Natural History of Flexion Deformity of the Hip in Myelodysplasia

Shurtleff, David B.; Menelaus, Malcolm B.; Staheli, Lynn T.; Chew, Deanna E.; Lamers, Janice Y.; Stillwell, A; Wolf, Lynn S.

doi:10.1097/01241398-198611000-00005

Cited by 26 publications

(5 citation statements)

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“…A larger number of contractures was diagnosed after brace treatment than before treatment was started. The natural history of flexion deformity of the hip is a slow increase over the years (22) but in our patients is probably due also to the change of the lumbar lordosis caused by the Boston-type brace. The brace forces the pelvis to tilt posteriorly, thereby decreasing the lordosis.…”

Section: Discussionmentioning

confidence: 54%

The influence of scoliosis brace treatment on function in children with myelomeningocele

Müller¹,

Nordwall

Wendt³

1992

Acta Paediatrica

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The influence of Boston brace treatment on the functional and motor ability of children with scoliosis secondary to myelomeningocele was studied in a consecutive series of 20 children of 5-19 years of age. Motor activity, ADL function and ambulation ability were assessed before brace treatment and then annually during the treatment period, which lasted an average of 2.7 years (range 0.6-8.7 years). Thirteen children were followed-up one year after braces were removed. The effect of brace treatment on the scoliosis was favourable as is reported elsewhere. The children's motor activity and ADL function remained unchanged during brace treatment, but brace wearing was accompanied by a decreased ambulatory skill. This may partly be explained by a slight increase of flexion contractures of the hips during treatment. Patients with useful ambulation ability kept this ability up even during brace treatment. Considering the favourable effect of brace treatment on the scoliosis curve and the few complications encountered, we recommend brace treatment for scoliosis in patients with myelomeningocele.

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Section: Discussionmentioning

confidence: 54%

The influence of scoliosis brace treatment on function in children with myelomeningocele

Müller¹,

Nordwall

Wendt³

1992

Acta Paediatrica

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“…Several authors have reported that knee and hip flexion contractures in children with MMC are found to be related to deterioration of ambulation, especially when associated with spasticity [29][30][31][32][33][34]. Correspondingly, neither knee flexion [32] nor hip flexion contractures [30,35] were found to be caused by only muscular imbalance as a consequence of the motor paresis.…”

Section: Additional Orthopedic and Neurological Factorsmentioning

confidence: 82%

“…Correspondingly, neither knee flexion [32] nor hip flexion contractures [30,35] were found to be caused by only muscular imbalance as a consequence of the motor paresis. In the present study most of the children with contractures had associated spasticity in the involved muscle groups.…”

Section: Additional Orthopedic and Neurological Factorsmentioning

confidence: 84%

The influence of spasticity in the lower limb muscles on gait pattern in children with sacral to mid-lumbar myelomeningocele: a gait analysis study

et al. 2005

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“…Song et al reported that younger able-bodied children took more average total steps daily compared to their older counterparts [7]. Moreover, the lower body weight corresponding to their younger age and possible decreased incidence of joint contractures at this age may account for increased walking activity in the low lumbar group compared with the older patients in both the mid-high lumbar and sacral groups [15]. It would be interesting to observe whether walking ability worsens in this younger group as they grow with age.…”

Section: Discussionmentioning

confidence: 99%

Walking activity during daily living in children with myelomeningocele

Yasmeh

Mueske

Yasmeh

et al. 2016

Disability and Rehabilitation

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Purpose To quantify the walking activity of children with myelomeningocele during daily living. Method Walking activity was measured using a StepWatch activity monitor over one week in 47 children with myelomeningocele (27 males; 9y 11mo SD 2y 7mo; 18 sacral, 9 low lumbar, 20 mid-high lumbar) and 7 children with typical development (5 males; 11y 1mo SD 1y 11mo) in a prospective, cross-sectional study. Average total steps per day, number of steps and minutes spent at low, medium and high intensity stepping were evaluated. Groups were compared using t-tests and chi-squared tests with Bonferroni post-hoc adjustment. Results Children with sacral and low lumbar myelomeningocele exhibited no significant differences in demographic characteristics or walking performance compared to typically developing children. Children with mid-high lumbar myelomeningocele exhibited higher BMI percentile than the control group (p=0.04) and took fewer total steps per day than all other groups (p≤0.04). Children with mid-high lumbar myelomeningocele also spent significantly less time taking steps at all intensity levels, particularly medium-intensity, than the sacral and low lumbar groups (p≤0.04). Conclusions Children with sacral and low lumbar myelomeningocele had walking performance similar to typically developing children despite a common need for braces and assistive devices. Children with mid-high lumbar myelomeningocele were less active, which may lead to heightened risk for secondary health conditions in addition to those associated with myelomeningocele.

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Natural History of Flexion Deformity of the Hip in Myelodysplasia

Cited by 26 publications

References 0 publications

The influence of scoliosis brace treatment on function in children with myelomeningocele

The influence of scoliosis brace treatment on function in children with myelomeningocele

The influence of spasticity in the lower limb muscles on gait pattern in children with sacral to mid-lumbar myelomeningocele: a gait analysis study

Walking activity during daily living in children with myelomeningocele

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