{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T02:12:19Z","timestamp":1768875139810,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2026,1]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To determine the baseline pediatric reference values of the 6\u2010minute walk test (6MWT) distance (6MWD) across spina bifida functional lesion levels, the associations between the 6MWD and the distances of the 1\u2010minute and 2\u2010minute walk tests, and assess the impact of social determinants on the 6MWD.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n This prospective cohort study collected the 6MWD of 145 ambulatory children (72 male, 73 female; mean age\u2009=\u200911\u2009years 2\u2009months [range: 6\u2009years 0\u2009months\u201317\u2009years 11\u2009months]) with mid\u2010lumbar\u2010level (\n n<\/jats:italic>\n \u2009=\u200959), low\u2010lumbar\u2010level (\n n<\/jats:italic>\n \u2009=\u200928), and sacral\u2010level (\n n<\/jats:italic>\n \u2009=\u200958) myelomeningocele at a pediatric hospital. Proxies of social determinants included insurance type and Area Deprivation Index (ADI). Pairwise comparisons evaluated the 6MWD according to lesion level and myelomeningocele functional classification (MMFC) group.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean 6MWD was shorter for myelomeningocele at the mid\u2010lumbar versus low\u2010lumbar versus sacral lesion levels (\n p<\/jats:italic>\n \u2009<\u20090.001), and MMFC2 versus MMFC3 versus MMFC4 (\n p<\/jats:italic>\n \u2009<\u20090.001). The mean 1\u2010minute and 2\u2010minute walking distances were strongly associated with the 6MWD. Children with public insurance and a high ADI walked significantly fewer meters than children with private insurance (\n p\u2009=<\/jats:italic>\n \u20090.023) and a low ADI (\n p\u2009=<\/jats:italic>\n \u20090.048).\n <\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n Children with higher anatomical functional lesion levels walked shorter distances than those with lower levels and according to MMFC group. The 1\u2010minute and 2\u2010minute walk tests are adequate substitutes for the 6MWT. Lower socioeconomic status affecting decreased walking capacity merits interventions to maximize opportunities for activity.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dmcn.16397","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T03:29:03Z","timestamp":1750822143000},"page":"110-117","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Six\u2010minute walk test reference values in ambulatory children with myelomeningocele"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0187-5648","authenticated-orcid":false,"given":"Karina A.","family":"Zapata","sequence":"first","affiliation":[{"name":"Research Department, Scottish Rite for Children Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa H.","family":"Cooksey","sequence":"additional","affiliation":[{"name":"Care Management Utilization Department, Cook Children's Health Care System Fort Worth TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daralyn K.","family":"Fulton","sequence":"additional","affiliation":[{"name":"Research Department, Scottish Rite for Children Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayley B.","family":"Shelton","sequence":"additional","affiliation":[{"name":"Therapy Services, Scottish Rite for Children Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chan\u2010Hee","family":"Jo","sequence":"additional","affiliation":[{"name":"Research Department, Scottish Rite for Children Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard C.","family":"Adams","sequence":"additional","affiliation":[{"name":"Pediatric Developmental Disabilities Department, Scottish Rite for Children Dallas TX 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