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ORIGINAL ARTICLE
Year : 2018  |  Volume : 50  |  Issue : 3  |  Page : 81-85

Regulating developmental parameters in children with rickets having lower extremity angular deviations


1 Department of Occupational Therapy, Pandit Deendayal Upadhyaya National Institute for the Persons with Physical Disabilities (PDUNIPPD), Ministry of Social Justice and Empowerment, Government of India, New Delhi, India
2 Department of Occupational Therapy, G.B. Pant Institute of Postgraduate Medical Education and Research (GIPMER), Government of NCT, New Delhi, India

Correspondence Address:
Dr. Meenakshi Batra
A-3/90, Paschim Vihar, New Delhi - 110 063
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0445-7706.244549

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Background: Rickets is among the most frequent childhood diseases in many developing countries. Long-term consequences include permanent curvatures or disfiguration of the long bones, and the angular deformities of the lower limbs during childhood represent a variation from normal growth pattern. Objectives: The objective of the study is to see the effectiveness of sensorimotor modulating strategies for regulating developmental parameters in children with rickets having lower extremity angular deviations. Study Design: This study was an experimental control (with nonrandom assignment) design. Methods: Thirty children aged 2–7 years with a diagnosis of rickets having developmental angular deformities were included in the study. Baseline evaluation was done for angular deformities, foot progression angle, and range of motion. They were allocated to groups, namely, Group A (Neurofacilitation of Developmental Reaction [NFDR] group, n = 15) and Group B (conventional treatment [CT] group, n = 15). With Group A, NFDR and, Group B, CT were used for 12 weeks with a frequency of three sessions per week of 45-min duration each. Results: Reevaluation was done and P value was found to be significant for Group A (NFDR group) for the variables for hip external rotation right leg (P ≤ 0.046, 95% confidence interval [CI] of difference: −11.6 to − 0.1), hip internal rotation right leg (P ≤ 0.008, 95% CI of difference: −6.2 to − 1.0), tibial rotation left leg (P ≤ 0.26, 95% CI of difference: 1.2–16.9) and right leg (P ≤ 0.29, 95% CI of difference: 1.0–16.6), ankle dorsiflexion left leg (P ≤ 0.01, 95% CI of difference: 0.6–3.8) and right leg (P ≤ 0.011, 95% CI of difference: 0.5–3.9), intercondylar distance (P ≤ 0.015, 95% CI of difference: −4.9 to − 0.6), foot progression angle left leg (P ≤ 0.002, 95% CI of difference: 6.0–12.0) and right leg (P ≤ 0.004, 95% CI of difference: 5.8–11.0), and postural reaction score (P ≤ 0.013, 95% CI of difference: 6.8–7.0), showing better improvement than Group B (CT group). Conclusion: The lower extremity angular deviations in children with rickets can be regulated using specific and developmentally appropriate sensorimotor strategies based on postural dynamics.


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