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The Myelomeningocele Functional Classification (MMFC)
The Myelomeningocele Functional Classification (MMFC)
Group
Functional hallmark
FMS classification
Assistive devices
MMFC1
Might retain iliopsoas function or not
Lack quadriceps function
Maximum 2,2,1
Walker
Hip spanning orthoses (RGO or HKAFO)
Wheelchair for long distances
MMFC2
Retain quadriceps and medial hamstrings function
Lack gluteus medius function
Maximum 3, 3, 3
Walker or crutches
HKAFOs or AFOs
MMFC3
Retain quadriceps and gluteus medius function
Lack gastrocnemius-soleus function
Maximum 5, 5, 5
No external support
AFOs only
MMFC4
Retain quadriceps and gluteus medius function
Retain gastrocnemius-soleus function
Maximum 6, 6, 6
No external support
SMOs, insoles, or nothing
FMS: Functional Mobility Scale; RGO: reciprocating gait orthosis; HKAFO: hip-knee-ankle-foot orthosis; AFO: ankle-foot orthosis; SMO: supramalleolar orthosis.
Republished with permission of the British Editorial Society of Bone & Joint Surgery, from Dias LS, Swaroop VT, de Angeli LRA, et al. Myelomeningocele: A new functional classification. J Child Orthop 2021; 15:1; permission conveyed through Copyright Clearance Center, Inc. Copyright © 2021.
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