Ambulatory outcome of children with myelomeningocele: Effect of lower-extremity muscle strength

Craig M McDonald, K. M. Jaffe, V. S. Mosca, D. B. Shurtleff

Research output: Contribution to journalArticle

69 Scopus citations

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 languageEnglish (US)
Pages (from-to)482-490
Number of pages9
JournalDevelopmental Medicine and Child Neurology
Volume33
Issue number6
StatePublished - 1991
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Neuroscience(all)

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