{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:04:55Z","timestamp":1768885495858,"version":"3.49.0"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,22]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Meningomyelocele is a congenital defect resulting from the incomplete closure of the neural tube during embryonic development, making it the most common structural birth anomaly of the central nervous system. Over time, these deformities can progress to the knee and ankle joints due to the development of contractures. In addition, rotational deformities of the lower extremities are also seen. This study outlines a mid-childhood female with a complaint of fixed knee flexion and a spastic equinovarus deformity that has been affecting her walking and performing activities of daily living for the past 8 years. She had a history of operated meningomyelocele closure surgery and subsequent ventriculoperitoneal shunt surgery for hydrocephalus in situ at the age of 1 year old. Preoperative physiotherapy management was prescribed to educate, rehabilitate and minimise complications associated with postoperative rehabilitation and to minimise dependency for daily living activities, which will further improve quality of life.<\/jats:p>","DOI":"10.1136\/bcr-2025-270242","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T16:20:21Z","timestamp":1768839621000},"page":"e270242","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative physiotherapy rehabilitation of lower limb deformities secondary to meningomyelocele in mid-childhood"],"prefix":"10.1136","volume":"19","author":[{"given":"Palak","family":"Edwani","sequence":"first","affiliation":[{"name":"Paediatric Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharasthra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2926-5609","authenticated-orcid":false,"given":"Sharath","family":"Hullumani","sequence":"additional","affiliation":[{"name":"Paediatrics and Neonatal Physiotherapy, Ravi Nair Physiotherapy College, Wardha, MH, India"},{"name":"Vice Dean R&D, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"2026011908201720000_19.1.e270242.1","article-title":"Meningomyelocele Perioperative Management in Neonatal: Case Series","volume":"11","author":"Suryaningrat","year":"2024","journal-title":"Children (Basel)"},{"key":"2026011908201720000_19.1.e270242.2","article-title":"Unruptured Myelomeningocele Closure Surgery: A Case Report","volume":"16","author":"Duarte","year":"2024","journal-title":"Cureus"},{"key":"2026011908201720000_19.1.e270242.3","article-title":"Double the Diagnosis: A Case Report of Dizygotic Twins With Meningomyelocele","volume":"16","author":"Ina","year":"2024","journal-title":"Cureus"},{"key":"2026011908201720000_19.1.e270242.4","first-page":"197","article-title":"Surgical Management of Hip Problems in Myelomeningocele: A Review Article","volume":"4","author":"Baghdadi","year":"2016","journal-title":"Arch Bone Jt Surg"},{"key":"2026011908201720000_19.1.e270242.5","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-009-0214-5"},{"key":"2026011908201720000_19.1.e270242.6","first-page":"137","article-title":"Rehabilitation in a child with Chiari II malformation, lumbosacral meningomyelocele, achondroplasia and impaired respiratory regulation - a case report and literature review","volume":"18","author":"Nei\u00dfkenwirth","year":"2025","journal-title":"J Pediatr Rehabil Med"},{"key":"2026011908201720000_19.1.e270242.7","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.wneu.2020.07.124","article-title":"Case Report of an Anterior Thoracic Myelomeningocele: A Multidisciplinary Approach to Surgical Management","volume":"143","author":"Antony","year":"2020","journal-title":"World Neurosurg"},{"key":"2026011908201720000_19.1.e270242.8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0253963","article-title":"Effect of photobiomodulation combined with physical therapy on functional performance in children with myelomeningocele: A protocol randomized clinical blind study","volume":"16","author":"Silva","year":"2021","journal-title":"PLoS One"},{"key":"2026011908201720000_19.1.e270242.9","first-page":"78","article-title":"Bilateral Knee Arthrodesis and Total Hip Arthroplasty for Knee and Hip Dysplasia Secondary to Spina Bifida: A Case Report","volume":"14","author":"Neitzke","year":"2024","journal-title":"J Orthop Case Rep"},{"key":"2026011908201720000_19.1.e270242.10","doi-asserted-by":"crossref","first-page":"e588","DOI":"10.1097\/BPO.0000000000001248","article-title":"Midterm Results of the Ponseti Method for Treatment of Clubfoot in Patients With Spina Bifida","volume":"38","author":"Arkin","year":"2018","journal-title":"J Pediatr Orthop"},{"key":"2026011908201720000_19.1.e270242.11","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1177\/0269215516628617","article-title":"The effectiveness of pre-operative exercise physiotherapy rehabilitation on the outcomes of treatment following anterior cruciate ligament injury: a systematic review","volume":"31","author":"Alshewaier","year":"2017","journal-title":"Clin Rehabil"},{"key":"2026011908201720000_19.1.e270242.12","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1007\/s00381-011-1388-y","article-title":"Fetal myelomeningocele surgery: preschool functional status using the Functional Independence Measure for children (WeeFIM)","volume":"27","author":"Danzer","year":"2011","journal-title":"Childs Nerv Syst"},{"key":"2026011908201720000_19.1.e270242.13","article-title":"Impact of Xsens Technology on Analysis of Gait Deviation in Pre- and Post-surgical Total Knee Arthroplasty Patient","volume":"16","author":"Chitlange","year":"2024","journal-title":"Cureus"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T16:20:22Z","timestamp":1768839622000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,19]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-270242"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270242","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}