Efficacy of bracing the lower limbs and ambulation training in children with myelomeningocele

Mazur, John M.; Kyle, Sylvia

doi:10.1111/j.1469-8749.2004.tb00497.x

Cited by 23 publications

(10 citation statements)

References 39 publications

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“…Several studies [9,12,21] and the gait analysis data presented indicate that an AFO can reduce valgus stress at the knee. What remains unclear from previous investigations are variables of an AFO that have the greatest effect on the valgus stress at the knee.…”

Section: Discussionmentioning

confidence: 97%

“…Although this survey does reflect the opinions of this author, the literature review suggests these variables have not been sufficiently addressed. In a systematic review of literature between 1974 and 2003 regarding the efficacy of orthotic management for the lower limbs in children with myelomeningocele [12], the authors found studies specific to AFOs reflected level II and level IV levels of evidence. This author reviewed these same papers and, with the exception of one paper [9], found those studies did not identify or control for the variables described in this discussion.…”

Section: Discussionmentioning

confidence: 99%

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What Variables Influence the Ability of an AFO to Improve Function and When Are They Indicated?

Malas

2011

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

What Variables Influence the Ability of an AFO to Improve Function and When Are They Indicated?

Malas

2011

Clinical Orthopaedics &Amp; Related Research

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“…A idade média para aquisição da marcha com OL é um fator de eminente variação na literatura. Um estudo de revisão 16 20 , influencia na aquisição e tipo de marcha, tendo em vista não haver no histórico prévio do paciente, escala que mensure o cognitivo em suas diferentes fases do crescimento.…”

Section: Discussionunclassified

Aquisição e Permanência da Marcha com Órtese Longa na Mielomeningocele Nível Lombar Alto

Santos

Barbosa

Pinheiro³

et al. 2013

RNC

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RESUMOIntrodução. O objetivo deste estudo foi verificar o tempo médio para aquisição da marcha com órtese longa e aditamentos na Mielomeningocele do nível de lesão lombar alto, bem como a duração e os fatores que interferem na permanência desta função ao longo do tempo. Mé-todo. Neste estudo retrospectivo tipo observacional, pacientes foram triados por uma listagem médica, selecionando apenas os com nível lombar alto. Foi aplicado um questionário no paciente e realizado exame físico. Resultados. Os pacientes foram separados em grupo 1 (5 a 10 anos e 11 meses) e grupo 2 (11 a 16 anos e 11 meses). Foram incluídos 51 pacientes, 28 do grupo 1 e 23 do grupo 2. O tempo médio para aquisição da marcha com órtese longa nos dois grupos foi de 2,1 anos, e foi mantida por 1,9 anos após alta da Fisioterapia. Os fatores que interferiram na marcha foram idade de início e tempo do treino, número de intervenções ortopédicas, deformidades, sobrepeso e motivação. Conclusão. Quanto mais cedo se inicia o treino de marcha em Fisioterapia e quanto mais tempo permanece no mesmo, maior é a permanência dessa função em longo prazo. O abandono da órtese longa ocorre conforme o paciente cresce e almeja por funcionalidade.Unitermos. Mielomeningocele, Reabilitação, Marcha.Citação. Santos AMI, Barbosa EC, Pinheiro DL, Torini KA, Chang AL, Justo AB. Aquisição e Permanência da Marcha com Órtese Longa na Mielomeningocele Nível Lombar Alto. ABSTRACTIntroduction. The objective of this study was to estimate the mean time for acquisition of ambulation in patients with upper lumbar (UL) myelomeningocele (Mye) using long orthosis (LO); to estimate determinants of persistently using LO. Method. Children from 5 to 17 years of age, with UL Mye, that used LO and received physical therapy for ambulation. Patients were screened by a medical listing, selecting only those with high lumbar level. A questionnaire was administered on the patient and physical examination. Results. The patients were divided into group 1 (5 to 10 years and 11 months) and group 2 (11 to 16 years and 11 months). The study included 51 patients, 28 from Group 1 and Group 2. Mean time for ambulation using LO was 2.1 years; use of LO was maintained for a mean of 1.9 years after being discharged from physical therapy. Factors positively associated with ambulation were age of training onset and duration of training (p=0.0151 e r 2 0.1146), number of surgeries (p=0.074), deformities, overweight and motivation. Conclusion. Earlier onset of training for ambulation and duration of training are associated with increased maintenance of LO use. Use of LO decreases with age (when children seek increased functionality).

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“…There is a desperate need for higher quality studies to be produced regarding bracing the lower extremity in children with myelomeningocele. 4 The KAFOs are less frequently used in these populations, and very few publications found report on the efficacy of this modality of orthotic management. 2,4,5 Few reviews or systematic…”

mentioning

confidence: 99%

Comparison of Molded and Conventional Orthosis during Ambulation for Adolescent with Myelomeningocele

Mohanty¹,

Lenka²,

Pattanaik³

et al. 2017

Indian Journal of Physical Medicine and Rehabilitation

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Varying diversities of involvement in adolescent with myelomeningocele make orthotic prescription, evaluation, and fitting highly challenging. A school-going 14-year-old boy presented with extensive weakness and kinematic alterations of both lower limbs and spine. Planovalgoid foot, calcaneal deformity of ankle, knee flexion, anterior pelvic tilt, rotation, and frequent hip dislocation of left side were noticed on examination. Gait comparisons were made between walking with bare foot and with conventional and molded orthosis with auxiliary crutches. Kinetic and kinematic parameters were studied in gait lab by force plate (BTS P-6000) and cameras with reflective markers (BTS SMART-DX 6000). Molded orthosis was found to improve all gait parameters except cadence and walking velocity; however, diversity in the results was observed. Though both variants were effective, a follow-up is necessary to finalize the best orthotic solution for the individual subject.

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Efficacy of bracing the lower limbs and ambulation training in children with myelomeningocele

Cited by 23 publications

References 39 publications

What Variables Influence the Ability of an AFO to Improve Function and When Are They Indicated?

What Variables Influence the Ability of an AFO to Improve Function and When Are They Indicated?

Aquisição e Permanência da Marcha com Órtese Longa na Mielomeningocele Nível Lombar Alto

Comparison of Molded and Conventional Orthosis during Ambulation for Adolescent with Myelomeningocele

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