adaptive equipment Flashcards

1
Q
crutches
walkers
gait trainers
crawling devices
assitive weight bearing device
A

ambulations devices

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2
Q

neuromuscular benefits of standing

A
decrease contractures
improve ROM
increase strength
normalize muscle tone
proper visual alignment
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3
Q

orthopedic benefits of standing

A

assist with skeletal development
increase bone mass
joint formation

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4
Q

internal organ benefits from standing

A

improved respiration
improved digestion
improved bladder function
improved bowel function

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5
Q

common diagnoses for children that require seating and wheeled mobility

A
cerebral palsy
developmental delay
spina bifida
muscular dystrophy
hydrocephalus
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6
Q

wheelchair feature considerations

A
back height
seat width and depth
seat to floor height
armrest height
footrest/leg rest
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7
Q

considerations for back height

A

provide adequate postural support

allow for upper extremity function

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8
Q

seat width and depth considerations

A
accommodate body dimensions
accommodate for future growth
provide proper support to pelvis and thighs
provide comfort
accessibility
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9
Q

considerations for seat to floor height

A

transfers
foot propulsion
table top activities
ADL’s

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10
Q

considerations for armrest height

A

provide proper support for upper extremitieis
assist with postural control
prevent elevation of shoulders
assist with transfers and tray mount

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11
Q

functional considerations

if the skeleton has a correct position

A

joints function smoothly
ROM increases
muscles are used more efficiently

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12
Q

considerations for footrest/leg rest

A

angle (70, 80, 90 degrees)
swingaway vs fixed
elevating legrests/edema/ROM limitations
angle adjustable footplates/footboard

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13
Q

stroller for minimal support and active family lifestyles
fold and go
no growth

A

standard/umbrella style

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14
Q

stroller for support of moderate deformities with decreased trunk and extremity strength. stroller has minimal growth

A

moderate positioning adaptive stroller

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15
Q

stroller for children who demonstrate low tone and no muscle control who require aggressive positioning and future growth

A

full positioning adaptive stroller

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16
Q

wheelchairs for short or occasional use, limited sizes and options

A

standard

17
Q

wheelchairs for moderately active lifestyles, wider range of sizes and options, more durable yet lighter frame

A

high strength light weight

18
Q

wheelchairs for clients weighing over 250 lbs or who demonstrate severe spasticity

A

heavy duty

19
Q

wheelchairs are available in man sizes and have a large variety of options. they are very light in weight and durable. additionally the adjustable plates allow for a lot

A

ultralight manual wheelchairs

20
Q

adjustable axle plates on ultralight wheelchairs allow for

A

optimal placement of rear wheels for efficient propulsion
adjustable seat to floor height for tranfers/foot propelling
bucketing (slight tilt) of the wheelchair frame for improved postural control/stability

21
Q

provide the client who has poor trunk control or who is unable to reposition with the following benefits
gravity assisted positioning to enhance head and trunk control
pressure relief by transferring weight from the buttocks to the trunk
decrease spasticity by maintaining a fixed hip angle

A

tilt in space manual wheelchair

22
Q

are generally ultralight or tilt in space manual wheelchairs that have the additional advantage of being able to be modified for growth

A

pediatric manual wheelchairs

23
Q

how is modificaiton for growth accomplished in pediatric manual wheelchairs

A

the cross frames can be replaced to achieve more seat width
the back of the wheelchair frame can be moved posteriorly on the wheelchair frame to achieve more seat depth
the wheels can be moved forward or back on the wheelchair frame to adjust the center of gravity and properly position the rear wheels for efficient propulsion

24
Q

indications for the use of a power wheelchair

A

upper extremity weakness, spacticity or paralysis
limited upper extremity ROM or purposeful movement
decreased endurance as a result of weak trunk musculature and prolong sitting
the need to be able to independently, perform ADLs and explore environment
rapidly progressive disease that would result in a manual wheelchair not being a cost-effective alternative

25
Q

clients with long term disabilities often require more aggressive support than that offered by a sling seat and back due to

A

weakness of trunk musculature
spasticity/abnormal muscle tone
orthopedic deformity of the trunk, spine and or pelvis

26
Q

clients with long term disabilities are often at high risk for pressure sores due to

A

absent or decreased sensation
an inability to reposition themselves to relieve pressure
pelvic deformities
incontinence

27
Q

solutions for pressure problems

A

a pressure relieving seat cushion
pressure mapping to determine the most appropriate seat cushion for a client with ongoing pressure problems
a tilt in space seat frame
a reclining back

28
Q

move against gravity and through space

A

gross motor functions

29
Q

managing tools for objects to solve environmental problems

A

fine motor functions

30
Q

daily hygiene, preparing and consuming meals, dressing and undressing

A

ADL’s

31
Q

independent exploration, elarning and recreational activities

A

work and play

32
Q

receive and express ideas, thoughts, want/needs

A

communication

33
Q

with proper AE a child may

A

perform a task taht was not possible without the assistive device
perform a task in broader contexts
perform a task with less adult assistance

34
Q

how will the child use the device in the long term

A

participation

35
Q

what will we expect out of the child in the short term

A

activities

36
Q

and assistive device is not a

A

restraining device

37
Q

assistive device precautions

A

watch for autostatic hypotension
strap tightness
do not leave child unattended