Purpose. To explore whether cognitive functioning in patients with meningomyelocele (MMC) is related to level of everyday physical activity. Method. In a cross-sectional study in 14 patients with MMC (aged 14-26 years) a neuropsychological test battery was administered to each patient. Everyday physical activity of the patients was measured with an accelerometry-based Activity Monitor (AM), and compared to 14 healthy comparison subjects. Results. Intellectual ability of 10 patients was in the normal range. For memory and verbal learning, executive functioning, divided attention and reaction speed subnormal scores were present in six or more patients. Time spent on dynamic activities was low in patients with MMC as compared to healthy subjects. After controlling for intellectual ability, we found that in patients with MMC (i) executive functioning was positively related, and (ii) word production was negatively related to everyday physical activity. Conclusion. We found some indication that specific impairments in executive functioning might be related to everyday physical activity of adolescents and young adults with MMC.

Adolescents, Meningomyelocele, Neuropsychological deficits, Physical activity
dx.doi.org/10.1080/09638280600551716, hdl.handle.net/1765/66835
Disability and Rehabilitation
Department of Rehabilitation Medicine

Roebroeck, M.E, Hempenius, L, van Baalen, B, Hendriksen, J.G.M, van den Berg-Emons, H.J.G, & Stam, H.J. (2006). Cognitive functioning of adolescents and young adults with meningomyelocele and level of everyday physical activity. Disability and Rehabilitation, 28(20), 1237–1242. doi:10.1080/09638280600551716