Is strengthening prioritized in school-age interventions, especially when there is a risk of losing function?

• A. Yes, strengthening is always implemented, especially when at risk
• B. No, never
• C. Only after surgery
• D. Only in adults

Answer: (A)

Strengthening is emphasized in school-age interventions because keeping muscles strong supports ongoing function and participation as children grow and stay active. In spina bifida, nerve involvement and musculoskeletal changes can put a child at risk for functional decline if strength isn’t maintained. A focused strengthening program helps preserve walking ability, balance, and independence with daily tasks like transfers, stairs, and standing tolerance, while also reducing fatigue and the risk of secondary problems such as contractures.

This approach is preventive and developmental, aligning with the needs of school-age children who are expanding their activities and responsibilities. It’s not limited to after surgery or to adults; rather, strengthening is routinely prioritized to maintain function whenever there is a risk of loss of function.