er ▁is ▁impossible ▁because ▁the ▁h ips ▁cannot ▁b end . ▁There ▁is ▁a ▁serious ▁danger ▁of ▁falling ▁if ▁the ▁patient ▁in ▁a ▁hip ▁sp ica ▁cast ▁tries ▁to ▁get ▁u pr ight ▁to ▁walk ▁without ▁assistance ▁because ▁they ▁lack ▁the ▁ability ▁to ▁control ▁their ▁balance . ▁Pat ients ▁are ▁normally ▁conf ined ▁to ▁a ▁bed ▁or ▁re cl ining ▁wheel ch air , ▁or ▁children ' s ▁st roller . ▁Children ▁in ▁sp ica ▁cast s ▁can ▁sometimes ▁learn ▁to ▁get ▁mobile ▁by ▁sc oot ing ▁around ▁on ▁sk ate boards , ▁or ▁pulling ▁themselves ▁across ▁the ▁floor . ▁Some ▁children ▁even ▁learn ▁to ▁walk ▁by ▁holding ▁themselves ▁up ▁against ▁furn iture . ▁A ▁child ▁in ▁a ▁sp ica ▁cast ▁must ▁always ▁be ▁super vised ▁and ▁safety ▁must ▁always ▁be ▁considered ▁when ▁they ▁are ▁at ▁a ▁mobile ▁phase ▁of ▁their ▁he aling ▁to ▁prevent ▁rein j ury ▁or ▁damage ▁to ▁the ▁cast . ▁Many ▁sp ica ▁cast s ▁have ▁a ▁spread er ▁bar ▁between ▁the ▁legs ▁to ▁help ▁strength en ▁the ▁cast ▁and ▁support ▁the ▁legs ▁in ▁the ▁proper ▁positions . ▁It ▁is ▁important ▁when ▁moving ▁the ▁cast ed ▁patient ▁to ▁not ▁lift ▁them ▁by ▁this ▁spread er ▁bar , ▁as ▁it ▁may ▁break ▁and ▁this ▁could ▁cause ▁injury ▁to ▁the ▁patient . ▁To ▁facil itate ▁to ile ting ▁or ▁dia per ▁changing ▁and ▁h yg ien ic ▁clean ing , ▁an ▁opening ▁is ▁created ▁in ▁the ▁cast ▁at ▁the ▁gro in . ▁The ▁opening ▁is ▁normally ▁referred ▁to ▁as ▁the ▁"