Article

Early identification and intervention with conservative measures is
important to help manage hip dysplasia in children with a high adductor and
iliopsoas tone and delay in weight bearing.
The effect of a daily standing
program with hip abduction on hip acetabular development in ambulatory children
with cerebral palsy was studied. METHOD: The participants were 26 children with
spastic diplegia cerebral palsy (CP), classified at Level III according to the
Gross Motor Function Classification System (GMFCS). Thirteen children stood with
hip abduction at least 1 h daily from 12 to 14 months of age to 5 years with an
individually fabricated standing frame with hip abduction. RESULTS: At the age of
5 years, radiologic results of the study group were compared with a comparison
group of 13 children with spastic diplegia CP who had not taken part in a
standing program. The migration percentage in all children who stood with
abduction remained within stable limits (13-23%) at 5 years of age, in comparison
to children who did not stand in abduction (12-47%) (p < 0.01). CONCLUSIONS: The
results indicate that a daily standing program with hip abduction in the first 5
years may enhance acetabular development in ambulatory children with spastic
diplegia CP. Implications for Rehabilitation Abnormal acetabular development is a
problem related to mobility problems and spasticity muscles around the hip. The
literature suggests that postural management and standing programs could reduce
levels of hip subluxation and increase function in children with cerebral palsy.
A standing program with hip abduction can be a beneficial to develop more stable
hips in children with spastic diplegic GMFCS level III.

Langue : ANGLAIS