Ambulation of Spina Bifida Patients
Journal of the Korean Academy of Rehabilitation Medicine
;
: 840-847, 1998.
Article
in Korean
| WPRIM
| ID: wpr-724130
ABSTRACT
OBJECTIVE:
To investigate the ambulatory status and its contributing factors in eighty one patients with spina bifida, and to obtain informations about the actual state and the problems of their orthotic uses for the lower limbs.METHOD:
Eighty one spina bifida patients above thirty months of age who registered to the Myelomeningocele Clinic of Seoul National University Hospital were investigated through the telephone interviews and the retrospective reviews of the medical records by a physiatrist.RESULTS:
About one half of 81 spina bifida patients had problems in their ambulation. It was significantly influenced by the neurological level, the type of spina bifida, the contractures and deformities of the lower limbs, and presence of hydrocephalus. The deformity of hip and the neurological level were revealed to be the most important factors contributing to their state of ambulation by the multiple linear logistic analysis(p<0.01). Forty patients had used the lower limb orthoses of which the ankle-foot-orthosis was most frequently used. The satisfaction and compliance of the patients, however, were not high and the most common complaint of the parents was a skin wound from the use of orthoses.CONCLUSION:
The neurological level and the deformity of hip were the two most important contributing factors to the ambulation of the spina bifida patients. Early detection of the neurological level and an adequate prescription of the lower limb orthoses should be stressed for the management of ambulation in spina bifida patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthotic Devices
/
Parents
/
Skin
/
Congenital Abnormalities
/
Wounds and Injuries
/
Medical Records
/
Interviews as Topic
/
Retrospective Studies
/
Spinal Dysraphism
/
Walking
Type of study:
Observational study
/
Qualitative research
/
Screening study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Academy of Rehabilitation Medicine
Year:
1998
Type:
Article
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