ArticleDisability and rehabilitation2017
Walking activity during daily living in children with myelomeningocele.
Article in Disability and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Dietary approach to prevent obesity risk in Spina Bifida patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Trial
- Fatigability of elbow muscles in children and adolescents with spina bifida.The journal of spinal cord medicine · 2026Article
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- A deficit to reach the isokinetic velocity in youth wheelchair users with spina bifida.The journal of spinal cord medicine · 2025Observational
- Independently ambulatory children with spina bifida experience near-typical knee and ankle joint moments and forces during walking.Gait & posture · 2023Article
- Relationships among classifications of impairment and measures of ambulatory function for children with spina bifida.Disability and rehabilitation · 2021Article
- Quantitative Computed Tomography Assessment of Bone Deficits in Ambulatory Children and Adolescents with Spina Bifida: Importance of Puberty.JBMR plus · 2020Article
- Predictors of Walking Activity in Children and Adolescents With Myelomeningocele.Archives of physical medicine and rehabilitation · 2020Article
- Article
- Obesity Prevention for Individuals with Spina Bifida.Current obesity reports · 2017Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo quantify the walking activity of children with myelomeningocele during daily living.
methodWalking activity was measured using a StepWatch activity monitor over one week in 47 children with myelomeningocele (27 males; 9 years 11 months SD 2 years 7 months; 18 sacral, 9 low lumbar, 20 mid-high lumbar) and seven children with typical development (5 males; 11 years 1 month SD 1 year 11 months) 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.
resultsChildren 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).
conclusionsChildren 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. Implications for Rehabilitation Obesity, muscle weakening and disuse osteoporosis are issues for those with myelomeningocele, all of which are affected by walking activity. Understanding walking activity and intensity in children and adolescents with myelomeningocele may aid in developing focused rehabilitation interventions and strategies. Real world walking activity as an objective and quantified measure has the potential to help guide therapists and surgeons to more effective treatments.
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