Hip Dysplasia
Age: 2 year’s old
Anne Elise Rinehart
OT 2028
4/21/16
I. Diagnosis
A. Etiology
Developmental dysplasia of the hip (DDH) is a congenital condition (i.e, present at birth) of the hip joint. According to the International Hip Dysplasia Institute (2012), DDH is defined as general instability or looseness of the hip joint. In normal development, the hip joint is created as a ball and socket joint around the time of birth and continues into infancy or childhood. In DDH, the hip socket is shallow and in result, the “ball” of the long bone (i.e, femoral head) slips out of the socket. Many factors are involved in the inheritance of DDH, but the exact causes are not known (Hip Dysplasia Institute, 2012). According to O’ Brien and Solomon (2016), “an infant may be genetically prone to instability of one or both of the hip joints, and stretching of an unstable hip or prolonged time in a position that makes the hip vulnerable may cause dislocation” (p. 201).
B. Disease process
Since DDH is considered a congenital condition, positioning of the baby in the womb can cause pressure on the hip joints, stretching the ligaments. Skaggs and Storer (2006) states, the left hip is affected
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Occupational Therapy Intervention
A. Activities of Daily Living
a. Children’s Hospital at Stanford Activities of Daily Living Assessment
b. Purpose of this seventy-six item assessment is to identify strength and deficits in performing self- care tasks. It assists the OT practioner in setting goals for the rehabilitation process, records progress, and states the level of recovery of function (OTA faculty, 1935).
c. An activities of daily living assessment is appropriate for this two-year-old child because it assess basic ADL tasks that the child should already be familiar with or will participate in the future. Due to complications of the hip(s), tasks such as dressing, toileting, and hygiene are restricted.
B. Education
a. Peabody Developmental Motor Scales, 2nd
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Hip Dysplasia is a genetic attribute which is affected by environmental factors such as excessive growth, exercise, the dog’s weight and the dog’s nutrition intake. This chronic disease often arises while the dog is still young and physically underdeveloped around the five-month mark the symptoms will appear and it will deteriorate as they grow. This abnormality can eventually cause lameness and agonizing arthritis or even loss of function of the hip joint altogether. The larger breeds of dog such as Great Danes, Saint Bernards, Labrador Retriever and German Shepards are most likely to hold this genetic
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This publication was printed with the generous support of the National Institute on Disability and Rehabilitation Research
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