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Related Experiment Videos

Upper extremity function in spina bifida.

J Jansen1, K Taudorf, H Pedersen

  • 1Department of Paediatrics, Rigshospitalet, Copenhagen, Denmark.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|April 1, 1991
PubMed
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Most meningomyelocele patients have poor upper extremity function, especially those with hydrocephalus. Hand function deficits in these patients often improve with age, but shunts may impact performance.

Area of Science:

  • Neurology
  • Pediatrics
  • Rehabilitation Medicine

Background:

  • Meningomyelocele frequently causes upper extremity dysfunction.
  • Assessing hand function is crucial for daily activities in affected children.

Purpose of the Study:

  • To evaluate upper extremity and hand function in meningomyelocele patients.
  • To identify factors influencing hand function, such as hydrocephalus and age.

Main Methods:

  • Clinical neurological examination of 25 patients (ages 5-19).
  • Timed hand function tests simulating daily activities.
  • Comparison between patients with and without hydrocephalus, and shunt-treated patients.

Main Results:

  • Only 2 of 25 patients exhibited normal upper extremity function.

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  • Poor hand function strongly correlated with hydrocephalus.
  • Patients with hydrocephalus performed significantly slower than controls, with shunt-treated patients showing poorer outcomes than those without shunts.

    • Conclusions:

    • Meningomyelocele patients commonly present with significant upper extremity functional deficits.
    • Hydrocephalus is a key factor associated with poorer hand function.
    • While age may offer some functional improvement, shunt treatment might negatively impact outcomes.