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Muscle strength is measured with a hand-held myometer in upper and lower extremities in the following muscle groups: shoulder abductors, wrist extensors, grip strength, hip flexors, hip abductors, knee extensors, knee flexors, ankle dorsiflexors and calf muscles. Endurance is measured with the 6 minute walking test. The patients are instructed to walk at their own chosen walking speed from one side of the corridor to the other, turn and walk back. The total distance covered in 6 minutes is calculated. Exercise capacity is measured using a maximal exercise test on a treadmill ergometer and an expired gas analysis system (VO2 peak). The level of everyday physical activity is measured with a diary. Self-perceived motor competence is measured with the Dutch adaptation of the Harter SelfPerception Profile for Children. Data are analysed using independent samples T-tests.

Exercise tolerance, level of physical activity and muscle strength in independent ambulators with Sacral Myelomeningocele