What is the best intervention for a child with myelomeningocele who has not achieved a pincer grasp after therapy?

Focusing on teaching the child to use a gross grasp and lateral pinch for functional activities is particularly beneficial in this scenario. Children with myelomeningocele may face various challenges that impact their motor skills and functional abilities, so adapting their grasping techniques can allow them to participate more effectively in daily tasks.

Using a gross grasp and lateral pinch enables the child to manipulate objects without requiring the refined dexterity of a pincer grasp. This is especially important for children who may have limited strength or fine motor control due to their condition. By emphasizing functional activities that incorporate these grasping techniques, the child can engage in play, self-care tasks, and other activities, thereby enhancing their overall independence and confidence.

Other options may also play a role in intervention strategies, but they do not specifically address the pressing need for the child to achieve effective manipulation of objects at this stage. Strengthening muscles or introducing assistive devices may have their place later on, but the immediate goal of promoting functional use of the hands with accessible techniques can yield quicker, more valuable improvements in the child’s daily life.