title: Vojta method in the treatment of developmental hip dysplasia - a case report.
abstract: BACKGROUND
  Developmental dysplasia of the hip joint is one of the most common congenital defects and often results in functional and structural disorders. Such cases particularly demand optimizing therapeutic effects and maximally reducing the duration of therapy.
  
  
  OBJECTIVE
  The aim of this case report is to present the therapeutic process in a child with developmental hip dysplasia.
  
  
  METHODS
  This is a case report of a female child with a birth weight of 2,800 g and an Apgar score of 9 points born to a gravida 3 para 3 mother at 37 weeks. The child was delivered by cesarean section, and the pregnancy was complicated by oligohydramnios. Subluxation of the left hip joint was diagnosed by an orthopedist in the third month of life. The treatment followed was the Vojta method (the first phase of reflex turning and reflex crawling).
  
  
  RESULTS
  During the 6 weeks of the Vojta treatment, the left half of the femoral head was centralized, and the process of formation of the hip joint acetabulum was influenced effectively enough to change the acetabulum's Graff type from the baseline D to IIb after 41 days of treatment.
  
  
  CONCLUSIONS
  The diagnostic work-up of congenital hip joint dysplasia should involve a physiotherapist who will investigate the child's neuromuscular coordination, in addition to a neonatologist and a pediatrician. The therapy for a disorder of hip joint development of neuromotor origin should involve the application of global patterns according to Vojta. Children with congenital dysplasia of the hip joint should commence rehabilitation as early as possible.
authors: Center for Pediatrics, Regional Hospital in Kielce, Kielce, Poland; Department of Physiotherapy, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
authors: Wojciech
authors: W
authors: Kiebzak
authors: Department of Physiotherapy, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
authors: Arkadiusz
authors: A
authors: Żurawski
authors: Department of Osteopathic Medicine and Physiotherapy, Medical College of Podkowa Lesna, Podkowa Lesna, Poland.
authors: Michał
authors: M
authors: Dwornik
keywords: centralization of the the femoral head; global pattern; neuromuscular coordination