Ch 18 — Mobility Flashcards
two types of mobility
funcitonal and community
moving from one position or place to another
functional mobility
moving oneself in the community and using public or private transportation
community mobility
developmental theory of mobility for rolling pivot to prone
6 months
developmental theory of mobility for creeping on hands and knees, sit to quadruped
8 months
developmental theory of mobility for sit to stand and cruise on furniture
9 months
developmental theory of mobility for walking
12 months
impaired mobility can include…
●Physical disabilities
●Restricted experiences
●Less self-initiated or self-produced mobility
●Delays in development
●Less exploration and curiosity
●Spatial knowledge
●Motivational effects—learned helplessness
mobility interventions
●Gait trainers
●Scooters
●Power and manual wheelchairs
●Power assist
●Emerging technologies
augmentative mobility
All types of mobility that supplement or augment ambulation
purpose of augmentative mobility devices
Explore the environment
Experience success
Control environment
Reduce or avoid social and emotional handicaps
Transition to functional mobility
classification of mobility skills
●Never ambulate
●Inefficient mobility—ambulate but not at acceptable rate, speed, endurance
●Lost independent mobility
●Temporarily require assisted mobility
what is AT Professional (ATP)
Service provider who analyzes the needs of individuals with disabilities, assists in the selection of the appropriate equipment, and trains the consumer on how to properly use the specific equipment.
alternative mobility decives include
➢Tricycles
➢Prone scooters
➢GoBabyGo
➢Mobile stander
➢Walkers
➢Alternative powered mobility devices
wheeled mobility systems inlcude
●Manual wheelchairs
●Power assist
●Power wheelchairs
●Selection of wheelchair accessories
Powered Mobility Evaluation and Intervention
●Define goals.
●Determine how the child will access and drive the device.
●Evaluate switch placement.
●Input devices.
●Factors that may interfere with driving ability.
●Guidelines for teaching a child to use the powered device.
Wheelchair Features
Style of frame
•Tilt-in space
•Recline
•Footrest style
•Armrest style
•Backrest height
•Backrest adjustability
•Height and adjustability features
•Floor-to-seat height
•Style and location of wheel locks or brakes
•Type, size, and placement of wheels and casters
•Additional features
Seating and Positioning of WC
Alignment of pelvis, spine, and head
Neurophysiologic factors
Reaction to tactile input
Body reaction to orientation to space and movement
seating guidlines for WC
●Optimal alignment for function
●Stability to improve distal motor function
●Minimizing undesirable tone and reflexes
●Distribute seat pressures to maintain skin integrity
●Improve physiologic function (breathing, swallowing, and digestion)
●Increase ADL
●Provide comfort
Transportation of Mobility Systems
●ANSI/ RESNA, WC-20, Wheelchairs Used as Seats in Motor Vehicles
➢WC 20 Compliant—4 accessible and identifiable points to secure chair to vehicle
●Educate clients on safe methods of transporting wheelchair in vehicle
Factors That Influence Successful Use of Mobility Devices
●Fit of child to device
●Features of the device
●Physical and social environments
●Ability of the professional or caregiver to determine accurate means for the child to access the device
●Changes the child may go through in the future
●Where and how augmentative equipment will be mounted
●Client education
