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

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
clients with long term disabilities often require more aggressive support than that offered by a sling seat and back due to
weakness of trunk musculature spasticity/abnormal muscle tone orthopedic deformity of the trunk, spine and or pelvis
26
clients with long term disabilities are often at high risk for pressure sores due to
absent or decreased sensation an inability to reposition themselves to relieve pressure pelvic deformities incontinence
27
solutions for pressure problems
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
move against gravity and through space
gross motor functions
29
managing tools for objects to solve environmental problems
fine motor functions
30
daily hygiene, preparing and consuming meals, dressing and undressing
ADL's
31
independent exploration, elarning and recreational activities
work and play
32
receive and express ideas, thoughts, want/needs
communication
33
with proper AE a child may
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
how will the child use the device in the long term
participation
35
what will we expect out of the child in the short term
activities
36
and assistive device is not a
restraining device
37
assistive device precautions
watch for autostatic hypotension strap tightness do not leave child unattended