Standing Programs to Promote Hip Flexibility in Children With Spastic Diplegic Cerebral Palsy

Pediatr Phys Ther. 2015 Fall;27(3):243-9. doi: 10.1097/PEP.0000000000000150.

Abstract

Purpose: To investigate the effects of a standing program on the range of motion (ROM) of hip abduction in children with spastic diplegic cerebral palsy.

Methods: The participants were 13 children, Gross Motor Functional Classification System level III, who received physical therapy and a daily standing program using a custom-fabricated stander from 12 to 14 months of age to the age of 5 years. Hip abduction ROM was goniometrically assessed at baseline and at 5 years.

Results: Baseline hip abduction was 42° at baseline and 43° at 5 years.

Conclusions: This small difference was not clinically significant, but did demonstrate that it was possible to maintain hip abduction ROM in the spastic adductor muscles of children with cerebral palsy with a daily standing program during the children's first 5 years of development.

MeSH terms

  • Cerebral Palsy / rehabilitation*
  • Child, Preschool
  • Female
  • Hip / physiopathology*
  • Humans
  • Male
  • Physical Therapy Modalities*
  • Range of Motion, Articular

Supplementary concepts

  • Cerebral palsy, spastic, diplegic