Impact of a Standing Program in a Child With Spina Bifida: A Case Report

Impact of a Standing Program in a Child With Spina Bifida: A Case Report

The purpose of this case study is to investigate a child with MMC who has significant knee and hip flexion contractures to answer the following research questions: 1) Is a home standing program effective in reducing hip and knee flexion contractures in a child with MMC? 2) Does a home standing program result in a change in the quality of functional movement?

A Physical therapist, PT, will administer the Peds NRS and goniometric measurements prior to the start of the study and at the end of the study. The PT will also provide the parent instruction on the standing home program with weekly check-ins to ensure the parent and child are able to follow the home program. The home standing program will last 8 weeks. The parent will keep a written log of stander use. The Peds NRS scores and goniometric measurements will be compared pre and post intervention. The expected outcome is that the Peds NRS scores and hip and knee extension range of motion measurements will improve.

Inclusion Criteria:

• diagnosis of Spina Bifida
• be able to stand with an assistive device

Exclusion Criteria:

• a diagnosis unrelated to Spina Bifida that limits standing
• medical restrictions that contraindicate standing