Diagnostics and correction of postural disorders due to dysplasia of the hip in children

Purpose. Studying postural-and-tonic organization of the spine in patients with the hip dysplasia using optic computer topography. Material and Methods. Monitoring of postural disorders, analysis of the spine adaptive activity in postural stereotypes performed in 7-15-old children with the hip dysplasia. The criteria proposed to establish the need and selection of optimum values of lower limb length discrepancy compensation to eliminate postural disorders due to limb functional shortening below 1.5 cm (34 subjects). Results. Postural disorders registered in 100 % of cases. Posture disturbances in three planes simultaneously registered in 14 %, in two planes – in 44 % and in one plane – in 42 % of cases. The greatest number of the frontal plane postural disturbances during 3-min. instrumental control (misalignments of pelvis and shoulder girdle, trunk lateral tilt, and scoliotic posture) observed in 29 % of cases, topographic signs of Degree 1 scoliosis – in 32 %, Degree 2 scoliosis – in 12 %, Degree 3 scoliosis – in 0.2 % of cases. Conclusion. Using orthopedic insoles with full shortening compensation recommended if resulting weight-bearing redistributed on functionally dominant limb. The complete disappearance of scoliosis topographic signs after compensation of shortening and its absence during standing up to 3 minutes is the criterion. If weight-bearing in limb shortening correction redistributes on functionally non-dominant limb, using the shoes with complete shortening compensation not recommended. The appearance and gain in scoliosis topographic signs during shortening compensation is the criterion for contraindication.