Role of Physical Therapy in Postural Management to Prevent Hip Dislocation in Children with Spastic Cerebral Palsy

Background: Cerebral palsy (CP) is a neurological disorder characterized by motor impairments stemming from non-progressive brain anomalies. A primary concern in children with spastic CP is hip migration, which can progress to subluxation or dislocation, particularly in non-ambulatory patients. Objective: This narrative review explores the efficacy of physical therapy approaches within postural management programs in preventing hip dislocation in children with spastic CP. Methods: Literature published between 1990 and 2022 is reviewed across databases—namely, PubMed, EDLINE, CINAHL, AMED and Google Scholar. Results: The review highlights diverse interventions, including passive stretching, weight-bearing exercises, standing devices, orthotic aids and the Vojta method, that underestimate the importance of early, individualized and multidisciplinary management in children with spastic CP. While some conservative strategies show promising outcomes, the evidence remains limited and of variable quality. Moreover, the studies have been heterogeneous in design, outcome measures and intervention protocols.  Overall, the review indicates the need for tailored programs early in life, especially for children whose motor function is classified as Gross Motor Function Classification System levels IV and V, emphasizing the essential role of physiotherapists in preventive care. Conclusion: Early, tailored physiotherapy and postural management programs play a critical role in mitigating hip displacement in children with spastic CP. Strengthening interdisciplinary collaboration and standardizing intervention protocols are essential to both improving clinical outcomes and advancing the evidence base for conservative management strategies.