Díaz Llopis I, Bea Muñoz M, Martinez Agulló E, López Martinez A, García Aymerich V, Forner Valero J V
Department of Rehabilitation, La Fe Hospital, Valencia, Spain.
Paraplegia. 1993 Jan;31(1):28-32. doi: 10.1038/sc.1993.5.
Data from 1500 patients affected by spina bifida have been collected in a multicentre study in Spain from 1986 to 1988. This paper is concerned with a part of the data, specifically regarding the walking of patients and certain factors that influence the prognosis for ambulation. The neurological level of lesion most commonly present was lumbosacral (65.6%). Hydrocephalus was frequent (62% of the sample), and has significant implications regarding prognosis for walking. Hip dislocation (32%) and scoliosis (22.9%) were orthopaedic problems noted in our sample. Pressure sores appeared in 31.7% of the patients. The onset of walking ability has been studied; 15% of the sample started walking at an age older than 5 years. Finally, different modalities of ambulation are described according to the use of ancillary devices, and in independence in activities of daily living.
1986年至1988年，西班牙开展了一项多中心研究，收集了1500例脊柱裂患者的数据。本文关注其中一部分数据，特别是关于患者行走情况以及影响行走预后的某些因素。最常见的神经损伤水平为腰骶部（65.6%）。脑积水很常见（占样本的62%），对行走预后有重大影响。髋关节脱位（32%）和脊柱侧弯（22.9%）是我们样本中发现的骨科问题。31.7%的患者出现了压疮。对行走能力的起始情况进行了研究；15%的样本在5岁以后开始行走。最后，根据辅助设备的使用情况以及日常生活活动的独立性，描述了不同的行走方式。
