Stage 5 spina bifida management encourages which of the following regarding physical activity?

• A. Sedentary behavior
• B. Avoid endurance activities
• C. Encourage activity and sports
• D. High-impact only supervised by parents

Answer: (C)

Regular physical activity is encouraged because it supports cardiovascular health, strengthens muscles, helps with balance and coordination, aids weight management, and boosts mood and independence. In Stage 5 spina bifida, the goal is to tailor activities so the person can participate safely and enjoy the benefits, using adaptive equipment and appropriate coaching or therapy as needed. Sedentary behavior is not recommended because prolonged inactivity leads to deconditioning, higher risk of obesity, and poorer overall health. Endurance-building activities are not inherently off-limits; with gradual progression, pacing, and suitable adaptations, they can improve stamina and function. High-impact activities aren’t required or universally appropriate, and supervision should involve qualified professionals along with family support, ensuring safety and comfort rather than focusing on a specific type of supervision.