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 while the child heals, but a child's wagon, or a stroller, can help the spica-bound child stay in motion.
Things You'll Need
- Wagon
- Duct tape
- Velcro strips
- Pillows
- Large foam pad
- Soft blanket or rug
- Larger reclining stroller
Instructions
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Place a layer of thick foam padding in a wagon. Secure the padding with Velcro strips or duct tape. Cover the padding with a soft blanket or rug. No part of the padding or cover should hang over the edges where they could catch on a wheel or get in the way of the handle.
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Put several support pillows in the wagon. One should support the child's head and back, and a roll pillow must be on the end to support the leg. Insert a small pillow for a leg in a full cast. Attach the pillows to the wagon with Velcro strips or duct tape. Move the pillows as comfort dictates.
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If the child is small enough, use a large reclining stroller instead of a wagon. Remove the front tray and recline the stroller 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.
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Tips & Warnings
Use an ambulance service or disability transportation provider if a wagon or stroller is not available. If traveling by air, contact the airline to discuss special needs. Ask a doctor or nurse about spica cast seat belts, and how to fix car seats to accommodate very young cast-bound children.