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Posted by Rachael Lowe on September 8, 2010 · Leave a Comment
The objective of this study was to determine whether hip abductor and adductor muscle strengthening reduces medial compartment knee load and improves symptoms in people with medial tibiofemoral OA and varus malalignment. In a randomised controlled trial, 89 participants were randomly allocated to a hip strengthening group or to a control group with no intervention. The strengthening group performed a physiotherapist-supervised home exercise program targeting the hip abductor and…
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Posted by Rachael Lowe on August 10, 2010 · Leave a Comment
This study investigated the ability of experienced orthopedic surgeons to agree on a diagnosis of labral tear, femoroacetabular impingement (FAI), and capsular laxity using clinical examination. Eight patients under the care of an experienced hip arthroscopist underwent independent clinical evaluations by six orthopedic surgeons who specialized in management hip pain. No attempt was made to regulate the evaluation process as surgeons performed their examination as they would in their own…
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Posted by Rachael Lowe on July 14, 2010 · Leave a Comment
The objective of this study was to determine the efficacy of IA corticosteroid (CS) injection in pain reduction for hip OA under ultrasound (US) guidance. Forty patients [mean age 62.78 (8.16) years] fulfilling ACR criteria for hip OA, with synovitis detected at US, gave their consent for IA US-guided CS injection because of pain refractory to conventional therapy. At baseline, at 1 and 3 months, patients…
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Posted by Rachael Lowe on June 10, 2010 · Leave a Comment
The purpose of this study was to explore the perceptions of clinicians about walking requirements and discharge criteria for patients being discharged home in the community from rehabilitation after hip fracture. Twelve experienced clinicians (all females) (mean experience in rehabilitation 13 years) were interviewed using an in-depth semi-structured format. The recorded interviews were transcribed and coded independently by two researchers. From these codes themes were developed. For discharge planning, all…
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Posted by Rachael Lowe on May 24, 2010 · Leave a Comment
The objective of this study was to determine if behavioral graded activity (BGA) results in better long-term effectiveness (5 years after inclusion) than usual exercise therapy (UC; usual care) in patients with OA of the hip or kneeLong-term follow-up study of a single blind cluster randomized trial comparing BGA and UC. One hundred and forty-nine patients out of the 200 included were followed until 60 months follow-up. Primary outcome measures…
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Posted by Rachael Lowe on May 17, 2010 · Leave a Comment
Care of elderly patients after hip fracture is not well established. This study enrolled 173 patients with acute hip fracture who were 65 years or older. Using a factorial design, patients were randomly allocated to extended physiotherapy (PT) (supervised 60 min/d during acute care plus an unsupervised home program) vs standard PT (supervised 30 min/d during acute care plus no home program; single-blinded), and to cholecalciferol therapy, 2000 vs 800…
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Posted by Rachael Lowe on April 22, 2010 · Leave a Comment
The 21 muscles that cross the hip provide both triplanar movement and stability between the femur and acetabulum. The primary intent of this clinical commentary is to review and discuss the current understanding of the specific actions of the hip muscles. Analysis of their actions is based primarily on the spatial orientation of the muscles relative to the axes of rotation at the hip. The discussion of muscle actions is…
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Posted by Rachael Lowe on April 22, 2010 · Leave a Comment
During the last decade, there has been a growing body of literature suggesting that proximal factors may play a contributory role with respect to knee injuries. A review of the biomechanical and clinical studies in this area indicated that impaired muscular control of the hip, pelvis, and trunk can affect tibiofemoral and patellofemoral joint kinematics and kinetics in multiple planes. In particular, there is evidence that motion impairments at the…
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Posted by Rachael Lowe on March 31, 2010 · Leave a Comment
This study examined validity indices of the Trendelenburg test as a measure of hip abductor muscle performance (adduction of pelvis-on-femur [P-O-F]) when identifying subjects with and without hip joint osteoarthritis (OA). Muscle performance of the hip abductor muscles was obtained in standing by using the P-O-F position measured with a goniometer and in supine using a handheld dynamometer (HHD) and a manual muscle test (MMT). 20 healthy adults (10 men…
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Posted by Rachael Lowe on March 30, 2010 · Leave a Comment
AIMS: To give Physiotherapists/Sports Therapists an understanding of the functional (and regional) anatomy of the hip and groin. Also, to identify the common injuries and problems likely to be encountered in this tightly packed anatomical region, including those of a pathological/inflammatory cause. The course will further aim to give an understanding of the principles of rehabilitation and treatments for patients with hip &…
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