Date of Award

2016

Document Type

Scholarly Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Advisor

Peggy Mohr

Keywords

Adolescent; Conservative Treatment; Femoracetabular Impingement -- therapy; Hip Dislocation, Congenital -- therapy; Case Reports

Abstract

PURPOSE: The primary purpose of this case study was to describe the implementation of a conservative treatment protocol for dysplasia of the hip in a young girl in an attempt to prevent surgical intervention. A secondary objective of reducing femoral acetabular impingement was subsequently undertaken in the course of the case study.

BACKGROUND: The patient was a 16 year old female with a diagnosis of bilateral developmental dysplasia of the hip (DOH), bilateral femoral acetabular impingement (FAI), anterior superior labral tear to left (L) hip, elevated antinuclear antibody (ANA) screening and a history of depression.

PLAN OF CARE INTERVENTIONS: An 8 week course of conservative treatment was pursued following a specific non-operative protocol provided by an orthopedic physician. The primary focus of the protocol was to decrease pain in intensity and duration and to normalize range of motion and strength.

RESULTS: The patient was seen for follow-up appointment after 8 weeks of physical therapy. Gains were made in strength and ROM. Pain had decreased in frequency, intensity, and duration. However, the patient was still unable to increase her activity level due to pain. At the conclusion of this case study, the patient was referred to an orthopedic specialist for consultation about performing surgical intervention.

CONCLUSIONS: While the protocol in use was successful in decreasing pain and increasing ROM and strength, measurement of quality of life for the patient was not implemented. The lack of monitoring of the patient's QOl may have contributed to the necessity of surgical intervention.

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