Hip Mobilization Case Presentation

Osteoarthritis of the Left Hip

Osteoarthitis

• A degenerative process that affects both the capsule and the articulator cartilage

Presentation

• History – 55 year old male with onset of osteoarthritis dating back eight years

Presentation

• Clinical Finding– Restricted hip range of motion.

•Main restriction was limitation of flexion , abduction and medial rotation.

•Capsular pattern - ref: Cyraix, & Magee

Presentation

• Soft Tissue Dysfunction:– Weakness in the gluteus maximus,medius, minimus.

– Restriction within the pirformis, It Band and Hip adductors

Therapy Goals

• Restore hip joint range of motion

• Improve hip soft tissue flexibility

• Strengthen muscles around the hip region.

Treatment Methods

• Joint mobilization • Soft tissue stretching • Exercises

Selection of Techniques

• Traction ( inferior glide)• Lateral traction• Anterior glide• Posterior glide

Inferior Glide at 90 Degrees of Hip Flexion• Used to increased hip flexion

• Avoids hamstring tightness

• More direct force at the hip.

Anterior Hip Glide

• Used to increase hip extension and external rotation.

Posterior Glide of Hip

• Used to increase hip flexion and internal rotation.