Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, Austin, Texas, USA.
Phys Occup Ther Pediatr. 2020;40(6):697-709. doi: 10.1080/01942638.2020.1736233. Epub 2020 Mar 6.
We investigated relationships among the Pediatric Neuromuscular Recovery Scale (Peds NRS), modified Hoffer Scale, and spatiotemporal gait parameters in children with myelomeningocele (MMC).
21 children with MMC, age 5.3 years (SD = 2.6), were assessed by three clinicians using the Peds NRS and modified Hoffer Scale. In eight children, gait parameters were also measured.
The Peds NRS summary score demonstrated good correlation with modified Hoffer Scale score ( = -0.64, = 0.002) that accounted for 41% of variation in summary score. Six Peds NRS seated/standing items exhibited good relationships with modified Hoffer Scale ( = -0.51 to -0.70, ≤ 0.023), and the sit-to-stand item demonstrated an excellent relationship ( = -0.85, < 0.001). Sit-to-stand and three standing/walking items exhibited excellent associations with cadence ( = 0.81 to 0.88, ≤ 0.014), and swing and stance time (both = -0.83 to -0.90, ≤ 0.01). Two Peds NRS standing items and modified Hoffer Scale score demonstrated good correlations with velocity ( = 0.71, = 0.047; = -0.73, = 0.04, respectively).
Our findings suggest that children with MMC who exhibit greater movement quality and trunk control are likely to be functional ambulators with more optimal spatiotemporal gait parameters.
我们研究了儿童脊膜膨出症（MMC）患儿的儿科神经肌肉恢复量表（Peds NRS）、改良 Hoffer 量表和时空步态参数之间的关系。
我们对 21 名年龄为 5.3 岁（标准差=2.6）的 MMC 患儿，由三位临床医生使用 Peds NRS 和改良 Hoffer 量表进行评估。在 8 名儿童中，还测量了步态参数。
Peds NRS 综合评分与改良 Hoffer 量表评分呈良好相关性（ = -0.64， = 0.002），可解释综合评分的 41%变化。Peds NRS 的 6 个坐姿/站位项目与改良 Hoffer 量表有较好的相关性（ = -0.51 至-0.70， ≤ 0.023），而从坐到站项目则表现出极好的相关性（ = -0.85， < 0.001）。从坐到站和三个站立/行走项目与步频（ = 0.81 至 0.88， ≤ 0.014）和摆动与支撑时间（均为 = -0.83 至-0.90， ≤ 0.01）有极好的关联。两个 Peds NRS 站立项目和改良 Hoffer 量表评分与速度呈良好相关性（ = 0.71， = 0.047； = -0.73， = 0.04，分别）。
我们的发现表明，运动质量和躯干控制较好的 MMC 患儿更有可能成为具有更优时空步态参数的功能性步行者。
