Pediatric Adaptive Equipment Flashcards

1
Q

What are the three classifications of adaptive equipment?

A

→ Assistive technology (to increase or maintain function)
→ Alternative technology (substitutes for similar end functions)
→ Augmentative technology (supplements inadequate function)

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2
Q

List the types of adaptive equipment based on their tech level.

A

Low-tech (e.g., pencil grips, benches)

Mid-tech (e.g., powered toys, recording devices)

High-tech (e.g., computers with voice recognition, powered wheelchairs)

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3
Q

What are the common categories of adaptive equipment?

A

→ Seating and positioning
→ Mobility devices
→ Adaptive car seats
→ Bath/toileting aids
→ Adapted beds
→ Home/accessibility modifications
→ Adapted toys
→ Communication/computer technology

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4
Q

What is the main purpose of adaptive equipment in pediatric therapy?

A

→ Reinforce therapy positions
→ Prevent abnormal postures
→ Reduce caregiver demands
→ Enhance the child’s daily function

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5
Q

What are the benefits of using adaptive equipment?

A

→ Improved function
→ Increased independence
→ Enhanced social interaction
→ Better visual attention
→ Improved cognition
→ Facilitation of new skills

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6
Q

Who is involved in the collaboration process for adaptive equipment?

A

→ Therapists
→ Families
→ Durable Medical Equipment (DME) providers
→ Assistive Technology Professionals (ATP)
→ Seating/mobility specialists

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7
Q

Name three precautions to consider when using adaptive equipment.

A

→ Safety (correct positioning, frequent inspections)
→ Therapeutic plan (balance of static vs. dynamic movement)
→ Psychosocial integration (reducing attention to disabilities)

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8
Q

What factors are evaluated when determining a child’s adaptive equipment needs?

A

→ Mat examination
→ Movement assessment
→ Environmental review
→ Family goals
→ Range of motion (e.g., pelvic alignment, hip flexion, knee extension)

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9
Q

How does muscle tone affect the use of adaptive equipment?

A

→ Hypotonia or hypertonia can affect postural alignment
→ Adaptive devices can help manage muscle tone to maintain positions

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10
Q

Why are primitive reflexes important in adaptive equipment use?

A

→ Reflexes (e.g., TLR, ATNR) influence motor patterns
→ Devices may restrict or inhibit these reflexes to support positioning

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11
Q

What aspects of sensory and skin integrity are assessed for adaptive equipment?

A

→ Areas of impaired sensation
→ Pressure relief for upright positioning
→ Potential use of pressure mapping to ensure proper distribution

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12
Q

How are cognition and psychosocial factors considered in adaptive equipment use?

A

→ Child’s cognitive abilities
→ Perception and social interaction
→ Judgment and problem-solving abilities

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13
Q

What is the role of functional skills in choosing adaptive equipment?

A

→ Assess current functional abilities
→ Identify barriers to more advanced skills
→ Ensure compatibility with home/school goals

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14
Q

What environmental factors influence adaptive equipment selection?

A

→ Home layout
→ School setting
→ Community factors (urban vs. rural, terrain, transportation)
→ Socioeconomic and cultural factors

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15
Q

What are funding options for adaptive equipment?

A

→ Private insurance
→ Medicaid
→ IDEA (if included in IEP/IFSP)
→ State waivers
→ Community organizations
→ Equipment lending libraries

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16
Q

What are the benefits of sitting positioning devices?

A

→ Improved upper extremity function
→ Stable base for movement
→ Tone inhibition
→ Better perception of surroundings
→ Social benefits

17
Q

How should a chair be set up for optimal sitting?

A

→ Seat height: Support feet with hips flexed at 90 degrees or more
→ Seat depth: 2-finger space at the popliteal fossa
→ Backrest: Support at the appropriate height for trunk control

18
Q

What are the benefits of standing devices?

A

→ Increased weight-bearing
→ Improved circulation
→ Enhanced bone density
→ Better GI function
→ Enhanced LE ROM and social interaction

19
Q

What is the difference between static and multi-positional standers?

A

→ Static standers: One position, smaller, easy setup
→ Multi-positional standers: Offer prone, supine, or upright positioning, larger, more complex

20
Q

What is a prone stander, and what are its benefits?

A

→ Allows hands-free standing
→ Facilitates LE weight-bearing
→ Enables peer interaction; can be moved via casters

21
Q

What is a supine stander, and when is it used?

A

→ Allows weight-bearing through trunk/LEs in upright position
→ Does not promote UE weight-bearing
→ May trigger reflexes in semi-reclined positions

22
Q

Describe the purpose of a sit-to-stand device.

A

→ Transitions between sitting and standing
→ Facilitates transfers
→ Promotes upright posture with varying support levels

23
Q

What are side-lying devices, and what is their function?

A

→ Support neutral head/trunk alignment
→ Reduce abnormal reflexes
→ Allow midline play; benefit children with low developmental function

24
Q

What are pre-wheelchair devices, and what do they help develop?

A

→ Devices like scooters, crawling aids, and tricycles
→ Develop early mobility, head/trunk control, and LE strength

25
Q

What are key considerations for recommending wheelchairs?

A

→ Dependent vs. independent mobility
→ Manual vs. power options
→ Additional features: Recline, tilt, or power assist

26
Q

What are upper extremity support surfaces in wheelchairs?

A

→ Trays that fit the chair without increasing width
→ Support good positioning
→ Aid in ADLs, schoolwork, and communication device use

27
Q

Describe gait trainers and walkers.

A

→ Gait trainers: Provide partial weight support, aid ambulation
→ Walkers: Offer anterior or posterior support based on control needs

28
Q

What adaptive equipment is common for infants and toddlers?

A

→ Standard high chairs, umbrella strollers, adapted bathing/toilet training aids, and specialized seating for better alignment

29
Q

What are augmentative communication strategies?

A

→ Unaided (gestures, eye-pointing)
→ Non-tech (communication boards)
→ Neuro-assisted (activated by bio-signals)

30
Q

How are neuro-assisted communication devices operated?

A

→ By bioelectrical or physiological signals (e.g., EEG, specific muscle signals)
→ Used for children with severe motor impairments