Classification and physical therapy of the Legg-Calvé-Perthes disease: a review

• Autor(a) principal: Guarniero, Roberto
• Data de Publicação: 2005
• Outros Autores: Andrusaitis, Félix Ricardo, Brech, Guilherme Carlos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Fisioterapia e Pesquisa
• Texto Completo: https://www.revistas.usp.br/fpusp/article/view/76539
• topic: doença de Legg-Perthes/reabilitação; doença de Legg-Perthes/história; doença de Legg-Perthes/terapia; técnicas de fisioterapia/utilização; reabilitação.; Legg-Perthes disease/rehabilitation; Legg-Perthes disease/history; Legg-Perthes disease/therapy; physical therapy techniques/utilization; rehabilitation.

Although the Legg-Calvé-Perthes Disease (LCDP) has been studied since 1909, its obscure etiology is still under discussion. It is known that an interruption of blood supply causes ischemia of the femoral head. Typicallyit affects children aged 2 to 12 years old, with a male-to-female ratio of 4:1, occurring bilaterally in 10% to 20% of the cases. The clinical report is well defined: pain at the knee or thigh, limp, and loss of articular hip motion. There is no agreement as to the best treatment for LCPD. The diverse formsof treatment, whether surgical or conservative, aim at preventing deformitiesin the femoral head. Although most reviewed studies state the importance of physical therapy for the recovery of children with LCPD, almost none detail or compare physical therapy procedures employed, which suggests the need to further research with this focus.