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Year : 2018  |  Volume : 50  |  Issue : 4  |  Page : 139-144

Effects of specially designed early self-mobility chair on functional independence in a child with myelomeningocele

1 Clinical Occupational Therapist, Occupational Therapy Department, LTMMC & GH Sion, Mumbai, Maharashtra, India
2 Assistant Professor, Occupational Therapy Department, LTMMC & GH Sion, Mumbai, Maharashtra, India
3 Incharge and Associate Professor, Occupational Therapy Department, LTMMC & GH Sion, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Suhas Sudam Bongade
Shree Chamunda Harmony, Awing 503, Plot No. 68A, 69 and 69A, Sector 18, Kamothe, Navi Mumbai - 410 209, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijoth.IJOTH_15_18

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Myelomeningocele (MMC) which is the most common neural tube defect not only significantly limits mobility and further exploration of environment but also remarkably limits social, perceptive, and cognitive development of the child. Furthermore, it makes the child dependent for activities of daily living and subsequently affects quality of life of the child and caregiver. This is a case report of 2½-year-old child diagnosed with L1 level MMC, with significant motor impairment but good cognitive skills and fair upper extremity functions. No further milestones were achieved due to inactivity, disuse, and prolonged hours of lying down postures, despite nil neurological deficits in the upper body. The child was intervened for improving his upper extremity and upper trunk strength and endurance. Thereafter, a specially designed mobility chair was fabricated and introduced to him with organized and structured in-hospital training. The chair advantageously instilled upper extremities' functional mobility and cognition functional activities and thus made it possible for him to explore the surroundings as freely as other children of his own age. The objective of the intervention was to improve his mobility and to find out its significance on independence using the International Classification of Functioning, Disability, and Health model and its effect on parental stress level. The child's mobility improved significantly, social interaction became evident, and thereby, independence was achieved at the end of 1 year of therapy. For this child, the chair proved to be beneficial as an early mobility aid. A research study on suitable sample size to prove the hypothesis generated in the case report as statistically significant is suggested.

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