Impact of 24-hour Postural Care in Management of Scoliosis, Windswept Deformity, Hip Dislocation, and Subluxation in Children with Cerebral Palsy: A Literature Review

Abstract

Cerebral Palsy (CP) describes various challenges with movement and coordination caused by early brain damage which does not progress with age. CP is a lifelong condition and is usually associated with secondary complications across the lifespan. This review aims to explore the impact of twenty-four-hour postural care in prevention and management of secondary complications such as scoliosis, windswept deformity and hip dislocation or subluxation in children with cerebral palsy. The studies published between 2014 and 2025, in English language in databases PubMed and Google Scholar were included. 19 studies were reviewed which indicated use of postural care and control in preventing subsequent issues such as hip dislocation, contractures, windswept deformities, and scoliosis. Supported standing, weight-bearing exercises, and neurodevelopmental treatment were among the interventions that have been shown to increase comfort, involvement, and caring ease. Postural management has been shown to improve alignment, decrease hip migration, and thereby increase functional independence. While proactive and early postural control is encouraging overall, more research is needed to determine how best to use it and what will be its long-term effects. There seems to be a lacunae of information regarding use of 24 hour postural care in preventing complications in children with CP, what protocol to follow and addressing the most vulnerable CP children with severe motor deficits. A key component of long-term postural care will also be incorporating caregiver education and adjustments to everyday routines. All measures and ways which can help to prevent or prolong the incidence of secondary complications in individuals with CP are supposed to have a positive impact on the life of individuals and their family.