Understanding Physical Therapy for Spina Bifida in Children

Understanding Physical Therapy for Spina Bifida in Children
This is a Pediatric Orthopedic Blog
The blog is published by 21 Sep, 2026

To help children with spina bifida develop effective, purposeful movement that can be incorporated into daily activities, the physiotherapist’s role in early intervention is crucial. 

Children can achieve greater independence as they grow by maximizing and maintaining their mobility. 

First, the physiotherapist will assess the infant’s range of motion and muscle strength at various joints. This enables the physiotherapist to evaluate muscle strength and weakness, establishing a baseline measurement to use as the child grows. 

It will also help the physiotherapist to determine the difficulties the infant might face as they grow older and what assistive technology they may require.

How Physical Therapy Helps in Managing Spina Bifida

For anyone with spina bifida, a physical therapist is a vital partner in supporting their health, mobility, and overall well-being. This includes individuals with different forms of the condition, such as spina bifida occulta, who may require physiotherapy based on their specific symptoms and functional needs. 

Throughout all phases of life, physical therapists assist both children and adults in gaining and maintaining mobility. Additionally, they play an essential role in educating and guiding families on how to support individuals with spina bifida and encourage greater independence in everyday activities.

They instruct carers on how to promote safe and efficient mobility. Additionally, they can teach families how to turn daily activities, such as getting dressed or leaving the house, into opportunities to move, stretch, or carry weight properly. 

To meet the individual needs of every patient, physical therapists collaborate with other medical professionals. The focus of spina bifida treatment will change from early childhood to maturity. 

Your child will get a comprehensive evaluation by your physical therapist, which will include: 

Birth and Developmental Background

Your physical therapist will enquire about your child’s birth and growth. This will entail finding out how old your child was when they sat up, rolled over, crawled, walked, and so on. Additionally, they will enquire about any procedures your child may have undergone for the symptoms of spina bifida. 

General Health Inquiries

Your child’s overall health will be discussed with your physical therapist. Questions concerning previous physicians and specialists on your child’s care team may be among them. They will inquire about your child’s hospital stays, spina bifida physical therapy sessions, allergies, and injuries. 

Physical Examination

Observing your child’s movements is part of the physical examination. Additionally, your physical therapist will perform a hands-on evaluation. This will involve evaluating coordination, bone alignment and posture, muscle strength and flexibility, and balance. Additionally, they might assess your child’s sense of touch and motor skills at or below the level of deficiency. 

Tests of Motor Development

To assess your child’s motor development, your physical therapist will do certain tests. will see whether they are able to walk, sit, crawl, and pull themselves up to stand. Additionally, they might assess your child’s hand-eye coordination, eyesight, language, and cognitive abilities. This will help them determine whether your child requires additional support services. 

Recommendations

Your child may be referred to additional medical professionals by your physical therapist, particularly when they have a specific type of spina bifida, such as meningocele. To address your child’s individual requirements, the physical therapist will collaborate closely with your medical team. 

This coordinated approach helps ensure that your child receives comprehensive care and the best available treatment for their specific needs. The medical disorder known as spina bifida is quite complicated. All members of the healthcare team must communicate with one another.

Why Exercise is Important

Exercise is beneficial as it:

  • Enhance physical fitness, balance, and coordination; 
  • Maintain and grow flexibility; 
  • Build muscle strength and posture; 
  • Assist in reaching and maintaining a healthy weight; 
  • Elevate mood; 
  • Aid in relaxation and stress reduction; 
  • Relieve constipation; 
  • Offer chances for friendships, independence, and increased self-esteem. 

Even if they do not use a wheelchair for daily movement, many children with spina bifida, including those with myelomeningocele, may frequently use one for sports, physical exercise, or other recreational activities. Wheelchair use can provide children with greater mobility, support, and independence as they participate in activities they enjoy.

Physiotherapy Assessment – What to Expect

Health and Developmental Background

The child’s type of spina bifida, prior operations, health issues, developmental milestones, and present worries may all be enquired about by the physiotherapist. The assessment might also be guided by details about the child’s activities and daily schedule. 

Joint Motion and Muscle Strength

The therapist assesses joint range of motion, muscle tone, muscle strength, and muscle flexibility. These elements may affect a child’s ease of sitting, standing, walking, and other movements.

Evaluation of Mobility and Balance

The physiotherapist may observe the child crawling, sitting, standing, walking, transferring, and balancing, depending on the child’s abilities. The safety and efficacy of the child’s use of mobility devices, such as braces, walkers, crutches, or wheelchairs, may also be evaluated. 

Coordination and Posture

The therapist looks at posture, coordination, movement control, and body alignment. This can help determine which areas might benefit from specific exercises or positioning techniques.

Daily and Functional Activities

Everyday actions including getting up from a chair, moving across surfaces, playing, dressing, or taking part in school activities could be included in the assessment. 

Spina Bifida Physiotherapy Goals

Boost Muscle Power

Specific workouts can improve control during movement and strengthen the working muscles. Maintaining muscle strength can make daily tasks easier to handle.

Encourage Independence and Mobility

The goal of spina bifida physical therapy is to support the development and maintenance of children’s functional mobility. This could involve enhancing abilities such as rolling, sitting, crawling, standing, walking, or using a wheelchair securely and independently, depending on their capabilities.

Keep Joints Flexible

Maintaining a proper range of motion in the joints can be facilitated by regular stretching and activity. This could facilitate mobility and reduce the likelihood of muscle stiffness or tightness. 

Boost Coordination and Balance

Children can improve their balance, coordination, posture, and body control through exercises and movement activities, which promote safer movement during play, at home, and at school.

Encourage Good Alignment and Posture

To encourage effective movement and reduce unnecessary strain on the body, physiotherapists may focus on body alignment and positioning.

Promote Involvement in Everyday Activities

Encouraging kids to engage in age-appropriate play, school routines, self-care, and social activities is a key objective. 

Make an Appointment with Trishla Ortho Right Now

Does your child suffer from spina bifida? Would you like more information about how spina bifida physical therapy might benefit your child? Our goal at Trishla Ortho is to lessen your child’s symptoms and reduce their risk of complications. Make an appointment to help your child reach their full potential!

FAQ’s

How can physical therapy help children with spina bifida?
Physical therapy can improve mobility, muscle strength, flexibility, balance, coordination, posture, and independence in daily activities.
What does a spina bifida physiotherapy assessment include?
It may include evaluating muscle strength, joint motion, balance, coordination, posture, mobility, developmental milestones, and everyday functional activities.
Why is exercise important for children with spina bifida?
Exercise can support physical fitness, flexibility, muscle strength, balance, coordination, healthy weight, relaxation, independence, and overall well-being.
What are the goals of spina bifida physical therapy?
Goals include improving mobility, maintaining joint flexibility, strengthening muscles, encouraging independence, improving coordination, and supporting participation in everyday activities.

Reviewed and Submitted by Dr. Jitendra Kumar Jain

Last updated on September 21, 2026

Dr.Jitendra Jain, MD and DNB (Orthopedics), president at Trishla Foundation, an NGO for treatment of cerebral palsy, and a Consultant Pediatric Orthopedic Surgeon & Cerebral Palsy Specialist at Trishla Orthopedic Clinic & Rehab Center.
Dr. J. K. Jain is a member of the general council at Dr. SMN university of rehabilitation, Lucknow, a member of the advisory board chief commissioner for PWD, Govt. of India (New Delhi), a member of the state disability research committee (U.P.), and a member of the committee of RCI, New Delhi. He has been awarded many awards, including the Dr.Bhagawan das memorial award, the spirit of humanity award, and the state govt. award for his services towards PWD, etc. Times of India has posted his work many times and mentioned him as one of the best doctors in the field of Pediatric Orthopedics. He helped many children recovering from cerebral palsy, just like comedian jay Chanikara, who is now able to stand and walk without any support, Abena, a Ghana girl with cerebral palsy, and many more. He also organized the National Wheelchair cricket tournament and created World’s first cerebral palsy village foundation in Prayagraj. He successfully treated 10,000+ children with various kinds of orthopedic disability, conducted 160+ free assessment camps, and produced a documentary film on cerebral palsy.

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