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Hip Dislocation and Postural Management in Children with Cerebral Palsy
Recent 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 .
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 ].
Teaching Motor Skills to Children with Cerebral Palsy Author : Sieglinde Martin M . S ., P . T . Find out more information at http :// yourtherapysource . com / CPmotorskills . html
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