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What Are Developmental Considerations For Activities of Daily Living In Children And Adolescents With Spina Bifida?

Rachel Galant, MSNM, OTR/L, Debbie Victor, OTD, OT/L

February 20, 2017

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Question

What are developmental considerations for activities of daily living in children and adolescents with spina bifida?

Answer

This has been an area we've been looking at recently. In the clinic setting especially, we don't have too much time with our families because of all the providers that they see; so we've been looking for a quick screen for executive functioning that might help us be attuned to some of their issues. For those who come here for therapy, where we have more time, we work closely with our speech language pathologists who perform an executive function and cognition battery. So that's been helpful in identifying some of the areas; and helping our clients have more awareness of some of their challenges so that they know what kinds of strategies they can employ when they're working on those tasks.

Debbie did just participate in a camp that coincidentally, we had last week, and we've run different types of spina bifida camps over the last several years. In the past, the ones that I was involved in focused on activity and sports, as well as integration into the community; this recent camp focused more on transition. The camp was four days. It had three participants this year, and it was focused on a lot of the transition skills that we talked about. I think it was beneficial in helping the children with planning and executing a lot of those tasks. They went into the community, visited different colleges to talk about their accommodations. They planned and made all their meals, and they talked to different providers here as well. It was a great experience. We're hoping to expand it to more camps, and possibly to a weekly group format because they gained a lot of information and skills from that.


rachel galant

Rachel Galant, MSNM, OTR/L

Rachel Galant has been practicing as an OT for almost 15 years. She received her bachelors degree in OT in 2001 from UW- Madison and subsequently received her masters degree in nonprofit management from Spertus College in Chicago. She has worked in therapeutic day school, rehabilitation hospital and acute care, and most recently, Shriners Hospitals for Children – Chicago for the last 10 years. As a clinician at Shriners, Rachel staffed the spina bifida clinic for 7 years, where she became very interested in the topic of self-catheterization teaching. She is currently rehabilitation director at Shriners and loves her work and the mission of the organization.


debbie victor

Debbie Victor, OTD, OT/L

Debbie Victor received her doctorate of occupational therapy from the University of Illinois at Chicago in 2008.  She has worked in pediatric rehabilitation and and therapeutic day school settings.  Throughout her career, she has worked with youth with disabilities in the area of transition, supporting them to work towards a productive and independent adult life.  Debbie currently works at Shriners Hospitals for Children-Chicago, where she is a member of the spina bifida team.


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