Physical Therapy Korea (한국전문물리치료학회지)
- Volume 6 Issue 2
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- Pages.77-86
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- 1999
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- 1225-8962(pISSN)
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- 2287-982X(eISSN)
A Case Study of Physical Therapy for Developmental Dysplasia or Dislocation of the Hip After Operation
발달성 고관절 이형성증 또는 탈구 환자의 수술후 물리치료
Abstract
Developmental dysplasia or dislocation of the hip is the most pronounced form of a condition in which the femoral heads tends progressively to leave the acetabulum. In the young child the variability of findings and course suggest a spectrum of conditions in which there are a number of common features: restriction of movement, particularly of abduction in flexion; shortening; and abnormal radiology, including a sloping or dysplastic acetabulum and delay in the appearance of the upper femoral epiphysis. It is vital to make the diagnosis of a congenital dislocation as soon after birth as possible. Conservative treatment with an abduction brace before the child run begins to walk is completely adequate, but after the age of 4 even surgical repositioning is difficult and after the age of 7 it is almost impossible. The aim of the study was to gain insight into the value of physical therapy of developmental dysplasia or dislocation after operation.