Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery

Purpose. Few studies have described mobilization approaches in developmental dysplasia of the hip (DDH). The present study describes the hip mobilization of a preterm infant (born at 33 6/7 weeks of gestational age) diagnosed with DDH. Design and Methods. During the 43-day hospital stay, the infant...

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Main Authors: Mariana Callil Voos, Soares de Moura Maria Clara Drummond, Renata Hydee Hasue
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2018/8625721
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author Mariana Callil Voos
Soares de Moura Maria Clara Drummond
Renata Hydee Hasue
author_facet Mariana Callil Voos
Soares de Moura Maria Clara Drummond
Renata Hydee Hasue
author_sort Mariana Callil Voos
collection DOAJ
description Purpose. Few studies have described mobilization approaches in developmental dysplasia of the hip (DDH). The present study describes the hip mobilization of a preterm infant (born at 33 6/7 weeks of gestational age) diagnosed with DDH. Design and Methods. During the 43-day hospital stay, the infant was seen twice a week (ten sessions, 20 minutes each). All sessions included hip approximation maneuvers, with the hip positioned in abduction, lateral rotation and flexion, and lower limbs passive mobilization, which were taught to the mother. Early intervention with auditory, tactile, visual, and vestibular stimulations was also performed. The infant was assessed with hip ultrasound before and after treatment. Results. At 34 2/7 weeks of gestational age, she was classified as Graf IIa (left: alpha: 55°, beta: 68°; right: alpha: 59°, beta: 64°). At 40 5/7 weeks, she was classified as Graf I for left (alpha: 67°; beta: 42°) and right (alpha: 66°; beta: 42°) hips. Practical Implications. The intervention seemed to accelerate the acquisition of stability of dysplasic hips in a preterm infant. The outcome supports further investigation of hip approximation maneuvers as part of early stimulation in preterm infants with DDH during hospital stay.
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spelling doaj-art-348b3515bd3c4aaa872664da1082385b2025-08-20T03:55:06ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/86257218625721Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia RecoveryMariana Callil Voos0Soares de Moura Maria Clara Drummond1Renata Hydee Hasue2Department of Physical Therapy, Communication Sciences and Disorders and Occupational Therapy, Faculty of Medicine, University of São Paulo, BrazilDepartment of Physical Therapy, Communication Sciences and Disorders and Occupational Therapy, Faculty of Medicine, University of São Paulo, BrazilDepartment of Physical Therapy, Communication Sciences and Disorders and Occupational Therapy, Faculty of Medicine, University of São Paulo, BrazilPurpose. Few studies have described mobilization approaches in developmental dysplasia of the hip (DDH). The present study describes the hip mobilization of a preterm infant (born at 33 6/7 weeks of gestational age) diagnosed with DDH. Design and Methods. During the 43-day hospital stay, the infant was seen twice a week (ten sessions, 20 minutes each). All sessions included hip approximation maneuvers, with the hip positioned in abduction, lateral rotation and flexion, and lower limbs passive mobilization, which were taught to the mother. Early intervention with auditory, tactile, visual, and vestibular stimulations was also performed. The infant was assessed with hip ultrasound before and after treatment. Results. At 34 2/7 weeks of gestational age, she was classified as Graf IIa (left: alpha: 55°, beta: 68°; right: alpha: 59°, beta: 64°). At 40 5/7 weeks, she was classified as Graf I for left (alpha: 67°; beta: 42°) and right (alpha: 66°; beta: 42°) hips. Practical Implications. The intervention seemed to accelerate the acquisition of stability of dysplasic hips in a preterm infant. The outcome supports further investigation of hip approximation maneuvers as part of early stimulation in preterm infants with DDH during hospital stay.http://dx.doi.org/10.1155/2018/8625721
spellingShingle Mariana Callil Voos
Soares de Moura Maria Clara Drummond
Renata Hydee Hasue
Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery
Case Reports in Medicine
title Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery
title_full Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery
title_fullStr Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery
title_full_unstemmed Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery
title_short Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery
title_sort hip mobilization at preterm age may accelerate developmental dysplasia recovery
url http://dx.doi.org/10.1155/2018/8625721
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AT soaresdemouramariaclaradrummond hipmobilizationatpretermagemayacceleratedevelopmentaldysplasiarecovery
AT renatahydeehasue hipmobilizationatpretermagemayacceleratedevelopmentaldysplasiarecovery