Abstract
The relationship between patterns of strength and mobility was studied in 291 children with myelomeningocele, graded as community ambulators, partial (household) ambulators and non-ambulators. Iliopsoas strength was found to be the best predictor of ambulation, with the quadriceps, anterior tibialis and glutei also contributing significantly. Grade 0 to 3 iliospoas strength was always associated with partial or complete reliance on a wheelchair. No patients with grade 4 to 5 iliopsoas and quadriceps function relied completely on wheelchairs and the majority were community ambulators. Grade 4 to 5 gluteal and anterior tibialis function was associated with community ambulation, without aids or braces. Deterioration in mobility was most common in those with strong iliopsoas/quadriceps and grade 0 to 3 gluteus medius, and was not age-related.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 482-490 |
| Number of pages | 9 |
| Journal | Developmental Medicine and Child Neurology |
| Volume | 33 |
| Issue number | 6 |
| State | Published - 1991 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Clinical Neurology
- Pediatrics, Perinatology, and Child Health
- Neuroscience(all)
Cite this
Ambulatory outcome of children with myelomeningocele : Effect of lower-extremity muscle strength. / McDonald, Craig M; Jaffe, K. M.; Mosca, V. S.; Shurtleff, D. B.
In: Developmental Medicine and Child Neurology, Vol. 33, No. 6, 1991, p. 482-490.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ambulatory outcome of children with myelomeningocele
T2 - Effect of lower-extremity muscle strength
AU - McDonald, Craig M
AU - Jaffe, K. M.
AU - Mosca, V. S.
AU - Shurtleff, D. B.
PY - 1991
Y1 - 1991
N2 - The relationship between patterns of strength and mobility was studied in 291 children with myelomeningocele, graded as community ambulators, partial (household) ambulators and non-ambulators. Iliopsoas strength was found to be the best predictor of ambulation, with the quadriceps, anterior tibialis and glutei also contributing significantly. Grade 0 to 3 iliospoas strength was always associated with partial or complete reliance on a wheelchair. No patients with grade 4 to 5 iliopsoas and quadriceps function relied completely on wheelchairs and the majority were community ambulators. Grade 4 to 5 gluteal and anterior tibialis function was associated with community ambulation, without aids or braces. Deterioration in mobility was most common in those with strong iliopsoas/quadriceps and grade 0 to 3 gluteus medius, and was not age-related.
AB - The relationship between patterns of strength and mobility was studied in 291 children with myelomeningocele, graded as community ambulators, partial (household) ambulators and non-ambulators. Iliopsoas strength was found to be the best predictor of ambulation, with the quadriceps, anterior tibialis and glutei also contributing significantly. Grade 0 to 3 iliospoas strength was always associated with partial or complete reliance on a wheelchair. No patients with grade 4 to 5 iliopsoas and quadriceps function relied completely on wheelchairs and the majority were community ambulators. Grade 4 to 5 gluteal and anterior tibialis function was associated with community ambulation, without aids or braces. Deterioration in mobility was most common in those with strong iliopsoas/quadriceps and grade 0 to 3 gluteus medius, and was not age-related.
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UR - http://www.scopus.com/inward/citedby.url?scp=0025862949&partnerID=8YFLogxK
M3 - Article
C2 - 1864474
AN - SCOPUS:0025862949
VL - 33
SP - 482
EP - 490
JO - Developmental Medicine and Child Neurology
JF - Developmental Medicine and Child Neurology
SN - 0012-1622
IS - 6
ER -