Cuevas Medek exercises a neurological rehabilitation for children, the effect in developmental hip dysplasia in a patient with cerebral palsy: case study

 

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Introduction: Cuevas Medek Exercises is a physical therapy approach for child with abnormal motor evolution affecting the Central Nervous. The corrections of the movements are done through sensory input from the therapist's hands and sensory-motor system to organize coordinating structures by a neural group selecting theory.

Objective: To evaluate the effect of CME on the Developmental Dysplasia of the Hip (DDH) in a patient with Cerebral Palsy (CP).

Methods: The research is characterized as a case study, having as a participant a six-year-old girl with CP, tetraparesis and bilateral hip dysplasia. The interventions started after an initial evaluation developed exclusively with the CME method, hip radiography and classification in the Gross Motor Function Classification System (GMFCS) levels. The child went through CME therapy to treat DDH for 10 months, totaling 136 sessions (45 minutes each), consisting of four to six repeated exercises, six times on average. The time and/or how many repetitions she managed to perform were recorded. At the end, the evaluations were done again.

Results: Evolved from 55 to 61 points in the CME score, improved her motor age and, in the hip radiography, the left went from subluxated to at-risk hip.

Conclusion: The patient improved motor age, trunk control and bipedestation, autonomy, and hip fitting on both sides.

Publication History

Article published online:
18 September 2023

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