You are evaluating a child with myelodysplasia (spina bifida) whose lesion is at L1-2. His parents are concerned that he is not able to keep up with his peers, even though he can walk with support of orthoses and forearm crutches. Your recommendation for mobility would include
A) continuing use of orthoses and forearm crutches in all environments so that he does not lose any additional abilities.
B) continued use of orthoses and forearm crutches indoors and a manual wheelchair that he can propel outdoors or over longer distances.
C) discontinuing use of orthoses and forearm crutches and using a manual wheelchair in all environments.
D) discontinuing use of orthoses and forearm crutches, using a manual wheelchair indoors, and using a power wheelchair outdoors.

Question

Quizplus · Accepted Answer

Children may use a combination of mobility aids depending on environmental demands. A child may use a walker in home and school environments to walk short distances within rooms, but may use a power wheelchair for community and outside mobility where longer distances of greater duration are required. Using only orthoses and crutches or only a wheelchair is inappropriate based on the information provided.

You Are Evaluating a Child with Myelodysplasia (Spina Bifida) Whose