Lab 8: Hip and Thigh

Lab 8: Hip and Thigh Complete the following activities during your lab class under the guidance of your instructor. Objectives of Lab: • Identify common injuries and overuse conditions that occur to the hip and thigh. • Demonstrate the application of tapes, wraps, braces, and pads to the hip and thigh for the purpose of preventing, treating, and rehabilitating injuries. Lab Activity 1: Anatomy and Common Conditions 1. Look at the model and show your partner the following bones. a. Iliac crest b. Greater trochanter c. Anterior superior iliac spine (ASIS) d. Posterior superior iliac spine (PSIS) e. Femur 2. Identify and palpate the following muscles on your partner. Due to the sensitive nature of these palpations, ensure that your partner has consented and is comfortable with the procedure prior to performing. a. Gluteus maximus b. Gluteus medius c. Tensor fascia latae d. Gracilis e. Adductor longus f. Pectineus g. Iliopsoas group i. Illiacus ii. Psoas major Lab Activity 2: Prevention of Common Conditions 1. Identify three effective prevention strategies and the associated common conditions related to the hip and thigh. a. Hip pointer (wear appropriate equipment) b. Snapping Hip (proper stretching) c. Labral tear (warming up properly and strength training) Lab Activity 3: Application of Taping, Wrapping, Bracing, and Padding Practice and demonstrate your ability to appropriately apply these techniques with a partner as demonstrated and instructed in class. List one common condition that each of these techniques would be useful with during treatment and rehabilitation. 1. Bracing a. Neoprene sleeve Used to treat an adductor strain 2. Wrapping a. Compression wrap Used to treat a contusion b. Quadriceps strain wrap Used to treat heterotpic ossification c. Hamstring wrap Used to treat strains d. Adductor strain wrap Used to treat strains e. Hip flexor strain wrap Used to treat iliopsoas strains f. Circular thigh Prevents further injury following a quadriceps contusion or hip pointer g. Hip pointer wrap Used to treat contusions 3. Padding: List three sports that require hip/thigh padding and briefly describe its intended purpose for each sport. a. Football (hip pads to absorb shock) b. Volleyball (padded shorts to absorb shock) c. Ice hockey (impack short pads that protect the coccygeal vertebrae) 2 4. Stretches: Practice stretches for each of the following muscle groups as instructed and demonstrated in class. Match the targeted muscle group with the stretch. B_____ 1. Adductor group A. Walking lunge with overhead stretch C_____ 2. Hamstring B. Walking lunge with elbow inside foot A_____ 3. Hip flexor C. Straight leg march D_____ 4. Gluteals D. Cradle walk 5. Strengthening: Perform the following strengthening exercises as instructed and demonstrated in class. List the target muscles for each exercise. a. Double leg squats 3x5: Quadriceps femoris, adductor magnus, gluteus maximus b. Single leg squats 3x5: Hamstrings, quadsriceps, gluteus maximus, gastrocnemius medial and lateral head c. Forward and lateral lunges 3x5: Quardriceps, hamstrings, gastrocnemius medial and lateral head, glutes, adductors d. Single leg RDL 3x5: Glutes, hamstrings, peroneus longus, posterior tibalis, gastrocnemius medial and lateral head,obliques Lab Activity 4: Case Scenarios 1. A high school male lacrosse player suffers a contusion to the left quadriceps muscle during a game. Upon evaluation, the athlete has decreased range of motion and strength. He is also unable to run without a limp. The athletic trainer decides to remove him from the game. a. An appropriate initial treatment would include applying _____ice_________ to the quadriceps with the knee in a maximally ____flexed____ position for 20 minutes. b. What would be most effective for controlling swelling during the acute inflammatory response of tissue healing and why? Compression because it would help the swelling to get recirculated to the heart c. Most research recommends using protective padding for 3-6 months upon a return to athletic activity following a thigh contusion to prevent the development of _____Myositis Ossificans___________________. 2. A high school sprinter complains of right hip flexor pain which subsides during rest. The patient is able to ambulate with minimal difficulty. Pain first occurred two days ago when the athlete was doing explosive hurdle drills and felt a pop followed by a sharp, immediate pain. The patient has rested since, with no pain during rest, and has attempted to return to participation with exacerbated pain during activity. 3 a. During the initial assessment, the patient complained of point tenderness over the AIIS. What should be included in the clinician’s differential diagnosis? An Avulsion Fracture b. During return to participation, which stretching technique is most appropriate to increase flexibility of the injured muscle and why? Walking lunge with overhead stretch c. During the return to play progression, the patient indicates slight pain during distance running. Which wrapping technique would be most appropriate to provide the patient and why? Hip flexor strain wrap References Prentice, W. E. (2017). Principles of athletic training: a guide to evidence-based clinical practice. New York, NY: McGraw-Hill Education. 4