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The significance of osteopathic interventions in the treatment of congenital hip dysplasia (Type IIa/IIb)

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2007/01, Pages: 57, type of study: controlled clinical trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/3042)

Keywords:

congenital dysplasia of the hip [1]
dysplasia [12]
infants [143]
pediatrics [375]
hip [316]
holistic treatment [4]
osteopathic manipulative treatment [2973]
OMT [2951]
sonography [35]
controlled clinical trial [283]
WSO [433]

Abstract:

Aim of the study: This study should demonstrate if there is quicker and qualitatively better development of the hip socket joint in infants who have been treated osteopathically than those treated in a control group. Patients: 20 infants in the treatment group and 20 in the control group, all with a Type IIa/IIb sonographical initial assessment of the hip joint. The infants in both groups wore extra wide nappies up until their control appointment at approximately 7 weeks. The infants in the treatment group were assessed and treated using an holistic osteopathic approach. Results: At the time of the control appointment, the hip joints in both groups demonstrated 100% normal results (Ia/Ib). Neither in terms of time nor quality, could a difference in the development of the hip socket be found. Summary: The chosen developmental dysplasia of the hip (types IIa/IIb) has a high potential to heal spontaneously. Both groups of 20 infants are too small to obtain a statistically useful result. In my opinion a further study, using a multi-disciplinary approach (orthopaedics, physiology, embryology, osteopathy) using larger patient numbers and stricter inclusion criteria (e.g., type IIc stable), with subjects not wearing wide nappies, ensuring exact control appointments and having the same sonographic tester, would make sense. It would be most interesting to research the pathology in greater detail, in order to gain a better understanding of the origin and treatment of developmental dysplasia of the hip.


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