[Walking patterns of skeletally mature patients with scoliosis and myelomeningocele].

Abstract

Introduction: The aim of the study is assessment of ambulatory status in skeletally mature patients with myelomeningocele and scoliosis, as well as analysis of walking abilities on general physical function, quality of life, self-perception and motivation.

Material and methods: Prospective study was done on 19 patients in the mean age of 21.4 years. Those treated operatively for spinal deformity were excluded from the study. Several questioners were used for assessment of: dysfunction related to spinal deformity, general physical function, quality of life, self-perception and motivation. To describe ambulatory status Hoffer classification was used. Motor neuron level was assessed according to International Myelodysplasia Study Protocol.

Results: There was no correlation between walking abilities and Cobb angle, general physical function, quality of life, self-perception and motivation. Older patients and those with higher spine dysfunction had less chances for independent ambulation. Odds ratio shows, that independent walkers have 2.5 less chances for skin problems than sitters.

Conclusions: The most important factor that determines walking ability is level of spine dysfunction. Walking ability may deteriorate with age. Patients general physical function, quality of life, self-perception and motivation in not related to ambulatory status.