RESUMO Objetivo: Caracterizar o grau de acometimento neurológico, estabelecendo uma correlação entre o nível funcional da lesão e a aquisição da marcha, além de identificar os fatores que interferem nessa capacidade. Método: Foram avaliadas prospectivamente vinte e oito crianças portadoras de mielomeningocele operadas com idade igual ou superior a três anos. Foram determinados o nível funcional da lesão, a aquisição ou não da marcha e os fatores associados por meio das medidas do grau de força muscular nos membros inferiores, presença de deformidades articulares, ocorrência de contratura da musculatura flexora e trato iliotibial, eficácia da reação de equilíbrio e presença de hidrocefalia tratada. Resultados: Todos os fatores avaliados, exceto a hidrocefalia, foram relacionados de forma significativa à aquisição da marcha. Conclusão: A aquisição da marcha em crianças portadoras de mielomeningocele sofre influência de vários fatores, além do nível de acometimento neurológico, o que deve ser considerado no prognóstico e na programação terapêutica. PALAVRAS-CHAVE Mielomeningocele. Distúrbios neurológicos da marcha. ABSTRACT Prognostic factors influencing ambulation in children with myelomeningocele Objective: To characterize the degree of neurological deficit, establishing a correlation between functional level of the lesion and the gait acquisition and also to identify other factors that interfere with this capacity. Method: Twenty-eight children were evaluated prospectively. The functional level of the lesion was identified and correlated with gait acquisition as well as others associates factors like degree of muscular force, presence of joint deformities, occurrence of contractures, effectiveness of the balance reaction and presence of hydrocephalus. Results: All the evaluated factors, except hydrocephalus, were related with the ability to walk. Conclusion: Several factors, was related to the gait acquisition in children with myelomeningocele, what should be considered in the prognosis and in the therapeutic programming. KEY WORDS Meningomyelocele. Gait disorders, neurologic.

In this study, excess weight and obesity were associated with increased systolic blood pressure. Other unidentified factors were partially associated with increased blood pressure in children from the school with elevated urban life quality index.

We discuss the existence and uniqueness of mild solutions for a class of quasi-linear fractional integro-differential equations with impulsive conditions via Hausdorff measures of noncompactness and fixed point theory in Banach space. Mild solution controllability is discussed for two particular cases.

In this study, excess weight and obesity were associated with increased systolic blood pressure. Other unidentified factors were partially associated with increased blood pressure in children from the school with elevated urban life quality index.

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