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Hip Dislocation and Postural Management in Children with Cerebral Palsy

Hip Dislocation and Postural Management in Children with Cerebral PalsyRecent research examined the effect of postural management treatment on hip displacement  in children with cerebral palsy.  The treatment group consisted of 30 children with cerebral palsy who received neurodevelopmental treatment (NDT) two times per week and a 5 hour daily use of a molded seat postural program.  The control group (21 children with cerebral palsy) only received the NDT two times per week.  Both groups participated for two years.  Hip radiographs were performed to measure migration percentage (MP) at baseline, one year and two years.

The following results were reported: a significant difference was seen in the migration percentage between treatment and control groups. At 2 years, there was a marked worsening (MP from 23.0 to 37.7) in the control group, compared to the stability (from 28.8 to 26.8) in the treatment group.

The researchers concluded that conservative postural management of hip deformity is helpful to prevent the natural progression of hip dislocation.

This is some excellent, supportive research when writing letters of medical justification for molded seating systems for individuals with cerebral palsy.

Below is some more articles on postural control, hip dislocation and children with cerebral palsy.

Read additional research on Hip in Children with Severe Cerebral Palsy.

Read more about exercise interventions, postural control and children with cerebral palsy.

Read how postural control is a significant predictor of taking independent steps for children with cerebral palsy.

Read about how some research indicates that the strong association between segmental trunk postural control and gross motor function and mobility has significant clinical implications for the treatment of children with CP.

Reference:  Picciolini O, Le Métayer M, Consonni D, Cozzaglio M, Porro M, Gasparroni V, Panou A, Mosca F, Portinaro N. Can we prevent hip dislocation in children with CP? Effects of postural management.  Eur J Phys Rehabil Med. 2016 May 6. [Epub ahead of print].

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Author: Sieglinde Martin M.S., P.T.