한국전문물리치료학회지 (Physical Therapy Korea)
- 제6권2호
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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)
발달성 고관절 이형성증 또는 탈구 환자의 수술후 물리치료
A Case Study of Physical Therapy for Developmental Dysplasia or Dislocation of the Hip After Operation
초록
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.