Rehabilitation and medical management of the adult with spina bifida

Am J Phys Med Rehabil. 2008 Dec;87(12):1027-50. doi: 10.1097/PHM.0b013e31818de070.


.As the life expectancy of individuals with spina bifida increases, a lifelong need for management of many health issues in a rehabilitation setting has emerged in recent years. Physiatrists, in consultation with a variety of adult specialists, are particularly well suited to manage the common musculoskeletal, skin, bowel, bladder, renal, neurological, and other issues that arise in the adult population. This article reviews the last 20 yrs of literature pertinent to the rehabilitative care of this population, summarizes current evidence-based practice, and identifies key areas in which scientific evidence is lacking and future research is needed.

Publication types

  • Review

MeSH terms

  • Adult
  • Continuity of Patient Care*
  • Disease Management*
  • Humans
  • Meningomyelocele / complications
  • Meningomyelocele / psychology
  • Meningomyelocele / rehabilitation
  • Meningomyelocele / therapy*
  • Quality of Life*
  • Spinal Dysraphism / complications
  • Spinal Dysraphism / psychology
  • Spinal Dysraphism / rehabilitation
  • Spinal Dysraphism / therapy*