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Neuromotor rehabilitation in spina bifida: the need of randomized controlled trials

  • Sara La Starza
  • Costanza Pazzaglia
  • Claudia Santilli
  • Claudia Rendeli
  • Luca Padua
Letter to the Editor

Dear Editor:

Spina bifida (SB), a neural tube defect occurring during the first month of gestation, affects approximately 1500 infants born annually. SB manifestations vary depending on the extent of closure failure and on the level of the spinal cord lesion ranging from benign small vertebral defect (SB occulta) to significant protrusion of the meninges and spinal cord within the sac with cerebral spinal fluid (myelomeningocele) [4].

The resulting impairments depend on the level of the lesion and can include muscle weakness, paralysis, impaired deambulation, loss of lower extremity sensation, loss of bladder or bowel function, and neurobehavioral alteration.

Despite the large amount of articles and randomized controlled trials (RCTs) on neurocognitive features, incontinence disorders and quality of life in SB, the indications concerning neuromotor rehabilitation still lack. In order to assess the evidences on rehabilitation in SB, we performed a research on PubMed by using the...

Notes

Acknowledgements

The authors acknowledge Campagnola Benedetta, Chicco Alessia, Cricenti Laura, and Fiori Maria.

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest.

References

  1. 1.
    Aizawa CY, Morales MP, Lundberg C, Moura MC, Pinto FC, Voos MC, Hasue RH (2017) Conventional physical therapy and physical therapy based on reflex stimulation showed similar results in children with myelomeningocele. ArqNeuropsiquiatr 75(3):160–166Google Scholar
  2. 2.
    Al-Oraibi S, Tariah HA, Alanazi A (2013) Serial casting versus stretching technique to treat knee flexion contracture in children with spina bifida: a comparative study. J Pediatr Rehabil Med 6(3):147–153PubMedGoogle Scholar
  3. 3.
    de Groot JF, Takken T, van Brussel M, Gooskens R, Schoenmakers M, Versteeg C, Vanhees L, Helders P (2011) Randomized controlled study of home-based treadmill training for ambulatory children with spina bifida. Neurorehabil Neural Repair 25(7):597–606CrossRefGoogle Scholar
  4. 4.
    McComb JG (2015) A practical clinical classification of spinal neural tube defects. Childs Nerv Syst 31(10):1641–1657CrossRefGoogle Scholar
  5. 5.
    Stark C, Hoyer-Kuhn HK, Semler O, Hoebing L, Duran I, Cremer R, Schoenau E (2015) Neuromuscular training based on whole body vibration in children with spina bifida: a retrospective analysis of a new physiotherapy treatment program. Childs Nerv Syst 31:301–309CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Sara La Starza
    • 1
  • Costanza Pazzaglia
    • 1
  • Claudia Santilli
    • 2
  • Claudia Rendeli
    • 3
  • Luca Padua
    • 1
    • 2
  1. 1.Geriatrics, Neuroscience, Orthopaedics, Head and Neck Department, IRCCSFondazione Policlinico Universitario A. GemelliRomeItaly
  2. 2.IRCCS Fondazione Don Carlo GnocchiMilanItaly
  3. 3.Spina Bifida Center, Department of Science of the Health of Women and Children, IRCCSFondazione Policlinico Universitario A. GemelliRomeItaly

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