Effects of Postural Management on Hip Migration in Children With Cerebral Palsy: A Systematic Review

Pediatr Phys Ther. 2018 Apr;30(2):82-91. doi: 10.1097/PEP.0000000000000488.

Abstract

Purpose: To review the existing literature on the effects of postural management on hip migration in children with cerebral palsy.

Methods: A systematic literature search was performed using 5 databases. Quality of articles was assessed and study designs were appraised according to the American Academy of Cerebral Palsy and Developmental Medicine Systematic Review Method.

Results: Eight of 655 identified studies were included, reporting postural management in children with cerebral palsy. Seven of 8 studies reported positive effects on hip migration after postural management interventions. However, level of evidence and quality of the articles were low.

Conclusion: The evidence for postural management to prevent or reduce hip migration in children with cerebral palsy is limited by the lack of high-quality studies. Strong recommendations for clinical practice are not possible. Future high-quality research is crucial to improve our understanding of the effects of postural management to prevent hip migration in children with cerebral palsy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Cerebral Palsy / rehabilitation*
  • Child
  • Hip / physiopathology*
  • Humans
  • Physical Therapy Modalities*
  • Posture / physiology*