Year: 2025 | Month: January | Volume: 15 | Issue: 1 | Pages: 224-227
DOI: https://doi.org/10.52403/ijhsr.20250129
Low-Cost Indigenous Modified Dynamic Hip Abduction Orthosis for Cerebral Palsy - A Case Report
Prakash Sahoo1, Abdur Rahaman2, Tanmaya Pany3, Dr Ameed Equebal4, Dr Lalit Narayan5
1Demonstrator, NILD, Kolkata, India
2CPO, ALIMCO, Guwahati, India
3Demonstrator, NILD, Kolkata, India
4Asst.Director (T) cum Asst. Prof, NILD, Kolkata, India
5Director, NILD, Kolkata, India
Corresponding Author: Prakash Sahoo
ABSTRACT
Background: Hip dislocation and subluxation are frequent issues in children with cerebral palsy (CP), particularly those with spastic forms of the condition. One of the strategies for managing these problems is the use of hip abduction orthoses, which help to prevent or treat hip deformities. The focus of this study is to examine the effects of a modified dynamic hip abduction orthosis in addressing hip adductor tightness in a patient with CP.
Case Description and Methods: The case involved a 6-year-old boy with spastic paraplegic CP who presented to the National Institute for Locomotor Disabilities (NILD), Kolkata. Upon a thorough assessment, the child was diagnosed with hip adduction deformity, and a dynamic hip abduction orthosis was prescribed to address this issue. The orthosis was designed to gradually reduce the hip adduction tightness while providing support for functional movement.
Findings and Outcomes: After three months of consistent use of the orthosis, there was a marked improvement in the hip adduction tightness. The child was able to walk while wearing the orthosis without experiencing any limitations in hip movement, demonstrating the effectiveness of the device in improving range of motion and reducing deformity.
Conclusion: The combined approach of physiotherapy and orthotic intervention is critical in treating hip adduction tightness in children with CP. In this case, the dynamic hip abduction orthosis proved to be an effective tool for improving hip function and reducing the deformity. Such interventions can enhance the quality of life and mobility in children with similar conditions.
Key words: Cerebral Palsy, Dynamic Hip Abduction Orthosis.