Applying Exercises for the Treatment of Hip Diseases
Proper joint development ensures proper gait and posture
Joints are movable joints of bones. Often, we do not think about their condition, believing that a clear operation of the bone system is a natural phenomenon. In fact, it is, but every person can have problems, expressed in pain of varying intensity.
In youth, we do not follow our own mobility and do not distribute the load on the joints, everything goes its own way, by itself. However, over time, the articular cartilage wears out and the person begins to understand that it is very important to support the joints in a "working" state. Diseases of the musculoskeletal system are often accompanied by pain and in severe cases can lead to a limitation of mobility. Treatment of joints in most cases is carried out in a conservative way. Surgical intervention is used in rare cases, when the joint is severely damaged. One of the effective methods of conservative treatment is gymnastics. The most common problems occur in the hip joints, so their condition should be carefully monitored.
Therapeutic physical culture( LFK) is a unique method of treatment, which is a specially selected set of exercises. LFK includes a variety of concepts: it is breathing exercises after a serious operation, and training for walking after injuries, and the development of movements in the joint after hip replacement. Exercises can be both active( the patient fulfills them independently), and passive( simulators are used).
Causes of pain
Why do joint pains occur? The hip joint resembles a hinge that is covered with a cartilaginous shell. If there is not enough "lubrication" on the cartilage, then the freedom of movement of a person is limited. With age, it becomes less and less, and this phenomenon contributes to the emergence of new problems, accompanied by pain in the joints. When the friction of the bones starts to increase, the cartilaginous tissue suffers. As a result, the joint is deformed.
A person begins to feel severe pain and tries to avoid physical exertion on the affected joint. Over time, this leads to the fact that the muscles of the affected leg begin to atrophy, thereby increasing pain. If we take into account the fact that most people are used to self-medicate and delay the trip to the doctor to the end, the situation becomes extremely unpleasant. When treatment begins at a late stage of the disease, the joint is sufficiently deformed and it is often impossible to repair the cartilage.
In order to suspend the development of the disease, a number of drugs are prescribed. This anesthetic, and anti-inflammatory, and muscle relaxants( drugs to relieve muscle spasms).But this treatment is not limited, since it is necessary to maintain physical muscle tone, so that in the future they can function normally. The main role in this is therapeutic exercise.
Specificity of exercises for the hip joint
Treatment of the hip joint is a very complex and lengthy process. Therapeutic physical training is an integral part of it. Charging is always necessary and useful, it keeps the mobility of the joint. Since during the exercises it will be involved precisely the affected joint, the movements are selected in such a way as not to harm the patient.
This complex should not be performed excessively energetically. Therapeutic gymnastics is to develop the affected joint, and not to aggravate the situation by getting a new injury. Therapeutic gymnastics is rather static than dynamic. Exercises for the hip joint also include muscle massaging in the affected areas before and after exercising. Massage can be performed always when there are unpleasant feelings during gymnastics.
The most important rule of therapeutic gymnastics: do not handle those exercises that are difficult for you to give, cause pain. If pain occurs, this means that the exercise does you harm.
Gymnastics for hip dysplasia
Options for hip dysplasia
Joint dysplasia is his innate underdevelopment. Dysplasia of the hip joints can lead to subluxation or dislocation of the head of the femur.
Massage and gymnastics with this disease are very effective methods of treatment. For complete recovery of a newborn child, several courses are enough( 1 course includes about 15 sessions).However, if it is unprofessional to approach the case, then it is possible to harm the newborn, so the treatment procedures should be carried out by a specialist. Massage with dysplasia of the hip joints is done once a day. The best way to spend it when the child will feel asleep, full and cheerful.
Complex of exercises for hip dysplasia:
- Stroking. With the spiral movement of the hand, make strokes on the outer surface of the legs of the baby from the lower leg to the thigh. The process should not take more than 5 minutes.
- Rubbing. Careful movements of phalanges of fingers rub your leg, trying to feel the joint. Do not use great force and pressure, try to do it slowly and gently. Rinse should not take more than 2 minutes.
- Felting. Take the child in his arms, hugging his thigh( hands must be in the "boat" position).About a minute, shake the baby's leg between his hands. Still it is possible to make grinding of a loin and buttocks that the circulation of blood has improved.
It is important to know that treating dysplasia is a fairly long process, so be calm, patient and persevering.
The principles of treatment for dysplasia are the diagnosis( the earlier this was done, the easier and faster it would be to achieve full recovery), the use of orthopedic instruments to support the legs in various positions, in therapeutic gymnastics. It is necessary to follow clearly the instructions of the specialist who made the treatment program. Do not amend your orthopedic recommendations, since your arbitrariness can lead to undesirable results.
Gymnastics for dysplasia of the hip joints allows to eliminate the developmental disability and to correct the pathological peculiarity of the orientation of the femoral head. This phenomenon is among the innate and requires correction. If the problem is ignored in the newborn, the support function of the limbs is violated.
Factors influencing the development of dysplasia and its symptoms
The following causes can lead to a violation of the musculoskeletal system:
- hereditary factors;
- hormonal failures in pregnancy in the period of gestation;
- pelvic fetal presentation;
- gynecological ailments in the mother;
- small birth weight.
Any parent can detect an abnormal position of the hip. At a dysplasia one leg is much shorter than the second. An additional fold is visible on the thigh, a marked asymmetry is observed when the legs are bred.
The limbs bent at the knees can not be completely removed, at the moment of flexion a click is heard.
If these symptoms are present, you should immediately contact the hospital. In case of untimely elimination of the problem in childhood, the situation will worsen over the years.Back to the table of contents
The complex of gymnastic procedures is the basis of the traditional treatment of dysplasia in children. They also resort to them during the recovery period. Therapeutic physical training can be prescribed after the adjustment of the hip dislocation.
The main goals of gymnastics:
- influencing the normal development of the hip joint;
- restore the correct configuration;
- strengthening of the femoral muscles, the main function of which is to maintain the head of the bone in the correct position;
- ensuring normal physical activity of the baby;
- normal child development;
- prevention of complications;
- normal blood supply to the hip joint.
Children younger than one year are recommended to resort to passive gymnastics. It is in the performance of therapeutic massage. Physical activity is allowed from the age of three. The standard set of exercises includes:
- hip flexion in the supine position;
- changing position lying on a sitting posture;
- exercises aimed at strengthening the muscles of the legs, abdominals;
- formation of skills of throwing.
How to treat dysplasia
Massage and quality gymnastic exercises really do wonders. They need to be done simultaneously, and not necessarily professionally. Even the parents themselves can do the exercises with their children. Before this, you should consult a doctor and do everything on the basis of his recommendations. Massage should be done no more than once a day. It is desirable that at this time the baby was rested, full and in a good mood.
- Stroking. The child should be laid on his back and began to stroke the outer part of his legs with spiral movements. Do not touch the genital area - this can lead to damage to the lymph nodes.
- Rubbing. Do it with finger pads. In this case it is necessary as if to touch the joint. The main thing is not to overdo it with force and not to cause a trauma to the baby.
- "Felting".The thigh of the baby should be wrapped around the palms and slightly "povalyat."Exercise is similar to modeling cutlets, again, during its execution, it is necessary to control the force.
- It is useful to simply rub the lumbar region, buttocks and feet. This will allow blood to circulate better. Massage should be alternated with exercise therapy.
- "Bicycle".The child should be laid on his back and ask him to bend his knees. Then proceed to simulate the ride on the bike. Flexion and extension of the legs will allow you to stretch your muscles.
- For dysplasia, an exercise called "Ladushki" should be performed. For this, the child should be laid on his back and asked to connect the heels. You can use the ball, which should be periodically fixed between the legs of the child.
Parents should understand that treating dysplasia is a long and monotonous process. It requires the systematic implementation of certain exercises and constant monitoring of the doctor.
The basic principles of treatment consist in the use of special orthopedic means, allowing to hold and fix the legs.
https: //www.youtube.com/ watch? V = Hj0bW087yj4
Together with this, massage and therapeutic exercises are applied. It is important to follow the orthopedist's recommendations, adjust exercises or add new ones yourself is not recommended. This can lead to a worsening of the situation. If conservative treatment has not given any result, resort to the help of corrective operations.
The health of the baby is in the hands of his parents. The sooner they notice the deviations and turn to the hospital, the sooner the child will get rid of pathologies.
Treatment of hip dysplasia
In the treatment of hip dysplasia, orthopedic and manual methods are usually used, which are effective enough if the recommended medical procedures are performed correctly and in a timely manner. It is very important at the same time to observe the rule of wide swaddling;Put a diaper on top of the diaper, folded in such a way that the legs of the child were removed. Such a measure is painless, and the baby quickly gets used to it, and when replenished, keeps the legs in the retracted position.
Orthopedic aids for the treatment of dysplasia
After the abolition of wide swaddling, the child is usually prescribed physiotherapy, in particular mud therapy, applications, electrophoresis, etc. But if they are secondary methods of treatment, orthopedics take first place. In the first nine months, Pavlik's stirrups and the Freik pillow are shown, which have gentle properties, and keep the legs of the baby in a functionally advantageous position, i. E.retraction / bending.
When a baby is 9 months old, an orthopedic doctor can recommend tires for dysplasia of the hip joints that help to fix the normal position of the thighs.
If a child has a severe illness, then most likely he will not start walking early. But parents should not put the baby on their own - only with the permission of the doctor. Otherwise, the child will begin to experience unexpected large loads on the joint, which will reduce all treatment to zero.
Massage for hip dysplasia
The massage also causes stress, but it has a good healing effect, which is felt after the first course, but for its fixing it is necessary to go through three courses with a break in 1-2 months. One treatment period consists of ten to fifteen sessions, held once a day. And it is very important to choose the right time for the baby to get enough sleep, not hungry, and feel good. Massage should be done by an experienced specialist who works according to this scheme:
- massaging the front surface of the thigh, when the child lies flat on the back, and the back - when on the stomach;
- stroking the thigh, with the pressure should be minimal, and the hands slide over the skin, and do not shift it;
- spiral movements of the thumb and forefingers are performed( however, the inner surface of the thigh is not affected);
- stroking and rubbing with deep kneading muscles( however, done very carefully, and only by professionals).
Also to improve blood circulation it is useful to perform massage of the waist, buttocks and feet.
Gymnastics for hip dysplasia
Very useful is exercise therapy for hip dysplasia, and a set of exercises should be discussed with the doctor. And, as a rule, these are flexion / extension exercises, imitation of riding a bicycle, as well as banal "ladushki", performed not by palms, but by feet. However, it should be noted that if the child does not go yet, exercise with him exercises from standing and sitting positions is contraindicated. To achieve the desired effect, it is necessary to do every recommended exercise every day 10-15 times in two or three approaches. See how to properly perform gymnastics, you can on video.
How to treat hip dysplasia - what you need to know
Basic rules for wearing a Vilensky tire:
Careful lacing. If the belts are correctly laced and tight enough, they should not slip. Permanent wearing. Usually Vilenskogo tires are appointed for 4 - 6 months. They can not be removed during all this time. This is allowed only during the bathing of the child. Clearly adjusted length of the strut. Regulation is carried out by a doctor using a special wheel. During the game, the child can move it. In order to prevent this, you need to fix the wheel insulating tape. The tire can not be removed even during the changing of the child. For convenience, you need to use special clothes with buttons.
We can say that this tire is a modification of the Vilensky tire. It also consists of two cuffs, fixed on the legs, and a spacer between them.
Tubinger's tire( orthesis)
It can be considered as a combination of the Vilenskiy tire and Pavlik's stirrup.
two saddle legs, connected together by a metal rod;shoulder pads;"Pearl strands" that connect the spacers to the shoulder pads at the front and rear, have an adjustable length and allow you to vary the degree of flexion in the hip joints;A special Velcro with which the orthosis is fixed.
Tubinger tire dimensions:
for age 1 month.with spacer length 95-130 mm;for the age of 2-6 months.with spacer length 95-130 mm;for the age of 6 - 12 months.with a spacer length of 110-160 mm.
Volkova tire is an orthopedic construction, which is practically not used at present. It is made of polyethylene and consists of four parts: the
crib, which is placed under the back of the child;the upper part, which is on the tummy;lateral parts, in which the lower legs and hips are placed.
Volkov can be used in children under 3 years old. There are 4 sizes.
Disadvantages of the Volkova bus:
is very difficult to match for a specific child;hips are fixed only in one position: it can not be changed depending on the change in hip configuration on radiographs;the design severely restricts the movement of the child;high price.
Above we listed only the most common orthopedic structures that are used to treat hip dysplasia. In fact, there are many more. Regularly there are new ones. Different clinics give preference to different designs. It is difficult to say which of them is the best. Rather, such a wide variety indicates that there is no better option. Each has its own advantages and disadvantages. It is better for the parents of the child to be guided by the appointments given by the orthopedic physician.
Massage and therapeutic exercises for the treatment of hip dysplasia are very effective and truly work wonders. Several courses of professional massage( along with the constant use of some elements of massage and gymnastics by the parents of the newborn at home) is enough for the full recovery of the child. However, it must be remembered that massage with dysplasia of the hip joints in the hands of a "non-specialist" can cause irreparable harm to the health of the newborn.
Massage for dysplasia is carried out once a day. Time for this it is desirable to choose such that your child was asleep, not hungry and in a good mood.
Stroking. With the spiral movements of the hand for 2-3 minutes, stroke the outer surface of the legs of the child from the lower leg to the thigh( the inner surface of the thigh near the genitals should not be massaged because of the risk of damaging the lymph nodes).
Rubbing. Now, for about a minute, rub the foot with the pads of your fingers, trying to penetrate deeper into the tissue, feeling the joint at the same time. But do not overdo it with force and pressure!
Felting. Embrace the child's thigh with his hands folded in a boat. For about a minute, flip a child's leg between them, as if you are making a cutlet. In addition, it is useful to rub the lumbar region, buttocks and foot massage( rubbing, kneading) to improve blood circulation.
All massage techniques should be alternated with special exercises for hip dysplasia, which are useful to do 2-3 times a day, each exercise 10-15 times. The following exercises( done in the position of the child lying on the back) will help:
"Bike" - bend the legs in the knees and hip joints and simulate cycling.
Flexion-extension of legs together and in turn - one leg is bent in the knee, another straight and so alternate legs.
Flexion of one leg in the knee and hip joint with simultaneous fixation of the hip joint. With the other hand, grasp the child's knee and, gently pressing it, rotate the thigh inward. While spreading your hips, do not allow sharp movements to prevent the child from hurting or causing a negative reaction to the procedure.
With dysplasia of the hip joints, the exercise of "cudgel" is of great use, only performed by hands and feet. You need to try to make this exercise for your baby your favorite game. To train the support function of the feet, exercises are recommended in the position of the child lying on the stomach and back with the ball, while the support for the feet is created by hand or ball. Also useful are exercises in the water: supporting the baby under the stomach and chest, bring him to the side of the bath, having achieved bending of the legs. All the above exercises are also useful in the prevention of dysplasia.
First of all, it is used for the prevention and treatment of hip dysplasia. This congenital pathology of the development of the musculoskeletal system is found in about 30 out of 1,000 children, and is more common in girls and children who have appeared in the breech presentation. In the early detection of this disease, wide swaddling gives very good results, contributing to the proper formation of hip joint tissues, preventing dislocation and subluxation of the hip, reducing the risk of serious complications requiring surgical intervention. As a means of treating hip dysplasia, wide swaddling can be used from the first days of life and up to six months of age( according to indications - up to a year).
Wide swaddling does not limit the motor activity of the newborn - he can see his hands, touch them to the face, suck a finger, etc. At the same time, the presence of a diaper allows the baby to adapt smoothly to the world around him and gradually become acquainted with the possibilities of his body.
Giving the child an intrauterine position with the help of a wide swaddling acts on the child soothingly, his sleep improves. If the baby is still in the arms of the mother or in the sling - it feels almost as comfortable as in the mother's womb. .
Every time the diaper is replaced, a therapeutic gymnastics with breeding and hip reduction. Useful general body massage with great attention to the gluteal and hip muscles. The doctor of the children's consultation will tell and show how to do a wide swaddling with dysplasia, which must be done within three months with the subsequent ultrasound examination of the hip joints.
A simple swaddling technique is available for every adult. The usual diaper is taken, it is formed as a spacer with a width of up to twenty centimeters. The edges of the diaper should grasp the hips along the entire length, up to the popliteal pits. If the parents do not swaddle the child at all, then the diaper in exactly the same way wraps the baby's legs over the diaper or sliders, and on the shoulders - fastens with the eyebands.
The therapeutic effect of swaddling during dysplasia is the immobilization of the hip joints, which promotes the rapid growth of the cartilaginous surface of the joint and prevents dislocation. The child is in a frog pose, with hip joints taken at right angles, resulting in further development of the cartilaginous tissue of the femoral head and cartilaginous acetabulum.
If a doctor suspects dysplasia, the doctor will refer the baby to ultrasound or radiography. Cope with dysplasia of the hip joints, you can, but you need patience, becausethe child will need a set of procedures. The orthopedist will take into account the age of the child and the degree of pathology. With a mild stage of dysplasia, electrophoresis, calcium preparations, paraffin baths, sea baths, wide swaddling, massage and gymnastics are prescribed.
In order to increase the rate of maturation of TBE in newborns and infants, domestic and a number of foreign authors in LRC use hardware FT, traditionally applying to the TBS region such LFFs as UHF and drug electrophoresis, the effectiveness of which has been confirmed by many years of experience. It is proved that UHF causes a pronounced anti-inflammatory, vasoactive and trophic effect. UHF fields contribute to the production of endogenous heat in the affected area, as a result of which the lymph drainage increases, the permeability of the microcirculatory bed increases, stromal elements of connective tissue and mononuclear phagocyte systems are activated, and the proliferation of connective tissue stimulates the ripening of TBS.
We use two basic methods of replacing articular surfaces. With an unsatisfactory condition of the cartilaginous cover of the head and cavity, as a rule, accompanied by rough deformation of the articular surfaces, after treatment with milling( before transposition of the cavity), arthroplasty is performed with two demineralized osteochondral capsules. In the future, the operation is performed according to the standard protocol. Decompression myotomes and adequate shortening of the femur are a necessary element of intervention.
Patients with marginal hip dislocation with the preserved cartilaginous cover of the head and a pronounced "dislocation cavity" performed its "transfer" with the surrounding muscles to a preformed bed, to the proper location of the true cavity.
All patients( ages 15 to 28 years) report a reduction in pain, maintaining a sufficient range of motion, improving the locomotor function. X-ray dynamics of the formation of the joint gap, the restoration of the shape and structure of the proximal femur and acetabulum do not show significant differences from the cases of performing arthroplasty with demineralized allokolpachkami without transposition of the acetabulum.
Practically coincides in its essence and objectives with the approach, denoted in the English-language literature by the term time-buying, that is, allowing "to buy time" and postpone the implementation of endoprosthetics for a noticeable time.
Positive evaluation in the light of the perspective of joint replacement, in our opinion, deserves the preservation of muscle function and the reorientation of the acetabulum laterally and anteriorly, which should facilitate fixation of the acetabular component of the endoprosthesis.
All this allows in a significant number of cases to evaluate the reconstructive-reconstructive operation as palliative, but organ-preserving, in contrast to organ-replacing endoprosthetics.
While acknowledging some successes in the surgical treatment of hip dysplasia in adolescents, nevertheless, we believe that the leading role in the tangible improvement of treatment results belongs to timely diagnosis, early primary, exclusively functional treatment of congenital dislocation of the hip.
If the inefficiency of conservative treatment is an operation. The essence of the operation is the correction of the head of the femur and the restoration of the anatomical correspondence of the elements of the hip joint. The scope of the operation is determined strictly individually( sometimes in the process of treatment may require several operations).After the operation, a long fixation is carried out, followed by restorative treatment with adequate physical exertion on the joints, physiotherapy exercises, massage and physiotherapy.
After curing dysplasia of the hip joints( this does not apply to patients with congenital dislocation and subluxation of the hips) the child is practically healthy, however, it is not recommended for such children to exercise professionally, except for aquatic species, and it is extremely necessary to remain slender,because excess weight is extremely harmful to the joints. It must also be remembered that hip dysplasia is hereditary, so it is necessary to check brothers, sisters and the next generation.
Most people do not know whether their hip joints are healthy. And without such information, you can not begin to engage in sports, dancing, and generally allow for increased workload. Dysplasia of the hip joints is the cause not only of the hip dislocation itself, but also one of the causes of deforming arthrosis and Perthes disease.
Physiotherapy improves blood supply, delivery of Ca, and enhances the effect of wearing a tire. Physiotherapy courses can continue even after the end of wearing a tire.
Physiotherapy for dysplasia involves exposure to the joint by electromagnetic and laser radiation, heating with ozocerite or paraffin. However, laser devices can sometimes have an exacerbating effect. Also, physiotherapy includes swimming, as a therapeutic load.
This charging is recommended to be performed as a medical procedure and as a preventive procedure for: 1. Dysplasia of the hip joint.3. Subluxation of the femoral head.
The question of the end or continuation of treatment is decided by the reference radiograph. In those cases where during 2-4 weeks the dislocation of the dislocation does not occur, but thanks to the treatment complete relaxation of the thigh muscles is achieved, a more rigid fixation is used in combination with constant traction. For this, plastering is carried out in the Lorentz position( the legs are bent at the right angle in the hip joints, the hips are completely dilated).Continuing to wear Pavlik's stirrups and Freik's pillow does not make sense, since in this case they proved ineffective. Gypsum bandage-spacer is a gypsum sleeve, applied to the half-bent knee joints and fastened by a pulling rod in the position of the lead. The same tactic is used for belated reversal of congenital dislocation of the hip. Such complex constructions are used in case of late detection of congenital dislocation of the hips, when soft structures are already ineffective. Therefore, I want to once again emphasize early diagnosis.
If by the month of her life the child has been found to have immaturity of the hip joint or dysplasia and the treatment has been started on time, then by the half-year all the functions of the joint should be restored, even in case of a serious deviation from the norm. Dysplasia, revealed in the early stages, is treated with special tires and struts, which spread the legs in different directions. This method is used to stimulate the proper development of the joint. Orthopedist can also prescribe vitamin therapy and professional massage. It is also important to use magnetotherapy and electrophoresis with calcium and phosphorus. These procedures help improve blood circulation in the hip joints.
To determine the tactics of treating hip dysplasia in young children, a scheme has been developed to verify the diagnosis and prescribe the treatment depending on the extent of the lesion. It is generally accepted that dysplasia of the hip joints should be diagnosed in the maternity hospital and, accordingly, treatment from the first days of life. Often this pathology is diagnosed by an orthopedist when the child is examined in 1 month. Attention to asymmetry of the skin folds of the hips, buttocks, a different tone of the muscles of the lower extremities, limitation of the hips. If you suspect a dysplasia of TBS, ultrasound is performed.
With the confirmation of this diagnosis, without the decentralization of the femoral head, treatment without a drainage line is used. The treatment package includes massage of the hips, buttocks, hip joints and lumbar spine, exercise therapy is aimed at restoring the musculoskeletal apparatus of the hip joints, physiotherapy( electrophoresis with 1% calcium chloride solution on the TBS region, electrophoresis with 2.4% euphyllin solution onlumbar spine).It is possible to use the trunk of the bus. This course of physiotherapy and massaging is carried out depending on the degree of damage from 1 to 5 times. Therapeutic exercises are held 5 times a day for 5 minutes until complete recovery. It is strictly forbidden to put the child on his feet, the use of walkers and jumpers.
The best is of course swimming at least 3 times a week. The main for dysplasia is positional gymnastics - i.e.wherever the child is sitting, try to plant it in Turkish, and it is better to support the back with the support of the back, to maximize the legs, at the same time, to use sandbags on each leg that increase the load on the joint, the bags can be fixed, the heavier the bags, the better( up to 2-3 kg) and look at comfort. The same can be done in a lying position, before going to bed. Well, if you previously do a gluteus muscle massage, warming up the stretch zone.
The second and most important is cycling, but you have to ride, you can use an exercise bike and / or children's indoor playgrounds and come there and ride 1 to 2 hours 2-3 times a day.
Now the gymnastics itself, an excellent solution will be if you find a yoga coach - who will deal with you individually - soft, stretching the joints and in this gymnastics a lot of exercise is in the prone position.
exercises: и.п.lying on his back - a bicycle with his feet - up to 1-2 minutes, etc.too, the grouping and the exercise coil( swinging from this position) and so on.too., circular movements in the hip joints inside and out.i.p.holding the position of the "frog" with burden on the legs( we put the load on the folds of the knee joint) and so on.lying on his stomach, position "Frog" with burdening we put on the buttocks.i.p.too, hands forward, we make deflections back.i.p.too, exercise swimmer( imitate swimming - right hand up, left leg, bend, and naobrot) and so on.sitting on the ball( large fitbol-70-75cm diameter), we plant the legs in the sides, we perform the inclinations forward.i.p. Sed in Turkish on the ball - perform swinging, with gentle pressure on the hips, etc.we also perform a full circle with our legs( ie the child sits - the legs are forward, you gradually spread your legs to the sides and connect them from behind, the child thus goes to the position lying on the stomach.)
Swimming is a well-coordinated work of the respiratory andcardiovascular system, musculoskeletal system, so swimming from an early age contributes to the good development of these systems. The water procedures also have a positive effect on the nervous system of the child, give a hardening effect.zm better resists infections, therefore, "floating" babies have almost no common cold
Early swimming can be used not only for health purposes, but also for the treatment of certain diseases. So, therapeutic swimming is shown to kids with increased excitability, hyper- and hypotonia of muscles, Cerebral palsy, dysplasia of the hip joint. Medical swimming includes special exercises aimed at working with certain muscle groups, and should only be carried out by specialists.
The product provides fixation of the hips of the child in the required bending and retraction position. Freik's pillow for hip dysplasia in children is recommended for congenital hip dislocation and hip dysplasia, for the treatment and prevention of impairments and complications.
The Freck pillow for hip dysplasia in children is simple to handle, easy to sanitize, strong and high quality. One of the most common models in the market of orthopedic products.
The product should be worn on the body or underwear. Pillows of Freik with dysplasia of hip joints in children are prohibited to apply, in the case when the skin is damaged.
The size is selected according to the child's age: XS: 1 month - 6 months( width of the penis ~ 14 cm), S: 6 months - 1 year( width ~ 17.5 cm), M: 1 year - 2 years
Dysplasia of the hipjoints in children
Today, very many children are diagnosed with dysplasia of the hip joints. And for the word "dysplasia" can stand and pre-severity, and subluxation, and dislocation, and the lack of nucleus ossification of the head of the femur. Congenital dislocation is very rare, because this article is devoted to the treatment of the most common degree of hip dysplasia - subluxation, as well as dysplasia of ossification nuclei.hip dysplasia
Well, if the problem with the joints is revealed even in the hospital, because the sooner the treatment starts, the better the result. In the first three months of a child's life, the orthopedic doctor usually recommends only a wide swaddling. The first X-ray is done when the child is three months old.
Treatment of hip dysplasia
Orthopedic devices - bandages for the hip joints, such as the pillow( bus) of Freik or the stirrups of Pavlik are next appointed. In orthopedic parlors, the pillow of Freik is more common. Do not be afraid of these products. You can pay attention that during sleep the kid himself holds the legs in the "frog pose", so this position of the legs is physiological, it just needs to be maintained constantly. If you pick up a pillow by the size and properly dress it, the child will not be hurt and he will quickly get used to this device. The pillow of the dragon, for example, can be softly fixed. The legs of the child will be divorced in the sides, but at the same time very mobile.Pillow of Freik with dysplasia of the hip joints
The key to a speedy recovery is in keeping the mobility of the joints and in their best blood supply. The so-called struts not only ensure the correct positioning of the femoral head in the acetabulum, but also do not compress blood supply vessels.The orthopedist will help you to choose the right pillow size, usually the smallest pillow is 14-16 cm in size, and the largest is 24-26 cm.
To avoid going to the doctor every month, you can measure the distance between the legs yourself. This is not difficult: the knees bent in the knee and hip joints are bred in the "frog pose", but do not try to dilute them all 180 degrees to press the knees to the table. Now the ruler measures the distance between the popliteal folds. This is the right size of the pillow.The pillow must be changed as the child grows, on average, every 0.5 to 2 months, the size of the pillow should be increased by 2 cm. Freck's pillow photo
The wearing regimen is determined by the orthopedic doctor. In case of subluxation of the hip joint, you need to wear at least 20 hours a day. In any case, all 24 hours stay in the pillow will not work: you have to remove it when changing a diaper, while bathing, exercise therapy, massage and physiotherapy. You can take off the pillow for an hour in the morning, lunch and evening. Just make sure that the total number of hours in the "free state" was not more than four.
To the child took the innovation in the form of a pillow calmly, let him get used to the orthopedic bandage gradually. On the first day, you can put on a pillow for only two hours - for example, to sleep. And then within a week, gradually bring the stay in the struts to the recommended twenty hours.
In the cushion the child can roll over, sit, stand.
Massage for hip dysplasia
Treatment of dysplasia must necessarily be complex. In addition to wearing orthopedic bandages for the hip joints, it is important to carry out a massage, exercise therapy and physiotherapy.massage for hip dysplasia photo
Massage will improve blood circulation and strengthen the muscles of the legs, this is an integral part of the treatment. In polyclinics, masseurs often have turns up to several months, and the rate is only ten sessions. Do not wait, find a good masseur and do massage at home for a fee and not ten times, but fifteen. Massage with dysplasia is done in general with an emphasis on the hip joints. The duration of one session is 30-40 minutes. Results will be visible after five sessions. The baby will get stronger and become more mobile. Here he suddenly managed to turn over from the back to his stomach, and now straightens the handles under him and tries to sit down, but he starts to crawl. .. By the way, crawling on all fours is greeted by the doctors of LFK, as it strengthens the ligaments of the hip joints.
Video: Massage for dysplasia of the hip jointsAll the babies carry the massage in different ways. Do not worry if the child will cry, it does not mean that they hurt him, but not all babies can patiently endure manipulation during the whole session. Distract the baby toys, because you need to do the massage. The next course of massage can be done in a month, and it will be even better if the osteopath works with the child.
The exercises of exercise therapy with the child can be done by the parents themselves, the most important thing is to do them correctly, so as not to harm or aggravate the situation. Show how to perform the exercises, can a doctor - an orthopedist or physician LFK.It takes a little time for exercise therapy - it's enough to give it five minutes each time you change a diaper.massage for hip dysplasia
Physiotherapy procedures can be distinguished as follows:
- electrophoresis with calcium chloride solution
- heat therapy with paraffin and ozocerite
- light therapy
Calcium electrophoresis allows you to deliver this element necessary for the construction of bone tissue directly to the joints, a procedure is performed in the polyclinic, durationis 10 minutes.
The same light therapy is carried out with the Bioptron device. Polarized light stimulates biochemical processes in tissues. The duration of this exposure is 8 minutes.The course of both procedures is ten days. After electrophoresis, the massage should be started no earlier than two to three weeks, otherwise the masseur "breaks" all the calcium that was deposited in the skin. Vitamin D3 is responsible for the absorption of calcium, so it must be given to the child. Dosage is determined by a doctor - orthopedist or pediatrician. Hip joint disfusion in newborns.
Paraffin - ozocerite applications on the lumbosacral region and buttocks can be done at home. For this, paraffin and ozocerite are melted in a water bath, poured onto a medical oilcloth with a layer of 5-7 mm and cooled to 38-40 degrees. The child is wrapped and covered with a blanket. You need to heat for 10-15 minutes. Very good, if you can do the warming immediately before the massage. The course is 10-15 times, better every other day. The break between the courses of warming up is not less than a month.
In the first year of the baby's life, when the most active treatment is performed, it is necessary to do at least four courses of massage and physiotherapy.
Control of treatment of hip dysplasia
Most of all parents, whose children were diagnosed with a "subluxation of the hip joints" and were assigned to wear a pillow of Freik, are concerned with the question: how long should we wear it?
Here everything is strictly individual. With a good positive dynamics, the ratio in the joints comes back to normal after 4-5 months of wearing the pillow.
After a 3 month photograph, x-ray monitoring is usually performed at 6 and 12 months, but at the doctor's discretion - the orthopedist, these dates can be shifted to the larger side of the month by two. For example, if the acetabular angles in the first picture were very large, 35-40 degrees, then it is better to wait longer, so as not to irradiate the child once more, and make an X-ray at 8 and 14 months.hip dysplasia in children
So, if the second X-ray showed that the subluxation is no more, this is a very good result. But do not flatter yourself that the pillow from the baby will be removed on the same day. The load on the joints as the child grows up constantly grows, so to fix the result and prevent possible deterioration, the pillow will have to be vomited for another 2-3 months, but now you can leave it only for sleep, including for the day.
It also happens that an X-ray at 6-8 months shows the absence of nuclei of ossification of the head of the femur, or the size of the nuclei is less than the age norm. This norm, by the way, like the norm of acetabular corners, is different for girls and boys.
In principle, there is nothing to worry about. This will not affect the joints work in any way, the child will walk and run, like other children, and the nucleus of ossification will appear, but later. Teeth after all, too, erupt from someone in six months, and someone only a year.
Video: Hip dysplasia in a newborn
A general recommendation for parents who treat hip dysplasia in their child: do not put the baby on legs when subluxation, he can not jump and dance. Do not even look at the walkers and jumpers in the children's store. Do not lead the child by the handles, do not teach to walk until the doctor - orthopedist does not give good. In the case of dysplasia, the later the child goes, the better.
Have patience. Dysplasia of the hip joints is not the most terrible diagnosis. With proper and timely treatment, there will be no trace left of him, so good luck to all, competent doctors and good health!