The importance of hip monitoring in cerebral palsy

  Families with cerebral palsy often focus on gross motor function and hand function (fine motor function), but often overlook another part of the patient’s body that affects motor ability and quality of life, the hip joint.  Children with cerebral palsy often present with dislocation and subluxation of the hip joint, and as the motor deficit becomes more severe, the more severe and rapid the dislocation of the hip joint progresses. Many times our physical therapists do not recognize that hip abnormalities can make training difficult and ineffective. As hip dislocation becomes more severe, surgical correction becomes more difficult and less effective.  Therefore, we advocate early detection of children with cerebral palsy and suspected cerebral palsy with motor delays, and monitoring of gross motor function, hand function, muscle strength, muscle tone, joint mobility, and other indicators along with hip and spinal ligaments.