The relationship between motor function, cognition, independence and quality of life in myelomeningocele patients

ABSTRACT Motor function, cognition, functional independence and quality of life have been described in myelomeningocele patients, but no study has investigated their relationships. We aimed to investigate the relationships between motor function, cognition, functional independence, quality of life,...

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Published in:Arquivos de neuro-psiquiatria 2017-08, Vol.75 (8), p.509-514
Main Authors: Luz, Carolina Lundberg, Moura, Maria Clara Drummond Soares de, Becker, Karine Kyomi, Teixeira, Rosani Aparecida Antunes, Voos, Mariana Callil, Hasue, Renata Hydee
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Child
Child, Preschool
cognition
Cognition - physiology
Cognition Disorders - psychology
Disability Evaluation
Female
Humans
Hydrocephalus - complications
Independent Living
Male
meningomyelocele
Meningomyelocele - psychology
Motor Skills - physiology
NEUROSCIENCES
Psychiatric Status Rating Scales
PSYCHIATRY
quality of life
Quality of Life - psychology
Statistics, Nonparametric
Young Adult
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Summary:ABSTRACT Motor function, cognition, functional independence and quality of life have been described in myelomeningocele patients, but no study has investigated their relationships. We aimed to investigate the relationships between motor function, cognition, functional independence, quality of life, age, and lesion level in myelomeningocele patients, and investigate the influence of hydrocephalus on these variables. We assessed 47 patients with the Gross Motor Function Measure (motor function), Raven’s Colored Progressive Matrices (cognition), Pediatric Evaluation of Disability Inventory (functional independence) and the Autoquestionnaire Qualité de vie Enfant Imagé (quality of life). Spearman’s correlation tests determined relationships between the variables. The Friedman ANOVAs determined the influence of hydrocephalus. Motor function was strongly related to mobility and lesion level, and moderately related to cognition, self-care and social function. Cognition and quality of life were moderately related to functional independence. Age correlated moderately with functional independence and quality of life. Hydrocephalus resulted in poorer motor/cognitive outcomes and lower functional independence.
ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/0004-282X20170088