Assistive Tech and Ped Equipment Flashcards
define AT service
any service that directly assists someone with a disability in the selection, acquisition or training of an AT device
what is TRAIDA/TECH Act (1988)?
first federal legislation to define AT devices and services
T/F: all individuals who interact with the child are part of the AT team?
TRUE
what is HAAT?
Human/Activity/AT Model → AT is the process for how the human performance will be enhanced during an activity
what is the purpose of seating systems?
provide external postural support for a child with functional limitations in sitting as a result of impairments in MSK alignment, postural control, muscle tone or strength
what are the desired outcomes of a seating system?
- comfort
- neuromuscular management
- improved postural control
- maintain the integumentary system
how can seating systems be oriented?
- horizontal
- wedged (front edge raised)
- anterior tipped (front edge lowered)
List some examples of Assistive Tech
- Strollers
- Car seats
- Bath chairs
- Adaptive seating
- Trays
- Standers
- Gait trainers
- Pediatric Tram
- Beds
- Adaptive toys
- Assistive communication devices
- Adaptive feeding
what age ranges should positioning systems be used?
0-36 months
they help build static strength in a variety of positions (SL, prone, supine, and supported sitting)
what diagnoses may benefit from positioning systems?
- low tone
- developmental delay
- premature birth
- weakness
what are the uses of activity chairs?
feedings, speech, or OT and active learning
List some features of activity chairs
- back support/head rest
- seat belt <> chest prompt <> 4-point harness
- tray
- tilt in space vs recline
- Hi/Lo
- Foot plate/straps
what are bath chairs used for?
safe positioning for bathing when child cannot sit unsupported in a bathtub
what is a big consideration pertaining to safety of a child within a bathtub?
seizure activity
what are standers used for?
- build strength in standing
- WB through LE joints
- LE alignment and posture
- digestion
- lung capacity
what may be included in the clinical decision making process pertaining to standers?
- passive or self-propelled?
- upright or supine?
- how much physical support?
- where will this be used?
- home, daycare, school, etc.
- age/size of child
when are standers indicated?
for a child that gets to the age where they should be able to pull to stand and can’t
what is the difference between a gait trainer and a walker?
- Gait Trainer
- must be partial WBing
- have ROM available for reciprocal steps
- cognitive ability to steer toward an object
- Walker
- must be full WBing
- take reciprocal WBing steps
- steer the walker toward an object
what is the benefit of a posterior/reverse walker?
- increases upright posture
- promotes extension
- reduces oxygen consumption in peds
what is the benefit of Lofstrand crutches?
- reduces pressure under axilla
- least restrictive device
- variety of gait patterns
why even use Lofstrand crutches over traditional crutches?
if they are using crutches every day for walking, we want to offset pressure on the axilla since there are large nerve bundles passing under there
what factors should be considered when selecting a manual or power WC?
child’s UE ROM, strength
cognition
List key features of a WC
- cushion
- trunk support
- seat belt or harness
- pressure reducing features
- transportation compatible
when might a stroller be indicated as an AT?
- child dependent on caregiver or parent
- limited strength, ROM, and cognition or age
