Gait pathology presented with developmental dysplasia of the hip: a control case study

Authors

  • Veronika Vasilcova Sport Sciences and Diagnostics Research group, GSD/Health and Physical Education Department, Prince Sultan University, Riyadh 11586, Saudi Arabia https://orcid.org/0000-0002-9268-5144
  • Moqfa AlHarthi Rehabilitation Services Department, King Abdullah Specialized Children Hospital, Riyadh 11426, Saudi Arabia
  • Peter Sagat Sport Sciences and Diagnostics Research group, GSD/Health and Physical Education Department, Prince Sultan University, Riyadh 11586, Saudi Arabia https://orcid.org/0000-0002-5227-1975
  • Adrian Pavelka Faculty of Sport Science, Masaryk University in Brno, 62500 Brno, Czechia
  • Ghalib Al Ghamdi Rehabilitation Services Department, King Abdullah Specialized Children Hospital, Riyadh 11426, Saudi Arabia
  • Ayman H. Jawadi College of Medicine, King Saud bin Abdul-Aziz University for Health Sciences, Riyadh 11426, Saudi Arabia
  • Martin Zvonar Department of Physical Education and Sport, Faculty of Education, The Catholic University in Ruzomberok, 03401 Ruzomberok, Slovak Republic

DOI:

https://doi.org/10.47197/retos.v61.109212

Keywords:

FDM, DDH, gait, control group, Kingdom of Saudi Arabia

Abstract

A well-known and long-term complication of developmental dysplasia of the hip (DDH) is improper gait pattern, early regressive joint disorder, and permanent pain. It can affect the family's psychological, social, and functional parts. This study planned to resolve foot posture and gait analysis across patients with developmental hip dysplasia and correlate it with the control group. Case-control studies determine the main results. We correlated the gait analysis results on the Zebris FDM platform. The case included candidates with DDH under conservative treatment with an abduction brace and a control group with healthy participants. This study was conducted at King Abdullah Specialized Children Hospital, Riyadh, in the Kingdom of Saudi Arabia. This research enclosed 445 outcomes with DDH and 168 for the control category. The Sign test presented a significant diversity in Zebris FDM outcomes between DDH and the control group, especially in left foot external rotation with a p-value of 0.01 (left hip mean of 4.53, n=445, SD 8.78). A significant variation was present in step width, stance phase on both legs, single support, load response, swing phase, pre-swing, and a double support p-value of 0.00 (p<0.05). W-sitting was preferred in 256 (n=445, 58%) of the DDH results and by 61 (n=168, 36%) from the control group. This study's outcomes presented a greater risk of pronation on the left foot and gait alteration on the right lower limb. The gait investigation presented a clear description of its patterns in paediatrics with DDH. Analyzing the gait among the DDH and the control group demonstrated a variation in each gait outcome from Zebris FDM platform software. DDH has a negative response on the gait pattern and foot posture, this is a great consequence presented in connection with Saudi applicants.

Keywords: FDM, DDH, gait, control group, Kingdom of Saudi Arabia

Author Biography

Veronika Vasilcova , Sport Sciences and Diagnostics Research group, GSD/Health and Physical Education Department, Prince Sultan University, Riyadh 11586, Saudi Arabia

Sport Sciences and Diagnostics Research group, GSD/Health and Physical Education Department, Prince Sultan University, Riyadh 11586, Saudi Arabia

Rehabilitation Services Department, King Abdullah Specialized Children Hospital, Riyadh 11426, Saudi Arabia;

References

Agarwal, A., & Gupta, N. (2012). Risk factors and diagnosis of developmental dysplasia of the hip in children. J Clin Orthop Trauma, 3(1), 10-14. doi: 10.1016/j.jcot.2011.11.001

Alosaimi, M. N., Kaneetah, A. H., Alzhrani, M. M., Qadi, S. G., & Alrammaal, W. H. (2020). Swaddling as a Risk Factor for Developmental Dysplasia. Journal of Musculoskeletal Surgery and Research, 4(4), 1-5. doi: 10.4103/jmsr.jmsr_54_20

American Physical Therapy Association. (2021, June 1). Retrieved from: apta.org. Guide to Physical Therapist Practice: https://guide.apta.org/

Aslam, F., Jamil, K., Htwe, O., Yuliawiratman, B. S., Natarajan, E., Elamvazuthi, I., et al. (2023). Postsurgical Analysis of Gait, Radiological, and Functional Outcomes in Children with Developmental Dysplasia of the Hip. Sensors, 23(7), 3386.

Bertsch, C., Unger, H., Winkelmann, W., & Rosenbaum, D. (2004). Evaluation of early walking patterns from plantar pressure distribution measurements. First-year results of 42 children. Gait Posture, 19(3), 235-42. https://doi.org/10.1016/S0966-6362(03)00064-X

De Pellegrin, M., Damia, C. M., Marcucci, L., & Moharamzadeh, D. (2021). Double Diapering Ineffectiveness in Avoiding Adduction. MDPI - Children, 8(3), 179. https://doi.org/10.3390/children8030179

Dunn, P. M. (1990). Is late walking a marker of congenital displacement of the hip? Arch Dis Child., 65(10), 1183-1184. DOI: 10.1136/adc.65.10.1183-c

Gimunová, M., Sebera, M., Bozděch, M., Kolářová, K., Vodička, T., & Zvonář, M. (2021). The Impact of Different Periods of Walking Experience on Kinematic Gait Parameters in Toddlers. Int. J. Environ. Res. Public Health, 19(1), 58. https://doi.org/10.3390/ijerph19010058

Jennings, H. J., Gooney, M., O'Beirne, J., & Sheahan, L. (2017) Exploring the experiences of parents caring for infants with developmental dysplasia of the hip attending a dedicated clinic. International Journal of Orthopaedic and Trauma Nursing, 25(2017), 48-53.

Kamath, S. U., & Bennet, G. C. (2004). Does developmental dysplasia of the hip cause a delay in walking? J Pediatr Orthop., 24(3), 265. DOI: 10.1097/00004694-200405000-00005

Klisic, P. J. (1989). Congenital dislocation of the hip-a misleading term: brief report. J Bone Joint Surg Br, 71(1), 136. DOI: 10.1302/0301-620X.71B1.2914985

Larnert, P., Risto, O., Hagglund, G., & Wagner, P. (2014). Hip displacement in relation to age and gross motor function. J Child Orthop, 8(2), 129-134. https://doi.org/10.1007/s11832-014-0570-7

Lee, W.-C., Chen, T.-Y., Hung, L.-W., Wang, T.-M., Chang, C.-H., & Lu, T.-W. (2021). Increased Loading Rates During Gait Correlate With Morphology of Unaffected Hip in Juveniles With Treated Developmental Hip Dysplasia. Front. Bioeng. Biotechnol., 21(9), 7074266. DOI: 10.3389/fbioe.2021.704266

Mirdad, T. Incidence and pattern of congenital dislocation of the hip in Aseer Region of Saudi Arabia. (2002). West African Journal of Medicine, 21(3), 218-222. DOI: 10.4314/wajm.v21i3.28034

Oleksy, Ł., Mika, A., Łukomska-Górny, A., & Marchewka, A. (2010). Intrarater reliability of the Foot Posture Index (FPI-6) applied as a tool in foot assessment in children and adolescents. Rehabilitacja Medyczna, 14(4), 18-28.

Para, A., Batko, B., Ippolito, J., Hanna, G., & Edobor-Osula, F. (2021). Developmental Dysplasia of the Hip: How Does Social Media Influence Patients and Caregivers Seeking Information? MDPI - Children, 8(10), 869. https://doi.org/10.3390/children8100869

Patel, H., & et al. (2001). Preventive health care, 2001 update: screening and management of developmental dysplasia of the hip in newborns. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 164(12), 1669-1677. PMCID: PMC81153

Sadat-Ali, M. (2020). Developmental Dysplasia of the Hip (DDH) in Saudi Arabia: Time to Wake up. A Systematic Review (1980-2018). Open Journal of Epidemiology, 10(2), 125-131. DOI: 10.4236/ojepi.2020.102011

Sharaf, I. (2015). Tachdjian's Pediatric Orthopaedics: from the Texas Scottish Rite Hospital for Children. Malays Orthop J., 9(1), 53. Doi: http://dx.doi.org/10.5704/MOJ.1503.012

STROBE. (2023). STROBE Checklists. Retrieved March 1, 2023, from STROBE Checklists: https://www.strobe-statement.org/checklists/

The American Academy of Orthopaedic Surgeons Board. (2022, March 21). American Academy of Orthopaedic Surgeons. Retrieved January 2, 2023, from aaos.org: https://www.aaos.org/globalassets/quality-and-practice-resources/pddh/pddhcpg.pdf

Vandenbroucke, J. P., von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., et al. (2007). Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration. PLOS Medicine, 4(10), e297. https://doi.org/10.1371/journal.pmed.0040297

Vasilcova, V.; AlHarthi, M.; AlAmri, N.; Sagat, P.; Bartik, P.; Jawadi, A.H.; Zvonar, M. (2022a). Developmental Dysplasia of the Hip: Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice—A 5-Year Retrospective Re-view. MDPI - Children, 9, 247. https://doi.org/10.3390/children9020247

Vasilcova, V., AlHarthi, M., AlAmri, N., Jawadi, A. H., & Zvonař, M. (2022b). Pilot Study: Effect of Developmental Dys-plasia of the Hip on the Gait. Studia Sportiva, 16(2), 134-142. https://doi.org/10.5817/StS2022-2-15

Zamborsky, R., Kokavec, M., Harsanyi, S., Attia, D., & Danisovic, L. (2019). Developmental Dysplasia of Hip: Perspectives in Genetic Screening. Med. Sci., 7(59), 1-8. https://doi.org/10.3390/medsci7040059

Zebris Medical GmbH. (2015). Zebris FDM 1.12: Software User Manual. Isny im Allgäu: Zebris medical GmbH.

Zebris Medical GmbH. (2016). Specifications and Operating Instructions. Zebris Medical GmbH.

Zgoda, M., Wasilewski, P., Wasilewska, I., & Golicki, D. (2009). Influence of the treatment of developmental dysplasia of the hip by the abduction brace on locomotor development in children. J Child Orthop, 4(1), 9-12. DOI: 10.1007/s11832-009-0219-0

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Published

2024-09-17

How to Cite

Vasilcova, V., AlHarthi, M., Sagat, P., Pavelka, A., Al Ghamdi, G., Jawadi, A. H., & Zvonar, M. (2024). Gait pathology presented with developmental dysplasia of the hip: a control case study. Retos, 61, 69–77. https://doi.org/10.47197/retos.v61.109212

Issue

Vol. 61 (2024)

Section

Original Research Article

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