Variability in lower extremity motor function in spina bifida only partially associated with spinal motor level.
PURPOSE: Previous studies have found motor function to correlate with spinal motor level and, accordingly, individuals with spina bifida are frequently categorized clinically in this manner. The aim of the current study was to describe how lower extremity functions including strength, selective moto...
| Publicado en: | Journal of Pediatric Rehabilitation Medicine Vol. 15; no. 4; pp. 559 - 570 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161139293&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161139293 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18745393 B2KR jtl: Journal of Pediatric Rehabilitation Medicine issn: 18745393 maglogo: N pubinfo: dt: 2022 vid: 15 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 161139293 160672741 161139293 161139293 10.3233/PRM-220047 161139293 ppf: 559 ppct: 11 formats: tig: atl: Variability in lower extremity motor function in spina bifida only partially associated with spinal motor level. aug: au: Thomas, Katherine Fisher Boyer, Elizabeth Rose Krach, Linda Elsie affil: Department of Pediatric Rehabilitation Medicine, Gillette Children's, Saint Paul, MN, USA sug: subj: Lower Extremity Pathology Psychomotor Performance Evaluation Spina Bifida Prevention and Control Spinal Cord Pathology Muscle Strength Evaluation Task Performance and Analysis Motor Skills Evaluation Funding Source Retrospective Design Cross Sectional Studies Descriptive Research Spina Bifida Classification Functional Status Human Male Female Child Adolescence Movement Disorders In Infancy and Childhood Child: 6-12 years Adolescent: 13-18 years Male Female ab: PURPOSE: Previous studies have found motor function to correlate with spinal motor level and, accordingly, individuals with spina bifida are frequently categorized clinically in this manner. The aim of the current study was to describe how lower extremity functions including strength, selective motor control, and mirror movements vary by motor level in children and young adults with spina bifida. METHODS: A single center, retrospective, cross-sectional, descriptive study using data collected in the National Spina Bifida Patient Registry and by a gait laboratory was performed. RESULTS: Seventy-seven individuals with spina bifida were included with the majority having myelomeningocele (59 lumbar, 18 sacral motor level). Lower extremity strength and selective motor control varied to a certain extent with motor level. However, 90% of individuals showed strength or weakness in at least one muscle group that was unexpected based on their motor level. Mirror movements did not clearly vary with motor level. CONCLUSION: Lower extremity strength, selective motor control, and mirror movements in individuals with spina bifida were not entirely predicted by motor level. This highlights the possible need for an improved spina bifida classification system that describes not only spinal motor level but more clearly defines a particular individual's functional motor abilities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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