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Rehabilitation Practice and Science

Translated Title

脊髓發生不良病患主要問題之探討

Abstract

For the better understanding of problems of patients with spinal dysraphism, 51 cases were studied retrospectively by questionnaire, telephone and clinical followup. They had been admitted to Taipei Area Chang Gung Memorial Hospital from Jan 1983 to Dec. 1989Among them 24 patients were male and 27 were female. Their age distribution were from 2 to 39 years old. Thirty patients with meningomyelocele, 5 of them had hydrocephalus; 14 with tethered cord; 7 patients had meningomyelocele with tethered cord; only one case had Arnold Chiari Malformation. The locations of lesion were by sequence; lumbar region 30 cases, (58.8%), sacral region 18 cases, (35.3%), 2 cases in cervical region, and only one case at coccyx region. There were 31 patients fulfilled the questionnaire, among them, 22 cases could walk independently, but with a shorter distance by comparison to peers; 7 patients need walking aid; 2 patients were unable to stand or walk; but only one of them had a wheelchair. All of the patients had the problems of neurogenic bowel and bladder; only 16 patients receiveld rehabilitation program (31.3%). There were 12 patients who came back for clinical followup. Three of them had bowel and bladder dysfunction only, while other 9 cases had obvious lower limbs motor dysfunction. Seven patients had foot deformities; one received bilateral below knee amputation because of osteomyelitis in calcaneal bones. Only 1 patient has severe mental retaidation. Some of them had the experience of being ridiculed at school because of their disabilities.

Language

Traditional Chinese

First Page

155

Last Page

161

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