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Question
Posted by: jay | 2007/03/01

spina bifida

what is the role of a physiotherapist in the treatment of a 5 year old child who has spina bifida, scoliosis, hydrocephalus and talipes equinovarus. the lesion is at level L3-L4. which activities would you recommend to the parents and why.

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Our expert says:
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Much depends on the assessment of the individual as to what can be done and the value of physiotherapy in this case

Apologies for very slow response time

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Our users say:
Posted by: Julie | 2007/03/02

A physio can give alot of advice to parents and children with spina bifida.
First of all, as you mentioned, children with spina bifida will often have a lot of orthopaedic problems (such as scoliosis, clubfoot, etc). These can be treated both pre and post operative by a physio with exercises and stretches. They can also help with prevention and aids (such as splints).
A physio may also help with walking, crawling, etc.
A physio may also help a parent in potty training. This may also be done by a specialist- but believe me potty training is possible if the child has a reasonable mental capacity so don't let any tell you it isn't.
It would be advisable to visit a physio that specialises in children, and spina bifida and cerebral palsy in particular. They would have the most knowledge about what should and can be done.
Good Luck!!

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