2015, Number 3-4
Rev Mex Med Fis Rehab 2015; 27 (3-4)
Implementation of preventive treatments for hip disorders in cerebral palsy: a preliminary study in Granada
Alí-Morell OJ, Zurita-Ortega F, Fernández-Estévez B, Cubillo-Cobo R, Navarro-Díaz JC
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ABSTRACTBackground: Hip subluxation and dislocation are one of the most frequent musculoskeletal disorders observed in patients with cerebral palsy (CP).This study pretends to demonstrate the implementation percentage of preventive treatments for hip displacement in the population of Granada affected by cerebral palsy, as well as their results. Methods: 35 subjects with CP (age range 8-20 years) participated in a retrospective observational study. Preventive treatments for hip disorders were analyzed, as well as the degree of coxofemoral joint decoaptation. Data concerning preventive treatments using botulinum toxin injections (BTA), orthoses and soft tissue release surgery (STRS), was gathered. Coxofemoral morphology was measured through X-rays using Reimer’s Migration Index (RMI). Results: Total percentage of hip dislocation/subluxation was 31.4%. For subjects belonging to levels IV and V according to Gross Motor Function Classification System (GMFCS), the implementation percentage of the studied preventive treatments was less than 50%. Furthermore, for all these levels, the percentage of subjects that received BTA and STRS and didn’t present RMI › 30%, was above 60%. Conclusions: In our population belonging to levels IV and V of GMFCS, the implementation percentages of BTA and STRS were low. The limited application of these preventive treatments results in a great number of hip disorders.