Case Study - School Student - Spina Bifida

Symptoms

N.G. is a child with spina bifida, which has resulted in partial paralysis of his legs from his knees down. His lower legs are moved by his quadriceps, which are weak, as are the other extensors. He is incontinent for both bowel and bladder, and he has had many surgical operations for his dislocated hips and back, which have failed. Each hospitalisation has meant long months of inactivity, and travel, and being removed from all normal activity. When an operation fails, he is even further behind his peers. N.G. is very cheerful and accepting, positive and co-operative which defines his courage and the intense commitment of his parents especially his mother, who cares for this highly dependent boy.

Introduction to the Saddle Seat

N.G.'s occupational therapist recommended the Bambach Saddle Seat, as she felt that, among other benefits, the seat offered one of the most important ones for N.G. - it helps him attain and maintain correct posture. This is especially significant for N.G., as it is important to avoid further physical impairment of his spine (to add to his existing physical difficulties). The seat he uses is a cut down, black vinyl with a back, an 80mm drop through stem, 3 locking castors and a washable, real sheepskin cover.

Result

On the Bambach Saddle Seat N.G. feels and is secure (he slides forward and off a conventional seat). The Bambach Saddle Seat anchors his pelvis, allowing him to assume and maintain an upright, active posture. On a flat seat, N.G. has to prop on his elbows to write; on the Bambach Saddle Seat his functional ability is improved (such as when reaching, manipulating toys and educational equipment as well as pushing with his legs and feet). On the Bambach Saddle Seat he can lean forward, rotate and flex from his hips. He uses the movement he has in his legs to move about and position himself for the task at hand.

His occupational therapist feels that his back and abdominal muscles will tone up and improve his ability to maintain his posture without so much support.