Pediatric Adaptive Equipment Flashcards
Which position helps promote resting and sleeping and stretches the kyphotic posture and allows for facilitation of visual skill development for children with limited head control?
supine positioning
What are some potential difficulties with supine positioning?
leg deformities (frog leg, and windswept hips), breathing difficulties, reduced kidney drainage, GI reflux, skin breakdown, limited interaction with environment
What are some contraindications to positioning in prone?
moderate to severe hip flexion tightness, inability to turn head, tracheostomies, nasogastric or G tubes, compromised respiration, hydrocephalus
What supports are needed for prone positioning?
lateral supports to maintain symmetrical body alignment, support over hips may inhibit flexion and provide stable base, supportive pillow under one hip to improve posture w/pelvic obliquity, roll under ankles
What are some benefit of prone on forearms?
improves head, trunk, and UE strength and shoulder stability, enhances hand development and function, may improve and stretch tightness at shoulders, elbows, hips and knees
increases UE control
brings jaw forward for better lip closure and oral movements
aids in kidney drainage
can reduce GI reflux
What are some contraindications for prone on forearms position?
poor head control, presence of NG or G tube or tracheostomy, compromised respiratory status, orthopedic contraindications (UE/LE fx, osteomalacia, arthritis or joint pain, moderate or severe shoulder flexion or hip tightness)
What would inverted prone help with?
promotes postural drainage and only used less than 5 minutes (contraindicated in pts with hydrocephalus or as ICP increases)
What are some of the benefits of sidelying?
promotes relaxation of body, decreases primitive reflexes, facilitates midline head position, brings shoulders and arms forward and eliminates gravity to allow for more hand use in midline, decreases windswept or frogleg deformities, improves respiration in those with scoliosis, reduces extensor thrusting, can be a good position for feeding (elevated sidelying to right decreases GI reflux and facilitates gastric emptying)
What are problems with sidelying?
can be difficult to maintain w/ extreme weakness or instability, can lead to deformities without proper support, can cause shoulder pain in those with low tone
t/f, a child does not need head control in order to use a prone stander
false, needs to have some in order to use it at all
Which stander would be best for a medically fragile child who has limited head control?
supine stander
Which stander would be best for a child who needs maximum access to their environment and who spend a great deal of time standing?
mobile stander
What is a problem with a rolling walker (with wheels in the front) for a child?
anterior trunk lean (hips in flexion, line of gravity is anterior to the feet)
What is the benefit of using posterior walkers for children?
more energy efficient and the child is more upright
What three parts do you need for switches?
input switch (transducer)
control unit (central processing)
device (peripheral)
