Motor Development Toward Ambulation in Preschool Children with MyelomeningoceleA Prospective Study

Bartonek, Åsa PT, PhD

Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e3181cc132b
Research Report
Abstract

Purpose: To describe motor development toward ambulation in children with myelomeningocele.

Methods: Forty-three children were followed prospectively from 6 months to 6 years of age.

Results: Walking function had been achieved at the 1-year follow-up in 2 of 38 children, at the 1.5-year follow-up in 7 of 39, at the 2-year follow-up in 14 of 36, at the 3-year follow-up in 21 of 28, at the 4-year follow-up in 28 of 36, and at the 6-year follow-up in 30 of 38. At the 6-year follow-up, spasticity was present in 22 of 38 children, 42 of 43 used orthoses, and 9 children had not achieved ambulation expected with respect to muscle function.

Conclusions: In children with myelomeningocele, walking starts in some during the first year of life and is seen increasingly more frequently until 6 years of age. Motor development before ambulation varies among children with similar muscle function. An increased incidence of spasticity is found among those not having achieved ambulation with respect to muscle function.

In Brief

The author reports that motor development prior to ambulation varies in children with myelomeningocele who exhibit similar muscle function, and that spasticity is found among those who do not achieve ambulation as would be predicted by muscle function.

Author Information

Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden

Address Correspondence to: Åsa Bartonek, PT, PhD, Motoriklab Q2:07, Astrid Lindgren Children's Hospital, Karolinska University Hospital, 171 76 Stockholm, Sweden. E-mail: asa.bartonek@ki.se

Grant Support: Norrbacka-Eugenia Foundation, Frimurare Barnhuset, and Sällskapet Barnavård, Stockholm, Sweden.

© 2010 Lippincott Williams & Wilkins, Inc.