What is Spina Bifida?

Spina Bifida (SB) is the most common of a group of birth defects called neural tube defects (NTDs). The condition results from the failure of fusion of the neural tube (the embryonic structure that develops into the brain and spinal cord).

There is an average worldwide incidence of 1 case per 1000 births, but certain populations have a significantly greater risk.

The benefits of The Bambach for Spina Bifida?

The hip joint is its position of maximal joint surface contact (closed pack position).
Limbs are in a mid-range position which can minimise abnormal tone.
Focus on pelvic control maintains an upright stable pelvis in its neutral position. In this position the spine, shoulder girdle, trunk, head and neck can function in their most stable position.
A clear midline assists balance and symmetry.
The individual sitting upright is in an active dynamic posture rather than a passive collapsed position.
The Individual has greater control of sensory inputs which can trigger unwanted motor responses.
Partial weight bearing can be encouraged through to standing from a half-sitting position.
Dynamic sitting facilitates muscle activity which ensures the stimulation of normal and symmetrical growth of bone and soft tissue.
Facilitation of independence in sitting and other motor activities.
Trunk and head control are easier in the natural position so that functional activities, such as swallowing and speech are improved.
Thoracic, abdominal and pelvic spaces are maximized resulting in improved lung and internal organ function and circulation.
With the upper body stable and free to move in this upright posture, eye contact, communication and social interaction are a great deal easier.
Self care activities, such as meals, washing and dressing, writing, computer work, hobbies and playing games, are also more easily performed.

Bambach understands the problems associated with Spina Bifida

Lower limb weakness or paralysis and sensory loss
Bowel and bladder dysfunction
Orthopaedic abnormalities such as kyphosis, scoliosis, clubfoot, muscle contractures, hip dislocation
Hydrocephalus (accumulation of fluid on the brain)
Chari II malformations
Growth retardation

The Bambach design, Spina Bifida and Riding for the Disabled

The Bambach saddle seat was designed by an Australian Occupational Therapist as a result of her observation following years spent working with 'Riding for the Disabled'.

She found that disabled individuals suffering from neurological conditions such as SB often had great difficulty in maintaining a healthy posture and assumed a 'collapsed' or 'slouched' posture when seated in a conventional wheelchair and required considerable support (or strapping) to remain sitting.

These same individuals when sat on horseback were however capable of sitting independently and unsupported and showed remarkably improved functional abilities as a result of being put on a horse on a saddle.