Hello Thanks for your query. I will try my best to provide you with best possible professional recommendations to your questions. Myelomeningocele is a birth defect in which the backbone and spinal canal do not close before birth.Most children will require lifelong treatment for problems that result from damage to the spinal cord and spinal nerves. Shivering hands might be due to neurological losses. It should be treated accordingly. For patients of spina bifida Follow-up examinations generally continue throughout the child s life. These are done to check the child s developmental level and to treat any intellectual, neurological, or physical problems. So I advice you for regular check up of your girl from physician. Yet again, I do hope that you have found something helpful and I will be glad to answer any further queries. Regards