What is our role in Stage 3 spina bifida?

• A. Promote head and trunk control - core stability; Prone progression; UE strength; Early weight-bearing on the lower extremities; Mobility - prone creeping/crawling; Sitting; Prevent deformities; LE strength
• B. Focus on feeding and nutrition
• C. Wheelchair training only
• D. No specific role

Answer: (A)

At this stage, the main goal is to build core stability and trunk control so the child can support upright activities and begin progressive mobility. Establishing head and trunk control provides a stable foundation for all movements, which is essential in spina bifida where posture and alignment can be affected. From there, a progression through prone activities helps develop the neck and back extensors, contributing to stability of the spine and pelvis.

Early weight-bearing on the lower extremities is emphasized because it supports bone density, joint alignment, and muscle strengthening while also providing proprioceptive input that aids motor learning. Prone progression and prone- supporting activities like creeping or crawling encourage coordinated use of the upper extremities and trunk, which ties into sitting skills. As sitting is achieved and refined, the child gains a functional base for exploration, play, and feeding skills in daily activities, and it sets the stage for more advanced mobility.

This approach targets the developmental sequence from stability to controlled mobility to functional tasks, aligning rehabilitation with how children naturally gain independent movement. While nutrition and other aspects are important, they do not capture the specific motor-development focus of Stage 3, which is why this option best fits the question.