In adolescence to young adulthood, which mobility trend may occur for many individuals with spina bifida?

• A. They often become wheelchair-independent
• B. They often become more reliant on a wheelchair
• C. They no longer require aerobic activity
• D. Wheelchair fit becomes static

Answer: (B)

As adolescents with spina bifida move into young adulthood, mobility often shifts toward using a wheelchair more consistently. Over this life stage, factors like progressive scoliosis and orthopedic deformities, leg weakness, fatigue, and changes in body weight or conditioning can make walking less efficient and more tiring. Even if someone could walk earlier, these changes can lead to needing a wheelchair for longer distances or for daily activities, so become more reliant rather than completely independent in mobility.

Wheelchair fit changing and the ongoing need for aerobic activity are important points too. Growth and posture changes mean seating and fit often need adjustment, not a static setup, and staying active with appropriate aerobic activity remains essential for health. Becoming wheelchair-independent isn’t the typical trend for many individuals in this group, and aerobic activity continues to be important rather than unnecessary.