Developmental Disabilities Research Reviews最新文献_第8页

Orthopedic management of spina bifida 脊柱裂的骨科治疗

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.97

Jeffrey D. Thomson, Lee S. Segal

{"title":"Orthopedic management of spina bifida","authors":"Jeffrey D. Thomson, Lee S. Segal","doi":"10.1002/ddrr.97","DOIUrl":"10.1002/ddrr.97","url":null,"abstract":"The management of orthopedic problems in spina bifida has seen a dramatic change over the past 10 years. The negative effects of spasticity, poor balance, and the tethered cord syndrome on ambulatory function are better appreciated. There is less emphasis on the hip radiograph and more emphasis on the function of the knee and the prevention of knee pain. The importance of the hip abductor muscle and its influence on gait and knee function has been realized. Important developments in the treatment of spinal deformity include the use of pedicle screws which allow better correction. The role of anterior-only spinal surgery has been defined, which allows motion at the lumbo-sacral junction and has a lower postoperative infection rate than posterior surgery. Functional outcome assessments provide better feedback for surgeons and families in regards to which patients may benefit most from surgery. Overall, the past 10 years has seen the increased use of functional outcome measures such as Motion Analysis, oxygen consumption, and patient-based outcome assessments rather than traditional radiographic measures (e.g., hip dislocation or subluxation). This progress has resulted in a better understanding of spina bifida and, more importantly, improved outcomes for our patients. Additional research is likely to further enhance outcomes by establishing additional evidence-based interventions. © 2010 Wiley-Liss, Inc. Dev Disabil Res Rev 2010;16:96–103.","PeriodicalId":55176,"journal":{"name":"Developmental Disabilities Research Reviews","volume":"16 1","pages":"96-103"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ddrr.97","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28944047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 46

Anomalous development of brain structure and function in spina bifida myelomeningocele 脊柱裂脊髓脊膜膨出患者脑结构和功能的异常发育

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.88

Jenifer Juranek, Michael S. Salman

{"title":"Anomalous development of brain structure and function in spina bifida myelomeningocele","authors":"Jenifer Juranek, Michael S. Salman","doi":"10.1002/ddrr.88","DOIUrl":"10.1002/ddrr.88","url":null,"abstract":"Spina bifida myelomeningocele (SBM) is a specific type of neural tube defect whereby the open neural tube at the level of the spinal cord alters brain development during early stages of gestation. Some structural anomalies are virtually unique to individuals with SBM, including a complex pattern of cerebellar dysplasia known as the Chiari II malformation. Other structural anomalies are not necessarily unique to SBM, including altered development of the corpus callosum and posterior fossa. Within SBM, tremendous heterogeneity is reflected in the degree to which brain structures are atypical in qualitative appearance and quantitative measures of morphometry. Hallmark structural features of SBM include overall reductions in posterior fossa and cerebellum size and volume. Studies of the corpus callosum have shown complex patterns of agenesis or hypoplasia along its rostral-caudal axis, with rostrum and splenium regions particularly susceptible to agenesis. Studies of cortical regions have demonstrated complex patterns of thickening, thinning, and gyrification. Diffusion tensor imaging studies have reported compromised integrity of some specific white matter pathways. Given equally complex ocular motor, motor, and cognitive phenotypes consisting of relative strengths and weaknesses that seem to align with altered structural development, studies of SBM provide new insights to our current understanding of brain structure–function associations. © 2010 Wiley-Liss, Inc. Dev Disabil Res Rev 2010;16:23–30.","PeriodicalId":55176,"journal":{"name":"Developmental Disabilities Research Reviews","volume":"16 1","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ddrr.88","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28944601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 118

Transition to adult health care for adolescents with spina bifida: Research issues 脊柱裂青少年向成人保健的过渡:研究问题

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.98

Susan M. Sawyer, Sarah Macnee

引用次数: 73

Psychosocial and family functioning in spina bifida 脊柱裂的社会心理和家庭功能

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.90

Grayson N. Holmbeck, Katie A. Devine

{"title":"Psychosocial and family functioning in spina bifida","authors":"Grayson N. Holmbeck, Katie A. Devine","doi":"10.1002/ddrr.90","DOIUrl":"10.1002/ddrr.90","url":null,"abstract":"A developmentally oriented bio-neuropsychosocial model is introduced to explain the variation in family functioning and psychosocial adjustment in youth and young adults with spina bifida (SB). Research on the family functioning and psychosocial adjustment of individuals with SB is reviewed. The findings of past research on families of youth with SB support a resilience–disruption view of family functioning. That is, the presence of a child with SB disrupts normative family functioning but many families adapt to such disruption and exhibit considerable resilience in the face of adversity. Parents of youth with SB, and particularly those from lower socio-economic status (SES) homes, are at-risk for psychosocial difficulties. Individuals with SB are at-risk for developing internalizing symptoms, attention problems, educational difficulties, social maladjustment, and delays in the development of independent functioning. Emerging adults are often delayed in achieving milestones related to this stage of development (e.g., vocational and educational achievements). Methodologically sound, longitudinal, and theory-driven studies of family and psychosocial functioning are needed, as are randomized family-based intervention trials, to promote adaptive functioning and better psychosocial outcomes in families of individuals with SB. © 2010 Wiley-Liss, Inc. Dev Disabil Res Rev 2010;16:40–46.","PeriodicalId":55176,"journal":{"name":"Developmental Disabilities Research Reviews","volume":"16 1","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ddrr.90","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28944040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 116

The cognitive phenotype of spina bifida meningomyelocele 脊柱裂脑脊膜膨出的认知表型

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.89

Maureen Dennis, Marcia A. Barnes

引用次数: 149

Neurosurgical management of spina bifida: Research issues 脊柱裂的神经外科治疗:研究问题

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.100

Robin M. Bowman, David G. McLone

引用次数: 53

Quality of life in individuals with spina bifida: A research update 脊柱裂患者的生活质量:最新研究

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.96

Kathleen J. Sawin, Melissa H. Bellin

{"title":"Quality of life in individuals with spina bifida: A research update","authors":"Kathleen J. Sawin, Melissa H. Bellin","doi":"10.1002/ddrr.96","DOIUrl":"10.1002/ddrr.96","url":null,"abstract":"Quality of life (QOL) is an important concept for individuals with chronic health conditions. Measuring and supporting QOL in children, adolescents, and adults with spina bifida (SB) may be especially unique given the broad range of complex health and rehabilitative challenges they encounter. This article provides a research update on (a) conceptual and methodological considerations in measuring QOL and a related construct, health-related quality of life (HRQOL); (b) the state of the science in QOL and HRQOL for individuals with SB; and (c) gaps in the evidence and implications for future research. A synthesis of the literature was limited by the use of 17 different QOL and HRQOL instruments to measure these constructs and notable weaknesses in the most frequently used condition-specific HRQOL instrument. However, a tentative pattern of lower scores on the physical domain of HRQOL measures in individuals with SB in comparison to peers emerged, while discrepancies in emotional, social, and school domains varied by study. Recommendations for future research include using a lifespan approach to expand QOL studies to older adults with SB and focusing on intervention research to prevent or treat decreased HRQOL. © 2010 Wiley-Liss, Inc. Dev Disabil Res Rev 2010;16:47–59.","PeriodicalId":55176,"journal":{"name":"Developmental Disabilities Research Reviews","volume":"16 1","pages":"47-59"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ddrr.96","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28944041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 84

Urologic management of spina bifida 脊柱裂的泌尿外科治疗

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.92

Douglass B. Clayton, John W. Brock III, David B. Joseph

{"title":"Urologic management of spina bifida","authors":"Douglass B. Clayton, John W. Brock III, David B. Joseph","doi":"10.1002/ddrr.92","DOIUrl":"10.1002/ddrr.92","url":null,"abstract":"The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity, low-pressure urinary reservoir. Ensuring adequate bladder and bowel continence is also paramount for enhancing self-esteem and independence. Medical therapy incorporating clean intermittent catheterization and antimuscarinic medication is the cornerstone of neurogenic bladder management and often the only intervention required to achieve the above goals. Others may require formal lower urinary tract reconstruction to prevent urinary tract deterioration. As will be shown, current management, while effective, is not supported by strong evidence-based protocols; and the impact of any intervention upon quality of life, while subjectively seen as positive, does not have objective validation. These limitations are recognized and currently the subject of urologic investigation. © 2010 Wiley-Liss, Inc. Dev Disabil Res Rev 2010;16:88–95.","PeriodicalId":55176,"journal":{"name":"Developmental Disabilities Research Reviews","volume":"16 1","pages":"88-95"},"PeriodicalIF":0.0,"publicationDate":"2010-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ddrr.92","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28944046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 54

Introduction: Spina bifida—A multidisciplinary perspective† 导读:脊柱裂-多学科视角†

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.101

Jack M. Fletcher, Timothy J. Brei

引用次数: 79

Optimizing health care for adults with spina bifida 优化成人脊柱裂患者的医疗保健

Developmental Disabilities Research Reviews Pub Date : 2010-04-20 DOI: 10.1002/ddrr.99

Thomas S. Webb

引用次数: 45