Pediatric Physical Therapy

Skip Navigation LinksHome > Winter 2007 - Volume 19 - Issue 4 > Closed Neural Tube Defects: Neurologic, Orthopedic, and Gait...
Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e318158cf1e
Research Report

Closed Neural Tube Defects: Neurologic, Orthopedic, and Gait Outcomes

Ross, Marilyn PT, Dip.P & OT; Brewer, Kelly PT, BSc, PT; Wright, F Virginia BSc, PT, PhD; Agur, Anne BSc, OT, PhD

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Purpose: The purpose of our study was to obtain a clear understanding of the various diagnoses within the closed neural tube defect (NTD) groups included in the large database of clients in our Spina Bifida Clinic and a clear picture of the outcomes for the various NTD groups.

Methods: One hundred and four clients with closed NTD were categorized using a classification system devised by Tortori-Donati et al. Various clinical markers were investigated, including ambulation and the need for orthoses and wheelchairs.

Results: Most clients are ambulatory, requiring an orthoses, but not a wheelchair, despite the high incidence of ankle/foot abnormalities.

Conclusions: This classification system has enhanced our knowledge of this group of clients, provided a greater understanding of the varied outcomes of these children and clinical management required.

© 2007 Lippincott Williams & Wilkins, Inc.


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