Acquisition and Retention of Ambulation with Long Orthesis in High-Level Myelomeningocele

Authors

  • Aline Martins Isaias Santos Fisioterapeuta, Especialista em Neurofuncional pela Irmandade de Santa Casa de Misericórdia de São Paulo, Clínica de Mielomeningocele da AACD, São Paulo-SP, Brasil.
  • Érica Costa Barbosa Fisioterapeuta, Aperfeiçoamento em Fisioterapia para reabilitação em deficiência física pela AACD, São Paulo-SP, Brasil.
  • Daniela Logar Pinheiro Fisioterapeuta, Clínica de Mielomeningocele e setor escolar da AACD, São Paulo-SP, Brasil.
  • Karen Abreu Torini Fisioterapeuta, Especialista em Neuropediatria pela Universidade Federal de São Carlos (UFSCAR), Clínica de Mielomeningocele e Lesão Medular infantil da AACD, São Paulo-SP, Brasil.
  • Ana Laura Chang Fisioterapeuta, Especialista em Neuropediatria pela Universidade Federal de São Carlos (UFSCAR), Clínica de Mielomeningocele da AACD, São Paulo- -SP, Brasil
  • Adriana Bosquê Justo Fisioterapeuta, Clínica de Mielomeningocele da AACD, São Paulo-SP, Brasil.

DOI:

https://doi.org/10.34024/rnc.2013.v21.8202

Keywords:

Myelomeningocele, Rehabilitation, Ambulation

Abstract

Introduction. 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 r2 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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References

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Published

2013-03-31

Issue

Vol. 21 No. 1 (2013)

Section

Artigos Originais

How to Cite

1.
Santos AMI, Barbosa Érica C, Pinheiro DL, Torini KA, Chang AL, Justo AB. Acquisition and Retention of Ambulation with Long Orthesis in High-Level Myelomeningocele. Rev Neurocienc [Internet]. 2013 Mar. 31 [cited 2025 Dec. 20];21(1):28-35. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8202