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)|
|Number of pages||9|
|Journal||Developmental Medicine and Child Neurology|
|State||Published - 1991|
ASJC Scopus subject areas
- Clinical Neurology
- Pediatrics, Perinatology, and Child Health