Vojta method in the treatment of developmental hip dysplasia – a case report

Abstract

BackgroundDevelopmental dysplasia of the hip joint is one of the most common congenital defects and often results in functional and structural disorders. Such cases particularly demand optimizing therapeutic effects and maximally reducing the duration of therapy.PurposeThe aim of this case report is to present the therapeutic process in a child with developmental hip dysplasia.Case reportThis is a case report of a female child with a birth weight of 2,800 g and an Apgar score of 9 points born to a gravida 3 para 3 mother at 37 weeks. The child was delivered by cesarean section, and the pregnancy was complicated by oligohydramnios. Subluxation of the left hip joint was diagnosed by an orthopedist in the third month of life. The treatment followed was the Vojta method (the first phase of reflex turning and reflex crawling).ResultsDuring the 6 weeks of the Vojta treatment, the left half of the femoral head was centralized, and the process of formation of the hip joint acetabulum was influenced effectively enough to change the acetabulum’s Graff type from the baseline D to IIb after 41 days of treatment.ConclusionThe diagnostic work-up of congenital hip joint dysplasia should involve a physiotherapist who will investigate the child’s neuromuscular coordination, in addition to a neonatologist and a pediatrician. The therapy for a disorder of hip joint development of neuromotor origin should involve the application of global patterns according to Vojta. Children with congenital dysplasia of the hip joint should commence rehabilitation as early as possible.

Rehabilitation of a pediatric achondroplasia patient – Case report

“…14,15 Bobath concept and Vojta method used in patient's therapy are the leading neurorehabilitation methods which are widely used in rehabilitation of children with movement disorders. 16,17 Its overall objective besides normalization of muscle tone and inhibition of abnormal movement patterns is stimulation of psychomotor development. [18][19][20] Bobath concept is considered a problem-solving approach, rather than a rehabilitation technique.…”

Vojta Therapy in Neuromotor Development of Pediatrics Patients with Periventricular Leukomalacia: Case Series

“…Another study talks about the impact of generating central patterns through stimulation of the pectoral area using the Vojta method, where the regularity and rhythmicity of nutritive and non-nutritive sucking are improved [11]. Other study shows how patients with Sotos syndrome with developmental delay who have been treated with the Vojta method improve the quality of motor patterns and cognitive activation [12].…”

Factors affecting rehabilitation of infants with Central Coordination Disorders during a three-month-long observation

“…Vojta therapy is widely used in physiotherapy for the treatment of various pathologies. Scientific evidence indicates positive effects of the Vojta therapy on the treatment of subluxation of the hip joint [ 9 ]. The benefits of Vojta therapy were demonstrated in patients with Sotos syndrome with developmental delay, where rehabilitation improved the quality of motor patterns and cognitive activation [ 10 ].…”