title: The Effects of a Home-Based Connective Tissue Targeting Therapy on Hip Development in Children With Cerebral Palsy: Six Case Reports.
abstract: Hip subluxation in children with Cerebral Palsy (CP) has an incidence of 10-30 %, and children with severe CP having the highest incidence. The condition deteriorates if left untreated. Surgery is the most common method used in managing hip subluxation because standard conservative therapies do not improve it. Surgery may have to be repeated and comes at a biological cost to the child. A new home-based CAM, Advanced Biomechanical Rehabilitation (ABR), has shown encouraging results leading to improved spinal stability and stability in sitting in children with severe CP. This case report examines hip development over time in six children with severe CP in the ABR Program. Changes in their clinical picture and pelvic X-Rays are reported. ABR appeared to help stabilize and improve hip subluxation, resulting in these children not requiring further surgical intervention. These findings warrant further investigation of ABR as a noninvasive therapy for hip subluxation.
authors.affiliation: Integrative Family Physician (Private Practice), 15 Budock Road, Claremont, Cape Town 7708. Electronic address: Erika.drewes@me.com.
authors.forename: Erika
authors.initials: E
authors.lastname: Drewes
authors.affiliation: Advanced Biomechanical Rehabilitation, Montreal, Pierre-Baillargeons, Canada 11991; Biomedical Research Group, 5135 Bessborough St, Montreal, Canada H4V2S5.
authors.forename: Mark
authors.initials: M
authors.lastname: Driscoll
authors.affiliation: Biomedical Research Group, 5135 Bessborough St, Montreal, Canada H4V2S5.
authors.forename: Leonid
authors.initials: L
authors.lastname: Blyum
authors.affiliation: Advanced Biomechanical Rehabilitation, Horndrupvej 36, Skanderborg 8660, Denmark.
authors.forename: Diane
authors.initials: D
authors.lastname: Vincentz
mesh_terms: D001696:Biomechanical Phenomena; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003238:Connective Tissue; D005260:Female; D006615:Hip / Q000000981:diagnostic imaging; D006621:Hip Joint / Q000000981:diagnostic imaging; D006699:Home Care Services; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy*; D008297:Male; D026201:Musculoskeletal Manipulations; D010388:Pelvis / Q000000981:diagnostic imaging; D011859:Radiography
keywords: ABR; cerebral palsy; complementary and alternative methods; hip subluxation