What is the goal in the preambulatory stage of spina bifida?

• A. Prepare for crawling by six months
• B. Prepare for walking by the end of the first year
• C. Stand independently by one year
• D. Learn to sit unsupported

Answer: (B)

In this stage, the focus in spina bifida rehab is on building the foundation for movement by establishing trunk control, postural stability, and the ability to tolerate upright positions. The goal is to prepare for walking by the end of the first year, since progressing from core control and upright tolerance to weight-bearing, balance, and stepping sets up the child for ambulation with or without assistive devices later on. This stage emphasizes sitting balance with support, alignment, and gradual exposure to standing activities so walking becomes feasible as development continues. Early milestones like crawling by six months or sitting unsupported happen earlier or are not the primary focus here, and standing independently by one year is a more advanced target that typically follows after foundational trunk and leg control has been established.