Conservative Treatment for Patients with Legg-Calve-Perthes Disease:Seven Years of Follow-up
|Guilherme Carlos Brech*, Julia Maria D’Andrea Greve and Roberto Guarniero|
|Laboratory for Motion Study from the Orthopedics and Traumatology Institute (IOT) of the Hospital Clinics (HC) of the Medical School of the University of Sao Paulo, Brazil|
|Corresponding Author :||Guilherme Carlos Brech
Laboratory for Motion Study from the Orthopedics and
Traumatology Institute (IOT) of Hospital das Clínicas
(HC) of the Medical School of the University of Sao Paulo, Brazil
Tel: (55)11 2661-6041
E-mail: [email protected]
|Received November 10, 2014; Accepted December 05, 2014; Published December 12, 2014|
|Citation: Brech GC, D’Andrea Greve JM, Guarniero R (2015) Conservative Treatment for Patients with Legg-Calve-Perthes Disease: Seven Years of Followup. J Nov Physiother 5:240. doi:10.4172/2165-7025.1000240|
|Copyright: © 2015 Brech GC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Objective: The purpose of the present study was to clinically and radiographically evaluate possible effects from the proposed physiotherapy, in comparison with observation, among patients with Legg-Calve-Perthes disease over a seven-year follow-up.
Method: A prospective seven-year follow-up study was conducted among 17 patients with unilateral Legg-Calvé- Perthes disease, divided into two groups: Group A (observational) and Group B (physiotherapeutic). In order to evaluate the outcomes from the treatment protocols used, the following clinical and radiographic parameters were assessed.
Results: There were no significant differences between the mean scores for joint dysfunction, in group A (P = 0.082). In group B, the mean before treatment was greater than the mean after treatment (P=0.036) and greater than the mean seven years after treatment (P=0.028).
Conclusion: The results suggest that physiotherapeutic treatment for patients with Legg-Calve-Perthes disease was effective, in comparison with observation, even after seven years had elapsed since the intervention.