Bartonek Asa
Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
Pediatr Phys Ther. 2010 Spring;22(1):52-60. doi: 10.1097/PEP.0b013e3181cc132b.
To describe motor development toward ambulation in children with myelomeningocele.
Forty-three children were followed prospectively from 6 months to 6 years of age.
Walking function had been achieved at the 1-year follow-up in 2 of 38 children, at the 1.5-year follow-up in 7 of 39, at the 2-year follow-up in 14 of 36, at the 3-year follow-up in 21 of 28, at the 4-year follow-up in 28 of 36, and at the 6-year follow-up in 30 of 38. At the 6-year follow-up, spasticity was present in 22 of 38 children, 42 of 43 used orthoses, and 9 children had not achieved ambulation expected with respect to muscle function.
In children with myelomeningocele, walking starts in some during the first year of life and is seen increasingly more frequently until 6 years of age. Motor development before ambulation varies among children with similar muscle function. An increased incidence of spasticity is found among those not having achieved ambulation with respect to muscle function.
描述脊髓脊膜膨出患儿向行走发展的运动发育情况。
对43名儿童进行前瞻性随访，随访时间从6个月至6岁。
在38名儿童中，2名在1年随访时实现了行走功能；在39名儿童中，7名在1.5年随访时实现了行走功能；在36名儿童中，14名在2年随访时实现了行走功能；在28名儿童中，21名在3年随访时实现了行走功能；在36名儿童中，28名在4年随访时实现了行走功能；在38名儿童中，30名在6年随访时实现了行走功能。在6年随访时，38名儿童中有22名存在痉挛，43名儿童中有42名使用矫形器，9名儿童未达到根据肌肉功能预期的行走能力。
在脊髓脊膜膨出患儿中，一些患儿在1岁时开始行走，且在6岁前行走的频率越来越高。在具有相似肌肉功能的患儿中，行走前的运动发育各不相同。在未达到根据肌肉功能预期行走能力的患儿中，痉挛发生率增加。
