Adaptive Equipment

Question 1

List 5 benefits of using adaptive equipment.

Answer 1

1. Increase stability
2. Decrease deformity
3. Decrease pathological reflexes
4. Maximize function with minimal pathology
5. Normalize tone

Question 2

The PT may have to write a letter of _______ to the insurance company to receive funding for adaptive equipment.

Answer 2

MEDICAL NECESSITY

Question 3

What are the duration and frequency of standing programs for maintaining bone density versus managing contracture?

Answer 3

Maintaining bone density = 60 min per day 4-5/week

Managing contracture = 45 min per session, 3-4/day

Question 4

At 50 deg from the vertical only ___ % of the weight is transmitted to the feet.

Answer 4

50%

Closer you are to the vertical, the greater WB on LEs

Question 5

Describe 5 components of assessment for wheeled mobility.

Answer 5

1. Observe client in existing equipment
2. Check alignment
3. Observe transfers
4. Supine/seated mat assessment (tone, alignment, available ROM)
5. Simulate

Question 6

A maximum of _____ deg from the vertical is allowed when placing someone in a mobile stander. Why?

Answer 6

Max 85 deg

90 deg will feel like they are falling backwards

Question 7

List 3 characteristics of direct selection.

Answer 7

1. All items available at any time (e.g. keyboard)
2. Usually accessed by the hand or pointer
3. Easier to understand cognitively

Question 8

List 2 characteristics of indirect selection.

Answer 8

1. Some type of scanning process

2. Access with any part of the body

Question 9

Describe 7 types of switches.

Answer 9

1. Pneumatic —> squeeze or bend to activate
2. Mercury -> tilt to activate
3. Light beams —> eye gaze or breaking beam with head position
4. Touch/pressure
5. Slots/wafers —> i.e. dropping arm in slot
6. Grasp (squeeze)
7. Joysticks —> cheapest way to access the system

Question 10

List 3 advantages to using AFOs for children with neurological impairments.

Answer 10

1. Tone reduction
2. Provide mechanical advantage
3. Improve stability

Question 11

What is the rationale for using KAFOs and AFOs?

Answer 11

KAFO = poor control at the knee

AFO= control knee in in optimal position, provide anterior support/ground reaction

Question 12

List 3 rationales for using an SMO.

Answer 12

1. No longer need control at knee
2. Poor medial-lateral control at the ankle
3. Should be able to bring ankle into neutral while weight bearing