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10 recommendations hip OA
cibulka article
12
Other
Graduate
10/09/2013

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Cards

Term
Pathoanatomical features
Definition
weak C
Clinicians should assess for
impairments in mobility of the hip joint and the strength of the
surrounding muscles, especially the hip abductor muscles, when
a patient presents with hip pain
Term
risk factors
Definition
strong A
Age
Developmental dsiorders
Hx of injury
Term
Dx/classification
Definition

strong A >50yo IR<15/Flex15 with pain morning stiffness resovels in 1 hr

ICD unilateral coxarthrosis

ICF hip pain

Term
diferential DX
Definition
expert opinion E
Consider D DX if findings are inconsistent for OA
Term
exam outcome measures
Definition
strong A
Western Ontario and Mcmaster OA (WOMAC)
Lower extremity functional scale (LEFS)
Harris Hip score
Term
exam activity limitations and participation restricitions
Definition
strong A
6 minute walk
self paced walk
stair measure
TUG
Term
intervention pt educ
Definition
moderate B
Activity modification
exercise
weight reduction
unloading joints
Term
intervention func. gait and bal train
Definition
weak C
assistive devices can be used to accomodate unweighting of the joint in gait.
Term
intervention manual therapy
Definition
moderate B
Short term pain releif
increased mobility
Term
intervention flexibility str. end.
Definition
moderate B
flex, str, end should be considered in hip OA pts.
Term
evidence level
Definition
I-high lvl RTCs, prospective and dx studies
II-lower quality RTCs, prospective and dx studies. imprper blinding/randomization
III-case controlled retrospective study
IV-case series
V-expert opinion
Term
evidence grade
Definition
A-strong-lvl I and IIs
B-moderate- 1 lvl I or several IIs
C-weak- 1 lvl II or several III and IVs
D-conflicting- disagreement in high lvl studies
E-theory/foundational-animal cadaver basic science
F-opinion- best practice and exp.
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