7. Application of principles
7.3 Self-test:
Child with spina bifida
MW is a 7 year, 10
month old male with spina bifida (myelomeningocele)
in the high lumbar area. Physical activity is limited, but MW is able
to use his arms and shoulders. He is unable to stand, so a stature measurement
cannot be taken.
Which
alternative to stature is most appropriate?
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MW's stature
was approximated using arm span. His measures were:
Arm span: 127
cm (50 in); 50-75th percentile
Weight 30 kg (64.25 lb); 75-90th percentile
Because arm
span was used to approximate stature and there are no data to support
the use of arm span with BMI, BMI was not calculated. Triceps
skinfold measurements, along with mid-arm circumference measurements
were used to monitor MW's growth and assess his body composition.
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