Physical Therapy Applications on the Hip and Defined Functional Parameters in Children With Developmental Hip Dysplasia

NCT06007833 | Unknown

• 1 other identifier: 2022/3832
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to investigate the effects of physical therapy and rehabilitation applications on the hip and defined functional parameters in children with developmental hip dysplasia.

Conditions

Exercise; Developmental Dysplasia of the Hip

Keywords

Dysplasia; Hip subluxation; Dislocation; Rehabilitation

Outcome Measures

Primary Outcomes (1)

• The Evaluation of Trunk Control

  Trunk Control Measurement Scale, This scale, which is applied to evaluate trunk control, consists of 2 sub-headings as static sitting balance and dynamic sitting balance. The trunk control measurement scale includes a total of 15 items evaluating trunk control in children. Individuals; without back support, feet are in full contact with the ground, and hips and knees are seated in 90º flexion. In the static sitting balance subgroup (items 1-5), the patient's performance in maintaining trunk stabilization while the upper and lower extremities are in motion is evaluated. It consists of dynamic sitting balance parameters (item 6-15), selective movement control (item 6-12) and dynamic reaching subscale (item 13-15). Functional reach, which is a sub-parameter of dynamic sitting balance, is an important parameter in evaluating balance in children. Scoring of this scale varies between 0-58; A higher score indicates better trunk control.

  baseline and week 8

Secondary Outcomes (8)

• The Evaluation of the Endurance of the Spinal Stability Muscles

  baseline and week 8

• The Evaluation of the Strength of the Spinal Stability Muscles

  baseline and week 8

• The Evaluation with Radiological Imaging of Hip Parameters

  baseline and week 8

• The Assessment of Aerobic Capacity

  baseline and week 8

• The Evaluation of Anaerobic Capacity

  baseline and week 8

Study Arms (2)

physical therapy and rehabilitation program in addition to conservative treatment

EXPERIMENTAL

Orthoses and positioning will be applied to the experimental group as a conservative treatment, following post-surgical plastering. In addition, they will receive a physical therapy and rehabilitation program

Behavioral: Physical Therapy and Rehabilitation Modalities

Conventional Group

ACTIVE COMPARATOR

As a conservative treatment in the control group, post-surgical plastering followed by orthoses and positioning will be applied

Behavioral: Conventional Group

Interventions

Physical Therapy and Rehabilitation Modalities BEHAVIORAL

In the experimental group, the subjects who were taken to the physical therapy modality in addition to conventional therapy. Total, each session was performed for 60 minutes, 8 weeks, 3 days a week, under the supervision of a physiotherapist, while the other days, the family member performed 3 times a day, each movement for 3 sets, 10-15 repetitions, for a total of 60 minutes. A rest interval of less than 2 minutes was given between each set. By making use of heat modalities before starting the exercises, the elongation ability of the warmed tense structure was increased and the risk of damage in stretching exercises was reduced. The cold application was applied to the soft tissues in the extended position for 1-2 minutes with a cold pack, as the application of cold immediately after the stretching would ensure the preservation of the range of motion. Progress in the exercise program; adjusted for strength, endurance, flexibility, balance and functionality parameters.

physical therapy and rehabilitation program in addition to conservative treatment

Conventional Group BEHAVIORAL

As a conservative treatment in the control group, post-surgical plastering followed by orthoses and positioning was applied.

Conventional Group

Eligibility Criteria

• Age: 2 Years - 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• years old,
• Diagnosed with developmental hip dysplasia,
• Have not undergone any foot surgery,
• Not having any neurological or rheumatological disease,
• Having sufficient cooperation to understand and correctly apply the tests,
• Patients with informed consent from their families were included.

You may not qualify if:

• Having neurological problems,
• Meningomyelocele (diagnosed with Spina Bifida),
• Mental retardation and uncooperative,
• Children with inflammation, spasticity, spina bifida, arthrocentesis,
• Down syndrome-related dislocation,
• Children who could not obtain informed consent from their families were excluded from the study.

Sponsors & Collaborators

• Inonu University: lead

Study Sites (1)

Inonu University

Malatya, 44100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity; Developmental Dysplasia of the Hip; Joint Dislocations

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Behavior; Hip Dislocation; Joint Diseases; Musculoskeletal Diseases; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Elisa Calisgan, PhD

  Inonu University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Elisa Çalışgan, PhD

CONTACT

05342462471; elisa.calisgan@inonu.edu.tr

Betül Akyol, PhD

CONTACT

05052924448; betül.akyol@inonu.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants didn't know taking which exercise treatment methods.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: The Investigation of the Effects of Physical Therapy and Rehabilitation Applications on the Hip and Defined Functional Parameters in Children with Developmental Hip Dysplasia

Model Details: Experimental, Randomized Controlled Study

Study Record Dates

• First Submitted: August 10, 2023
• First Posted: August 23, 2023
• Study Start: September 1, 2023
• Primary Completion: October 30, 2023
• Study Completion: November 30, 2023
• Last Updated: August 23, 2023

Record last verified: 2023-08

Locations

TU (1)