Influence of the treatment of developmental dysplasia of the hip by the abduction brace on locomotor development in children

Zgoda, Marcin; Wasilewski, Piotr; Wasilewska, Iwona; Golicki, Dominik

doi:10.1007/s11832-009-0219-0

Cited by 9 publications

(10 citation statements)

References 17 publications

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“…In our study, we did not collect data for sitting, but our youngest patients for gait analysis were one male at 11 months old and three females' same age. Zgoda et al (2010) mean age of walking for DDH patients was 12 months and two weeks, with considerable difference between males and females. Another study by Kamath (2004) states the delay between DDH and the healthy group for one month.…”

Section: Discussionmentioning

confidence: 97%

“…This Pilot study revealed the effect of DDH on gait in pediatric participants between the age of one to four years. Zgoda et al (2010) focused on DDH's influence on sitting and walking according to milestones. In our study, we did not collect data for sitting, but our youngest patients for gait analysis were one male at 11 months old and three females' same age.…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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

Vasilcova

2024

StS

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“…The female predominance of congenital hip dislocation has been unanimously accepted in the majority of publications 6,9,[11][12][13] . Maternal hormones influence the development of congenital hip dislocation in females by increasing ligament laxity.…”

Section: Discussionmentioning

confidence: 99%

“…Cases of late congenital hip dislocation (after 12 months of age) are estimated at 10 out of 100,000 cases per year in France 5 . During the neonatal period and early childhood, the most commonly used therapeutic means for the treatment of congenital hip dislocation are orthoses 6,7 . Delayed treatment impairs the functional prognosis of the affected hip and increases the need for surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Orthosis Treatment for Patients with Congenital Hip Dislocation

Rakotonandrianina

Ranaivondrambola²,

Tata³

et al. 2023

SPMRJ

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Background: Congenital dislocation of the hip is currently a public health and socioeconomic problem. Delayed treatment impairs the functional prognosis of the affected hip and increases the need for surgical treatment. Aim: To evaluate the therapeutic results of the treatment by orthosis and the cost of the treatment. Material and Methods: This retroprospective descriptive study was carried out at the CHUAM of Antananarivo and the CRMM of Antsirabe on patients with congenital hip dislocation treated with braces; from January 2017 to August 2021. Results: Forty-eight cases were retained during this study. A female predominance was mentioned with a sex ratio of 0.45 and an average age of 7.8 ± 5.5 months at the beginning of the treatment. A left dislocation was observed in 27.1% of cases. Twenty-nine patients were treated with abduction pants. A recentered femoral head showing a good result was present in 37 patients. Five dislocations were observed at follow-up, and 5 residual subluxations. No cases of avascular necrosis of the femoral head have been reported. The total cost of orthosis treatment was on the average of 138.554,5 ± 51.678,8 Ariary. Conclusion: The age at the start of treatment and the duration of treatment influence the therapeutic outcome. The cost of orthosis treatment was affordable. If the treatment started earlier, the functional prognosis would be better.

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“…Neuromuscular dysplasia of the hip (NDH) appears as a result of various muscle tone abnormalities in the neurologic disorders spina bifida and cerebral palsy [ 15 , 16 , 17 ]. DDH appears among 0.1–5.2% of newborns [ 21 ]. Bialik (1998) [ 22 ], Chan (1997) [ 23 ] and Graf (2014) [ 24 ] consider the increased prevalence of DDH as one of the best indicators in detecting DDH as early as possible [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Developmental Dysplasia of the Hip: Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice—A 5-Year Retrospective Review

Vasilcova

AlHarthi²,

AlAmri³

et al. 2022

Children

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(1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilitation. (2) Methods: This retrospective review was performed on 12,225 physiotherapy referrals to the King Abdullah Specialized Children’s Hospital (KASCH), Riyadh, Kingdom of Saudi Arabia, from May 2016 to October 2021. Only DDH referrals for conservative treatment were included in the study. The plan for brace treatment was carried out by the pediatric orthopedics clinic in KASCH. The diagnostic methods were either a pelvic radiograph or ultrasound, depending on the participant’s age. DDH is considered one of the most common secondary complications for children with other medical diagnoses. (3) Results: The most common indication for referral was neurological diagnosis (44%), followed by orthopedic (28%), genetic (19%), cardiac (5%), ophthalmologic (3%), dermatologic (1%) and rheumatologic (0.5%) diagnoses. (4) Conclusion: The prevalence of DDH among all referrals in this study was 6%. In physiotherapy practice, neurologic, genetic, and orthopedic primary or secondary diagnoses were the most prevalent when DDH referrals were investigated. A relatively high prevalence of DDH in the pediatric rehabilitation clinic at KASCH in Riyadh was reported in this study.

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Influence of the treatment of developmental dysplasia of the hip by the abduction brace on locomotor development in children

Abstract: For children with DDH, the abduction brace is a safe and effective method of treatment and, although the infants begin to walk about 3 weeks later compared to healthy children, this practice does not seriously affect the child's locomotor development.

Cited by 9 publications

References 17 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

Orthosis Treatment for Patients with Congenital Hip Dislocation

Developmental Dysplasia of the Hip: Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice—A 5-Year Retrospective Review

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