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- W2810196398 abstract "Abstract Myelomeningocele (MMC) and its associated conditions (lipomeningocele, diastematomyelia) is one of the most common disabling conditions of childhood, second only to cerebral palsy. Equipment and orthoses needed for ambulation vary widely for patients with MMC, depending largely on each patient's functional abilities. The functional ability level usually, but not always, corresponds with the anatomical level of the spinal dysraphism. Orthotic evaluation and interventions should be instituted as early as possible, especially when related to promoting developmental milestones and prevention of deformity. Skin precautions must be addressed with patients with MMC, because sensory deficits increase the risk of skin breakdown. An interdisciplinary team is best to provide comprehensive care for a patient with MMC, and this team should provide periodic reviews of orthotic and equipment needs. Specific musculoskeletal abnormalities that commonly warrant evaluation before and during the institution of an equipment and orthotic plan include (1) spinal deformities, (2) hip disorders, (3) knee flexion–extension contractures, and (4) foot and ankle deformities. This chapter is organized by anatomical level; the equipment and orthoses most likely to be helpful are categorized by thoracic, lumbar, and sacral level MMC." @default.
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- W2810196398 date "2019-01-01" @default.
- W2810196398 modified "2023-09-26" @default.
- W2810196398 title "Orthoses for Myelomeningocele" @default.
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- W2810196398 doi "https://doi.org/10.1016/b978-0-323-48323-0.00034-2" @default.
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