Hip mobilization.pptx

Hip mobilization

1. Mobilization for Hip Jiont BY DR/ KHALED ALSAYANI

2. The most common form of hip dysfunction is osteoarthritis , which affects nearly 80% of individuals by the age of 75 years. Osteoporosis can lead to hip fractures and hospitalization for older individuals.

3. Anatomy Ball & Socket joint Convex femoral head: 2/3 covered with cartilage Head of femur points in anterior, medial, superior direction

4. Anatomy Acetabulum faces lateral, inferior and anterior direction Ring of cartilage covers periphery Labrum Triangular fibrocartilaginous ring attached to the bony rim of the acetabulum Serves to deepen the socket & increase surface area; thereby increasing stability Improves mobility by providing an elastic alternative to a bony rim

5. Angle of inclination

6. A ngle of anteversion

7. Anatomy fat pad located in the acetabular fossa Lubrication Shock absorber Protects ligamentum teres

8. Anatomy Joint capsule shaped like a cylindrical sleeve – 4 sets of fibers: Longitudinal Oblique Arcuate Circular Deep fibers of rectus femoris strengthen capsule anteriorly

9. Anatomy Ligaments Ligamentum Teres Iliofemoral ligament Pubofemoral ligament Ischiofemoral ligament

10. Arthrokinematics & ROM Flexion/Extension:120°/20° Spin movement of the head of the femur Abduction : 45° Head of the femur glides inferior Adduction: 30° Head of the femur glides superior Internal Rotation: 30° Head of the femur glides posterior External Rotation: 45° Head of the femur glides anterior

11. Resting position 30° flexion, 30° abduction, 20° ER Close packed position Extension, abduction, internal rotation

12. Muscles Flexors: Psoas Major Psoas Minor Iliacus Pectineus Rectus Femoris Extensors: Gluteus Maximus Semitendinosus Semimembranosus Biceps Femoris (long head)

13. Adductors: Adductor Magnus Adductor Longus Adductor Brevis Gracilis Pectineus Abductors: Gluteus Medius Tensor Fascia Latae

14. Internal Rotators: Tensor Fascia Latae Gluteus Minimus External Rotators: Gluteus Maximus Gemellus Superior Gemellus Inferior Obturator Externus Obturator Internus Quadratus Femoris Piriformis

15. JOINT MOBILIZATION

16. Hip distraction

17. Hip Inferior Glide

18. Hip Anterior Glide

19. Hip Posterior Glide

20. Hip Medial Glide

21. Hip Lateral Glide