In a child with spina bifida, what are typical OT goals related to mobility and seating?

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In spina bifida, trunk and core control are foundational for safe and efficient mobility and seating. OT aims to establish and maintain stable trunk control and proper alignment of the pelvis and spine so the child can sit upright with a balanced base, tolerate long seating, and propel, transfer, or reposition safely. When trunk control is improved and alignment is supported, the child has better postural stability, reduced risk of pressure injuries, and more effective and comfortable mobility and seating overall. The other options don’t address these mobility-seating priorities—appetite is a nutritional goal, handwriting without seating adjustments overlooks the impact of posture on function, and decreasing social participation would not be a therapeutic objective.