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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Factors Associated With Ambulation and Transfer Ability A Study From the National Spina Bifida Patient Registry
American journal of physical medicine & rehabilitation, v 101(7), pp 652-658
01 Jul 2022
PMID: 34508059
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives
This study used a spina bifida electronic medical record and the National Spina Bifida Patient Registry to explore the relationship between neurosurgical/orthopedic surgeries and other variables on ambulation and transfer ability over time in individuals with spina bifida.
Design
This study was an analysis of longitudinal data collected within the National Spina Bifida Patient Registry and spina bifida electronic medical record. Logistic regression models were used to determine which variables were associated with ambulation/transfer ability in the myelomeningocele (MMC) and non-MMC populations.
Results
Longitudinal data from 806 individuals were collected. In the MMC group, decreased ambulation ability was associated with higher motor levels, tethered cord releases, spine/scoliosis surgeries, hip orthopedic surgeries, and having supplemental insurance. Increased ambulatory ability was associated with lower motor levels, tibial torsion/related surgeries, ankle/foot surgeries, being female, and being non-Hispanic/Latinx. Decreased transfer ability was associated with being Hispanic/Latinx and having higher motor levels. Lower motor level and ankle/foot surgeries were associated with increased transfer ability. No significant associations were found in the non-MMC group.
Conclusions
Motor level is an important predictor of ambulation and transfer ability in MMC. Surgeries distal to the knee were associated with higher levels of function; surgeries proximal to the knee were associated with lower functional levels.
Metrics
Details
- Title
- Factors Associated With Ambulation and Transfer Ability A Study From the National Spina Bifida Patient Registry
- Creators
- Nicholas L. Benjamin - Drexel UniversityGina McKernan - University of PittsburghSara Izzo - University of PittsburghTheresa M. Crytzer - University of PittsburghGerald H. Clayton - Children's Hospital ColoradoPamela E. Wilson - Children's Hospital ColoradoAmy J. Houtrow - Univ Pittsburgh, Dept Phys Med & Rehabil, Sch Med, Pittsburgh, PA USABrad E. Dicianno - Univ Pittsburgh, Dept Phys Med & Rehabil, Sch Med, Pittsburgh, PA USA
- Publication Details
- American journal of physical medicine & rehabilitation, v 101(7), pp 652-658
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Grant note
- Rehabilitation Research Experience for Medical Students (RREMS) Program DD000736; DD000738; DD000740; DD000743; DD000766; DD000774; DD001057; DD001062; DD001063; DD001065; DD001069; DD001071; DD001072; DD001073; DD001074; DD001078; DD001080; DD001082; DD001091; DD001093 / National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000811372000013
- Scopus ID
- 2-s2.0-85132454417
- Other Identifier
- 991021861207204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Rehabilitation
- Sport Sciences