Influence de la gestion posturale de la hanche sur l’indice de Reimers, dans les installations assises des enfants paralysés cérébraux avec un système de classification de la fonction motrice globale (III–V)

Abstract

IntroductionHip excentration is a very common orthopedic problem in children with cerebral palsy, especially in non-ambulatory quadriplegics. Prevention plays a vital key, with early clinical and radiological monitoring to try to maintain the walking quality, the possibility of sitting in no walking patients and avoiding pain. Some of the resources available today in order to try to prevent or not enlarge hip problems is postural management. The purpose of this analysis is to evaluate the influence of postural hip management on the Reimers index, in the seating systems of cerebral palsy children with a gross motor function classification system III–V. Material and methodsFor the bibliographic search, PubMed and Kinedoc databases were consulted, selecting 5 articles in total. ResultsIn most studies, the proposed seating systems are custom-made, made of plaster, in thermoformable material or foam. ConclusionHip postural management in the seated systems seems to be effective in centering the hips in children with cerebral palsy due to the reduction or maintenance of the Reimers index, showed in almost all articles.