Orthosis and assistive devices are initiated when the child demonstrates the ability to pull to tall kneel or stand. Which option correctly states this initiation condition?

Orthosis and assistive devices are initiated when the child demonstrates the ability to pull to tall kneel or stand. Which option correctly states this initiation condition?

• A. After they begin to walk independently
• B. Once they demonstrate ability to pull to tall kneel or stand
• C. After they start running
• D. When they reach age five

Answer: (B)

Initiation of orthoses and assistive devices is guided by a functional milestone that shows the child can assume an upright posture with some weight-bearing control. When a child with spina bifida can pull to tall kneel or stand, it demonstrates enough lower-extremity strength, hip and knee extension, and trunk balance to benefit from standing-oriented supports. This readiness allows the devices to aid standing and early gait rather than waiting for a later, unrelated milestone. Waiting for independent walking or for running or a specific age doesn’t reflect the child’s actual development stage, whereas pulling to tall kneel or stand directly indicates preparedness for orthotic use.

Initiation of orthoses and assistive devices is guided by a functional milestone that shows the child can assume an upright posture with some weight-bearing control. When a child with spina bifida can pull to tall kneel or stand, it demonstrates enough lower-extremity strength, hip and knee extension, and trunk balance to benefit from standing-oriented supports. This readiness allows the devices to aid standing and early gait rather than waiting for a later, unrelated milestone. Waiting for independent walking or for running or a specific age doesn’t reflect the child’s actual development stage, whereas pulling to tall kneel or stand directly indicates preparedness for orthotic use.