Biomaterial Database

Ambulation of children with myelomeningocele: parapodium versus parapodium with Orlau swivel modification. 1986

L K Lough, and D H Nielsen

The feasibility of ambulation for children with high spinal lesions is questionable because of the relatively high exercise intensity and energy cost required, so orthotics designed for ambulation must keep energy expenditure to a minimum. This study determined the self-selected walking velocity and maximum walking velocity of 10 paraplegic children using two orthotic devices, the parapodium and swivel walker, and compared the energy cost, gait efficiency and relative exercise intensity (per cent maximum heart-rate). Walking velocities were significantly higher with the parapodium, but energy cost and gait efficiency were significantly better with the swivel walker. Differences between the two devices in relative exercise intensity were not significant. Although walking velocity is slower, the lower metabolic cost appears to give the swivel walker an advantage over the parapodium.

UI	MeSH Term	Description	Entries
D008124	Locomotion	Movement or the ability to move from one place or another. It can refer to humans, vertebrate or invertebrate animals, and microorganisms.	Locomotor Activity,Activities, Locomotor,Activity, Locomotor,Locomotor Activities
D008297	Male		Males
D008591	Meningomyelocele	Congenital, or rarely acquired, herniation of meningeal and spinal cord tissue through a bony defect in the vertebral column. The majority of these defects occur in the lumbosacral region. Clinical features include PARAPLEGIA, loss of sensation in the lower body, and incontinence. This condition may be associated with the ARNOLD-CHIARI MALFORMATION and HYDROCEPHALUS. (From Joynt, Clinical Neurology, 1992, Ch55, pp35-6)	Myelocele,Myelomeningocele,Acquired Meningomyelocele,Myelomeningocele, Acquired,Acquired Meningomyeloceles,Acquired Myelomeningocele,Acquired Myelomeningoceles,Meningomyelocele, Acquired,Meningomyeloceles,Meningomyeloceles, Acquired,Myeloceles,Myelomeningoceles,Myelomeningoceles, Acquired
D009983	Orthopedic Equipment	Nonexpendable items used in the performance of orthopedic surgery and related therapy. They are differentiated from ORTHOTIC DEVICES, apparatus used to prevent or correct deformities in patients.	Equipment, Orthopedic,Equipments, Orthopedic,Orthopedic Equipments
D009989	Orthotic Devices	Apparatus used to support, align, or augment the functioning of parts of the body.	Orthoses,Orthosis,Parapodium,Device, Orthotic,Devices, Orthotic,Orthose,Orthotic Device,Parapodiums
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D004734	Energy Metabolism	The chemical reactions involved in the production and utilization of various forms of energy in cells.	Bioenergetics,Energy Expenditure,Bioenergetic,Energy Expenditures,Energy Metabolisms,Expenditure, Energy,Expenditures, Energy,Metabolism, Energy,Metabolisms, Energy
D005082	Physical Exertion	Expenditure of energy during PHYSICAL ACTIVITY. Intensity of exertion may be measured by rate of OXYGEN CONSUMPTION; HEAT produced, or HEART RATE. Perceived exertion, a psychological measure of exertion, is included.	Physical Effort,Effort, Physical,Efforts, Physical,Exertion, Physical,Exertions, Physical,Physical Efforts,Physical Exertions
D005260	Female		Females