A pediatric physiatrist's approach to neuromuscular hip dysplasia in cerebral palsy

Amy Tenaglia, Hana Azizi, Heakyung Kim

Research output: Contribution to journalArticlepeer-review

Abstract

Cerebral palsy (CP) encompasses a group of disorders pertaining to abnormalities in movement, tone, and/or posture due to a nonprogressive lesion to an immature brain. Hip dysplasia is the second most common orthopedic deformity seen in CP, and its severity can range from a hip at risk for subluxation to full hip dislocation with degenerative changes. The purpose of this article is to review the hip pathologies that occur in CP focusing on their pathogenesis, physical exam findings, impact on function, and conservative treatment. Through a review of the medical literature, it is demonstrated that early, aggressive, and comprehensive care led by a pediatric physiatrist is essential to mitigate progression to complete hip dislocation and preserve range of motion, prevent contracture, and promote maximum functional ability in all children with CP.

Original languageEnglish (US)
Pages (from-to)19-24
Number of pages6
JournalJournal of Pediatric Rehabilitation Medicine
Volume15
Issue number1
DOIs
StatePublished - 2022
Externally publishedYes

Keywords

  • Cerebral palsy
  • chemoneurolysis
  • function
  • hypertonia
  • neuromuscular hip dysplasia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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