Early Physical Therapy Intervention in Infant Hip Dysplasia

Raţă, Marinela

doi:10.1016/j.sbspro.2013.04.195

Cited by 7 publications

(6 citation statements)

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“…Parent plays an essential role in physical therapy treatment plan, especially with Vojta therapy, as a home program. The results revealed improvement in complex factors in local and general milestone development (Marinela, 2013).…”

Section: Introductionmentioning

confidence: 90%

“…Developmental Dysplasia of the Hip (DDH) can be described as an abnormality of the articular or/ and periarticular structures. The biomechanical point of view is defined by hip instability, acetabular abnormalities, and capsular laxity (Marinela, 2013). The posture of the pediatric foot had been explained by footprint in many published research.…”

Section: Introductionmentioning

confidence: 99%

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Pilot study: Effect of Developmental Dysplasia of the Hip on the Gait and Feet Posture

Vasilcova

2024

StS

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Background: The objective of this pilot study was to assess the effect of Developmental Dysplasia of the Hip (DDH) on gait, in pediatric participants, between the age of one to four years. Few studies are investigating the effect of DDH on the walking pattern within the pediatric rehabilitation practice. From an early age, children are developing a longitudinal foot arch. Constantly changing pediatric foot posture must be assessed. Gait pattern and foot posture are one of the most common parental concerns. Methods: The retrospective review of gait analysis, performed on 410 lower limbs, took place in King Abdullah Specialized Children Hospital (KASCH) in Riyadh, Kingdom of Saudi Arabia, from April 2020 until September 2020. All participants were diagnosed with DDH by pediatric orthopedics physicians in KASCH. Gait analysis was done by a physical therapist twice within three months, using The Wee Glasgow Gait Index (WeeGGI) and foot assessment was done once using Foot Postural Index (FPI-6). The WeeGGI compares eleven gait parameters. Each parameter has a choice of three figures, where each one has a clear explanation and/or value. The FPI-6 evaluates the foot as multi-segmental complex, in double leg support, characterizing pronation with + (plus) and supination with - (minus) numbers. Scoring is 2 (two) points in all six factors it is divided into rearfoot and forefoot assessment in transverse, frontal/transverse, frontal, and sagittal planes. Results: From all gait analyses (n=410). We included only 292 (71%) lower limbs with DDH and had to exclude 60 (15%) after hip surgery, 30 (7%) with another diagnosis, 18 (4%) without conservative treatment of DDH, and 10 (3%) with age above 48 months. According to the scoring of the Wee Glasgow Gait Index within the optimum/normal limits (score 0 - zero), we had 50 (17%), mild deviation (score 1-11) 236 (81%), and gross deviation (score 12-22) had 6 (2%) limbs within first gait analysis. With second gait analysis, 40% of lower limbs were within optimum/normal limits, 60% with mild deviation in gait, and zero within gross deviation. Every limb assessment for gait had the Foot Postural Index as well. Within normal limits (0 till +5) we had 143 (49%) feet, pronation (+6 till +9) was presented in 97 (33%) and high pronation (more then +10) had 52 (18%) pediatric feet. This sample did not present supination (-1 till -4) or high supination (-5 till -12). Limping was observed within 102 (35%) of the legs. The frequency of W-sitting presented in 47% of the results. The first and second gait analysis suggest an effect of DDH on the gait with a small difference between the right and left leg, although the left side was affected more within both gait analyses. Conclusion: Pathological gait pattern with DDH was detected in 83% within the first gait analysis, 60% within the second gait analysis, and Foot Postural Index revealed pronation of 51% feet. Among Saudi participants, a relatively high effect of DDH on gait patterns is reported in this pilot study. Keywords: DDH, gait, FPI-6, physiotherapy, WeeGGI.

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Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Pilot study: Effect of Developmental Dysplasia of the Hip on the Gait and Feet Posture

Vasilcova

2024

StS

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“…Physical therapy can also be used for kyphoscoliosis occurs between 18 • and 45 • to avoid neurological problems and reduce pain (158)(159)(160)(161)(162). Physical therapy can also be a benefit in hip dysplasia to strengthen hypertonic muscles and reduce pelvic instability and asymmetry (163). Hydrotherapy reduces joint loading and improve strength and can be used for patients with motor disabilities with MPS one and two (11,164,165).…”

Section: Treatment Optionsmentioning

confidence: 99%

Non-cardiac Manifestations in Adult Patients With Mucopolysaccharidosis

Stępień

Bentley

Chen

et al. 2022

Front. Cardiovasc. Med.

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Mucopolysaccharidoses (MPS) are a heterogeneous group of disorders that results in the absence or deficiency of lysosomal enzymes, leading to an inappropriate storage of glycosaminoglycans (GAGs) in various tissues of the body such as bones, cartilage, heart valves, arteries, upper airways, cornea, teeth, liver and nervous system. Clinical manifestations can become progressively exacerbated with age and affect their quality of life. Developments in advanced supportive treatment options such as enzyme replacement therapy (ERT), hematopoietic stem cell transplantation (HSCT) may have improved patients' life span. Adult MPS patients require specialist clinical surveillance long-term. In many cases, in addition to the MPS-related health problems, they may develop age-related complications. Considering the complexity of their clinical manifestations and lack of guidelines on the management of adult MPS disorders, multispecialty and multidisciplinary teams' care is essential to diagnose and treat health problems that are likely to be encountered. This review presents non-cardiac clinical manifestations, their pathophysiology, management and long-term outcomes in adult MPS patients.

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“…Children with decreased chest expansion may benefit from retraining of the inspiratory muscles to decrease episodes of dyspnea. Physical therapy, such as Swedish massage, posturing, and passive and active mobilization, could be applied for regaining hip mobility/full range of motion, strengthening the hypotonic muscles, rebalancing the pelvic asymmetry, and increasing the passive and active stability of hip joints [ 152 ]. Adults are more likely to have developed several complications.…”

Section: Therapeutic Options For Mpsi and Focus On Bone Limitationsmentioning

confidence: 99%

MPSI Manifestations and Treatment Outcome: Skeletal Focus

Ponti

Donsante

Frigeni

et al. 2022

IJMS

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Mucopolysaccharidosis type I (MPSI) (OMIM #252800) is an autosomal recessive disorder caused by pathogenic variants in the IDUA gene encoding for the lysosomal alpha-L-iduronidase enzyme. The deficiency of this enzyme causes systemic accumulation of glycosaminoglycans (GAGs). Although disease manifestations are typically not apparent at birth, they can present early in life, are progressive, and include a wide spectrum of phenotypic findings. Among these, the storage of GAGs within the lysosomes disrupts cell function and metabolism in the cartilage, thus impairing normal bone development and ossification. Skeletal manifestations of MPSI are often refractory to treatment and severely affect patients’ quality of life. This review discusses the pathological and molecular processes leading to impaired endochondral ossification in MPSI patients and the limitations of current therapeutic approaches. Understanding the underlying mechanisms responsible for the skeletal phenotype in MPSI patients is crucial, as it could lead to the development of new therapeutic strategies targeting the skeletal abnormalities of MPSI in the early stages of the disease.

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Early Physical Therapy Intervention in Infant Hip Dysplasia

Cited by 7 publications

References 0 publications

Pilot study: Effect of Developmental Dysplasia of the Hip on the Gait and Feet Posture

Pilot study: Effect of Developmental Dysplasia of the Hip on the Gait and Feet Posture

Non-cardiac Manifestations in Adult Patients With Mucopolysaccharidosis

MPSI Manifestations and Treatment Outcome: Skeletal Focus

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