Spina bifide MMC early age physiotherapy

[esenga]

Dear, colleagues!
Please explain different experience in your counties for treatment strategy (physioand methods, orthosis - long, short, mobile or unmobile, kateters using) aspects of verticalization for spina bifida MMC (shunt, damage L5,S1) for 1 year old girl. She can creep, sit, have good balance in the sitting position, can stand on the knees and stand whith holding at the chair - valgus position of foots) In the present day I have some apprehension about further strategy. Thank you!

Similar Threads:

• Is there an age limit to working in Australia or Canada?
• cervical spondylosis at the age of 18 ?
• Practising as a PT till retirement age for a lady

[estherderu]

dear Esenga,

In general:
For information about what is going on worldwide I recommend
Home-IF Spina Bifida Hydrocephalus /Hydrocefalie

The lancet is another source of information:spina bifida - Search Results : TheLancet.com

An excellent source on goals and strategies and specific treatment possibilities is: Physical Therapy for Children 3rd edition Campbell, Vanderlinden & Palisano.

It is not easy to explain the different treatment options in the countries I have worked in (Holland,Germany,Spain).
Treatment depends on lots of variables:
- the exact diagnosis and its prognosis
- the time and frequency of treatment
- patients´ financial possibilities
- the countries financial health support systems
- you own therapeutic expertise and therapeutic qualities.......
- the knowledge of all health professionals about what physiotherapists can do for these patients
- team work with the parents / caregivers

Esther

[esenga]

How about functional orthosis for knee and ankle. Is it possible make for 1,5 year old patient in your country? Do you have some contacts or sites of orthosis company?

[estherderu]

dear colleague,

I would ask that very question to the people at the IG global website.
It is in the first link I sent you.
This is a big organisation with lots of expert knowledge.
Ask them, they are the experts,

Esther