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Long-term Follow-up of Myelomeningocele Patients: Factors That Can Affect Their Walking Ability.

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Myelomeningocele: a new functional classification.

Luciano S Dias1, Vineeta T Swaroop2, Luiz R A de Angeli3,4

  • 1Shirley Ryan Ability Laboratory, Chicago, Illinois, USA.

Journal of Children'S Orthopaedics
|March 1, 2021
PubMed
Summary
This summary is machine-generated.

A new functional classification for myelomeningocele, based on manual muscle testing, categorizes patients into four levels (MMFC1-MMFC4). This system guides prognosis, management, and communication for better patient care.

Keywords:
ambulatory functionclassificationfunctional mobility scalemyelomeningocelespina bifida

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Area of Science:

  • Neurology
  • Orthopedics
  • Rehabilitation Medicine

Background:

  • Myelomeningocele management relies on various classification systems.
  • A need exists for a more precise functional assessment to guide treatment and predict outcomes.

Purpose of the Study:

  • To introduce a novel functional classification for myelomeningocele.
  • To enhance the assessment of prognosis and management strategies for patients with myelomeningocele.

Main Methods:

  • Classification is determined by manual muscle testing of lower limb function.
  • The system correlates functional levels with recommended bracing and external supports.
  • Integration with the Functional Mobility Scale is advised.

Main Results:

  • Four distinct functional levels (MMFC1-MMFC4) are defined based on muscle strength.
  • MMFC1: Severe weakness, requires hip-high braces and walkers.
  • MMFC2: Functional hip flexors/knee muscles, weak abductors; requires walkers/crutches and Ankle-Foot Orthoses (AFOs).
  • MMFC3: Functional hip/knee muscles, absent plantar flexion; uses AFOs independently.
  • MMFC4: Intact lower limb function; no assistive devices needed.

Conclusions:

  • The proposed classification offers a simple, understandable system for myelomeningocele.
  • It serves as a valuable guide for gait prognosis.
  • Facilitates improved communication among healthcare professionals regarding patient function.