Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice—A 5-Year Retrospective Review.

Abstract (1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilitation. (2) Methods: This retrospective review was performed on 12,225 physiotherapy referrals to the King Abdullah Specialized Children’s Hospital (KASCH), Riyadh, Kingdom of Saudi Arabia, from May 2016 to October 2021. Only DDH referrals for conservative treatment were included in the study. The plan for brace treatment was carried out by the pediatric orthopedics clinic in KASCH. The diagnostic methods were either a pelvic radiograph or ultrasound, depending on the participant’s age. DDH is considered one of the most common secondary complications for children with other medical diagnoses. (3) Results: The most common indication for referral was neurological diagnosis (44%), followed by orthopedic (28%), genetic (19%), cardiac (5%), ophthalmologic (3%), dermatologic (1%) and rheumatologic (0.5%) diagnoses. (4) Conclusion: The prevalence of DDH among all referrals in this study was 6%. In physiotherapy practice, neurologic, genetic, and orthopedic primary or secondary diagnoses were the most prevalent when DDH referrals were investigated. A relatively high prevalence of DDH in the pediatric rehabilitation clinic at KASCH in Riyadh was reported in this study.(1) Východiská: Cieľom tejto štúdie bolo posúdiť prevalenciu vývojovej dysplázie bedra (DDH) ako primárnej alebo sekundárnej diagnózy počas fyzioterapeutickej praxe. Žiadne iné štúdie neskúmali prevalenciu a asociácie DDH v praxi pediatrickej rehabilitácie. (2) Metódy: Tento retrospektívny prehľad bol vykonaný na 12 225 fyzioterapeutických odporúčaniach do Špecializovanej detskej nemocnice kráľa Abdulláha (KASCH), Rijád, Kráľovstvo Saudskej Arábie, od mája 2016 do októbra 2021. Do štúdie boli zahrnuté iba odporúčania DDH na konzervatívnu liečbu. Plán liečby realizovala klinika detskej ortopédie v KASCH. Diagnostické metódy boli buď rádiografia panvy alebo ultrazvuk, v závislosti od veku účastníka. DDH sa považuje za jednu z najčastejších sekundárnych komplikácií u detí s inými medicínskymi diagnózami. (3) Výsledky: Najčastejšou indikáciou na odoslanie bola neurologická diagnóza (44 %), nasledovala ortopedická (28 %), genetická (19 %), kardiálna (5 %), oftalmologická (3 %), dermatologická (1 %) a reumatologické (0,5 %) diagnózy. (4) Záver: Prevalencia DDH medzi všetkými odporúčaniami v tejto štúdii bola 6 %. Vo fyzioterapeutickej praxi boli neurologické, genetické a ortopedické primárne alebo sekundárne diagnózy najrozšírenejšie, keď sa skúmali odporúčania DDH. V tejto štúdii bola hlásená relatívne vysoká prevalencia DDH na pediatrickej rehabilitačnej klinike v KASCH v Rijáde.(1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilitation. (2) Methods: This retrospective review was performed on 12,225 physiotherapy referrals to the King Abdullah Specialized Children’s Hospital (KASCH), Riyadh, Kingdom of Saudi Arabia, from May 2016 to October 2021. Only DDH referrals for conservative treatment were included in the study. The plan for brace treatment was carried out by the pediatric orthopedics clinic in KASCH. The diagnostic methods were either a pelvic radiograph or ultrasound, depending on the participant’s age. DDH is considered one of the most common secondary complications for children with other medical diagnoses. (3) Results: The most common indication for referral was neurological diagnosis (44%), followed by orthopedic (28%), genetic (19%), cardiac (5%), ophthalmologic (3%), dermatologic (1%) and rheumatologic (0.5%) diagnoses. (4) Conclusion: The prevalence of DDH among all referrals in this study was 6%. In physiotherapy practice, neurologic, genetic, and orthopedic primary or secondary diagnoses were the most prevalent when DDH referrals were investigated. A relatively high prevalence of DDH in the pediatric rehabilitation clinic at KASCH in Riyadh was reported in this study