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To a certain extent, they can. Some adaptation of the activities may be necessary. Of course anything involving use of the legs may have to be done sitting down. One thing I did as a teen with Spina Bifida was Weightlifting, as my upper body strength is much better than my lower body strength. Of course it would be a good idea to discuss what activities a child with Spina Bifida can safely participate in with his/her physician and see if the school can make some adaptions to include the child in more activities. Children with Spina Bifida may be able to throw a Basketball into a basket, or hit a baseball with a bat, and let someone else do the running part or else have someone help them by pushing them if they are in a wheelchair. So a cooperative effort would help the child to participate in sports and other physical education activities. I participated in softball games as a child with Spina Bifida myself, when I was on crutches, by hitting the ball myself, and then having another child do the running around the bases. As an adult, I once played volleyball but was allowed to throw the ball instead of hitting it the normal way, because I wasn't able to manage that and stay upright on my crutches. A child who normally uses crutches or a walker might want to use a wheelchair temporarily during physical education classes to make such activities easier for them to do. They can push themselves or have someone push them in a wheelchair if the students are running on a track.

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