How to Transport a Child in a Spica Cast

Spica casts and children are not an easy combination. The cast is immobilizing and uncomfortable, let alone bulky and cumbersome. Some families might be able to stay home for agonizing weeks on end, but for a family on the go here are some tips to transporting a child in a spica cast.

Difficulty: Moderately Easy

Instructions

Things You'll Need:

• Wagon
• Duct tape
• Velcro strips
• Pillows
• Large foam pad
• Soft blanket or rug
• Larger reclining stroller

1. If you don’t have a sturdy wagon, buy or borrow one. Using your child’s favorite color, decorate the wagon.

2. 
    
   Girl with spica cast in decorated wagon

   Start with a layer of thick foam padding. Use Velcro strips or duct tape to attach securely to the wagon. Cover with a soft blanket or rug, making sure there are no areas hanging over to catch on a wheel or get in the way of the handle.

3. Use a lot of support pillows. You want a roll pillow to put under the half casted leg for comfort and support. You should also put at least one pillow for back, neck and head support. For the fully casted leg, use a small pillow for that foot to rest on. Use Velcro strips or duct tape to temporarily attach them. Move the pillows as comfort dictates.

4. 
    
   Toddler with spica cast in stroller

   If the child is small enough--the one pictured had just turned two years old--you can transport her in a large reclining stroller. Remove the front tray and recline as far back as possible. Lengthen the seatbelt or harness to accommodate a small support pillow and the cast. Place a thin, small support pillow under the back of the child, and another under her head if it is more comfortable.

5. If necessary, you can use an ambulance service or disability transportation provider. If traveling by air, contact the airline to discuss special needs.

Tips & Warnings

• The wagon is wonderful for outdoor activities such as going for walks, hanging out in the yard, going to outdoor sporting events, outdoor concerts and the zoo.
• The stroller is easily used for indoor activities including shopping, going to the library, church and the movies. It can also be used for meal time so the child can join the family at the table.

Resources

• Adaptive Mall website for more resources

[jrofosho1]

on 7/28/2009 interesting topic and good article 5* and a recommend