Hello everyone.
Please i need help with a patient of mine.She's a 4yrs old girl,who had spinal bifida at birth.a surgery was done to correct it at 5 months of age.
She's now 4yrs old.she can stand without a back slab while holding on to a walking frame.The problem i have now is that her ankle are very unstable or wobbly.she has no muscle control at the ankles.
her treatment plan includes:
1. Electrical stimulation of the dorsiflexors, evertors & invertors
2. Propriceptive neuromuscular facilitation.
3. strengthening execises of the entire lower limbs
4. Balance training
5. Splinting

Please i need suggestion as to what else i can do to facilitate movement at the ankles & also encourage ambulation.

Thanks for all your anticipated responses.

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