Complex treatment of the first year of life children with hip joints dysplasia
DOI:
https://doi.org/10.15574/PS.2019.63.57Keywords:
children, dysplasia of hip joints, treatmentAbstract
Dysplasia of hip joints (DHJ) is one of the leading states among diseases of the musculoskeletal system and in recent years has increased to 100 – 200 cases per 1000 newborns.
Objective: to increase the efficiency of rehabilitation treatment of first year of life children with dysplasia of hip joints by differentiated use of medical physical factors depending on peculiarities of the disease course and the associated pathology.
Materials and methods. We have supervised 215 patients aged 1 to 8 months with DHJ; 168 girls (78.1%), 47 boys (21.9%). The average age of patients was (105.6±38.8) days. 147 (68.4%) children with DHJ had a concomitant pathology in the form of perinatal lesions of the central nervous system or connective tissue dysplasia; only 68 (31.6%) patients had DHJ without a concomitant pathology.
Research results. The inclusion of low frequency magnetotherapy to traditional treatment (orthopedic remedies, therapeutic exercises, massage, UHF therapy, electrophoresis of calcium chloride) of children with DHJ helped to reduce the duration of treatment on 1.5–2 months and to increase the effectiveness of treatment to 13.8–19.4% depending on the degree of DHJ. Additional inclusion of laser therapy to the developed complex for children with II-III degree DHJ increased the effectiveness of treatment by 16.2% and shortened the duration of positional therapy on 3 months. The combined use of magnetotherapy, laser therapy and sodium chloride baths against the background of traditional treatment of children with DHJ increased the effectiveness of treatment by 15.7% and shortened its duration by 2 months.
Conclusion. The use of developed therapeutic and rehabilitation complexes, which include orthopedic means, therapeutic exercises, massage and differentiated physiotherapy can increase the effectiveness of treatment for children with dysplasia of hip joints on (16.6±0.6)%, reduce the duration of treatment, increase the number of good results in 2.8 times (from 28.5% to 79.1%), reduce the number of satisfactory results to 5.0%.
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