Evidence map›Paper›PMID 32255380›Full record

ArticleDisability and rehabilitation2021

Relationships among classifications of impairment and measures of ambulatory function for children with spina bifida.

Susan A Rethlefsen, Melissa A Bent, Nicole M Mueske, Tishya A L Wren

Abstract read
In one paragraph

Article in Disability and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Susan A RethlefsenChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA.ORCID 0000-0003-2608-4567
Melissa A BentChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Nicole M MueskeChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA.ORCID 0000-0003-4459-8289
Tishya A L WrenChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA.

Funding

Risk Factors for Osteoporosis in Children & Adolescents with MyelomeningoceleR01HD059826 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI WREN, TISHYA A L · 2010 to 2014
$2.4M
NICHD NIH HHS R01 HD059826
6 · The paper itself

Abstract

purposeTo examine associations between neurosegmental and functional level classifications in children with Spina Bifida, and determine which classification best reflects daily walking activity. MATERIALS AND

methodsA prospective correlational study was conducted. Children with Spina Bifida were given ratings for lesion level [X-ray and International Myelodysplasia Study Group (IMSG) level determined by muscle strength] and functional level [Hoffer ambulatory level and Dias functional classification of myelomeningocele (FCM), Functional Mobility Scale (FMS)]. Daily walking activity was measured with a StepWatch monitor. Data were analyzed using Spearman rank correlation.

resultsSixty-one children were included, [56% male, average age 9.8 (SD 2.7) years]. The neurosegmental level classifications, X-ray lesion level and IMSG level showed little to no correlation with each other (

conclusionsThe Dias FCM is comprehensive, including elements of neurosegmental level and function, and correlates well with walking activity. We recommend its use for classifying function in patients with Spina Bifida.Implications for rehabilitationFunctional classifications correlate better with daily walking activity than neurosegmental level classifications for patients with Spina Bifida.The Dias FCM includes neurosegmental and functional level elements, correlates well with daily activity, and is recommended for use in classifying Spina Bifida patients.Combined use of the FMS and activity monitoring is recommended for research and clinical assessment.

Indexed as

MeningomyeloceleSpinal DysraphismChildFemaleHumansMaleMuscle StrengthProspective StudiesWalkingambulationclassificationfunctional levelneurosegmental levelSpina Bifida

Identifiers

PMID32255380
PMCPMC7541624

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.