Protection phase

   1. Minimizing sitting

   2. Alter the angle of a chair to reduce pressure on hamstrings (or can use a rolled up towel to redistribute pressure)

2. Reintroduction phase

   1. Get back to normal sitting

3. Normalization phase

   1. Slowly weaning from whatever strat you were using to reduce pressure on hamis

What are some exercises you could have a pt do during the early phase of after PHT?

• Single leg bridge holds

• Long lever bridge holds

• Straight leg raise pull downs

• Trunk extension

What are some exercises you could have a pt do during the mid phase of after PHT?

• Nordic hamstring curls

• Single leg bridges with weight

• Single leg prone hamstring curls

• Bridges with this cool slider thingy

What are some exercises you could have a pt do during the late phase of after PHT?

• RDL

• Step ups

• Walking lunges

• Hip thrust

• Single leg RDLs