Closed neural tube defects: neurologic, orthopedic, and gait outcomes

Pediatr Phys Ther. 2007 Winter;19(4):288-95. doi: 10.1097/PEP.0b013e318158cf1e.


Purpose: The purpose of our study was to obtain a clear understanding of the various diagnoses within the closed neural tube defect (NTD) groups included in the large database of clients in our Spina Bifida Clinic and a clear picture of the outcomes for the various NTD groups.

Methods: One hundred and four clients with closed NTD were categorized using a classification system devised by Tortori-Donati et al. Various clinical markers were investigated, including ambulation and the need for orthoses and wheelchairs.

Results: Most clients are ambulatory, requiring an orthoses, but not a wheelchair, despite the high incidence of ankle/foot abnormalities.

Conclusions: This classification system has enhanced our knowledge of this group of clients, provided a greater understanding of the varied outcomes of these children and clinical management required.

MeSH terms

  • Child
  • Child, Preschool
  • Gait
  • Humans
  • Infant
  • Infant, Newborn
  • Neural Tube Defects / classification*
  • Neural Tube Defects / therapy
  • Orthopedic Procedures
  • Orthotic Devices
  • Physical Therapy Modalities*
  • Retrospective Studies
  • Treatment Outcome
  • Walking*