An Educational Module for Pavlik Harness Application for Developmental Dysplasia of the Hip: Study in a Greek Population

Abstract

The success of Pavlik harness therapy is based, among other things, upon the correct reapplication by parents. This prospective study assesses the effectiveness of a validated Objective Structured Assessment of Technical Skill (OSATS) educational module for Pavlik harness application among Greek parents. Methods: Forty consecutive parents of newborns with developmental dysplasia of the hip (DDH), who were treated with Pavlik harness, were divided into two groups. Twenty parents (group 1) were educated with the Greek OSATS version, while the rest (group 2) served as the control. The OSATS score, quality of the final product (Global Rating Scale -GRS) and sonographic imaging of the hips were evaluated during follow-up. Results: Post-intervention evaluation revealed significant higher means of OSATS score (p<0.01), GRS of performance (p<0.05) and GRS of final product (p<0.05) for group 1. At every retention time point, OSATS was significantly higher for group 1, however there were no significant differences between either GRS score between groups. There was no significant difference in radiographic evaluation and successful outcome. Conclusions: This educative module increased the parents' skill level on application of Pavlik harness. However, this module revealed no significant effect in clinical and radiological evaluation of the hips, in this population.

Rehabilitation in Patients Diagnosed with Arthrogryposis Multiplex Congenita: A Systematic Review

“…In other cases, these benefits have not been conclusively demonstrated, such as in Developmental Coordination Disorder [42]. Interventions that can produce these benefits include massage [43,44], specific [37,40,45] and global mobilisations [35,38,39] learnt from health professionals, orthopaedic tools management [45] and psychological support [35,36]. All of this will improve independence [9,11,46] and favour relations with their social environment [9,15,20,47].…”