![Page 1: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/1.jpg)
Equipment Part II: Developmental Motor, ADL, and Communication
Spring Break, March 28, 2006
(GRAT and Cases NEXT week!)
![Page 2: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/2.jpg)
Crawl, Sit, Stand, Make Your Parents Childproof Your House
Head up in prone – 3 months Wedge
Sitting and postural reflexes – 6 months Bolster Corner Chair
Crawl, creep Scooter board Crawlabout
![Page 3: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/3.jpg)
![Page 4: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/4.jpg)
Early mobility
Spatial Perception Normal limit setting Seated mobility not “normal” but so what?
Caster cart and variants
![Page 5: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/5.jpg)
![Page 6: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/6.jpg)
Standers
Upright Prone Supine Adjustable Mobile Dynamic vs Static Weightbearing Need trays or use at tables
![Page 7: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/7.jpg)
![Page 8: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/8.jpg)
Prone standers
Facilitate trunk extension Require good head control
![Page 9: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/9.jpg)
![Page 10: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/10.jpg)
Upright standers
“Normal” position Commonly used for
people with spina bifida Simpler design, lighter,
less space needed
![Page 11: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/11.jpg)
![Page 12: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/12.jpg)
Supine standers
Maximum support, variable angle
![Page 13: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/13.jpg)
Tilt table
![Page 14: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/14.jpg)
Adjustable designs
![Page 15: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/15.jpg)
Easy Stand Magician
Options for independent or powered lift Options for conversion to mobile Pediatric to Adult sizes
![Page 16: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/16.jpg)
Standing wheelchairs Power or manual
http://www.usatechguide.org/itemreview.php?itemid=131
![Page 17: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/17.jpg)
Walkers and Gait Trainers
Wider base of support May have added supports and modifications
for gripping ability Gait trainer implies more supports Weight, freedom of movement can vary Face front or reverse Should NOT be usable like baby walkers
(slump and kick method) TRY out in therapy first whenever possible
![Page 18: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/18.jpg)
Designs
Forward facing – visual support, folding Reverse – better LE extension, avoid LOL mode Add-on supports – abductor, pelvic stabilizer,
arm troughs for poor grip or protecting joints
![Page 19: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/19.jpg)
![Page 20: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/20.jpg)
!!!!
![Page 21: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/21.jpg)
Rifton style
Uses “prompts” MOVE/conductive
education philosophy
![Page 22: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/22.jpg)
Cricket/Pony style (prone support)
![Page 23: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/23.jpg)
![Page 24: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/24.jpg)
Walking means… Community* Household* Exercise only Assisted only
Device vs helper
* RLA “Functional” classification
![Page 25: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/25.jpg)
ARJO
Early rehab With enough help,
anyone can “walk” at least a little
![Page 26: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/26.jpg)
Bone and joint development
Limited evidence in PT literature for efficacy of static standing
“Ballistic” weightbearing believed necessary for normal stimulus to bone mineralization / ossification
Boys with Duchenne start losing bone before sitting down, documented in pre-steroid era
No real evidence for bowel, bladder, respiratory benefits
Prevent contracture, coxa valga, acetablular dysplasia (?)
![Page 27: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/27.jpg)
Bath equipment and lifts
Car and bath transfers most difficult Weightbearing transfers ideal when feasible
Assisted standing and walking get easier as child gets taller, not harder (vs. total lift)
Lift equipment better strategy than chronic undernutrition
Decide how much support needed in bath, recline vs back support
Waiver may help with roll-in shower, use different equipment than regular tub/shower
![Page 28: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/28.jpg)
![Page 29: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/29.jpg)
T.L.C. style
![Page 30: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/30.jpg)
Many options
Overhead track lifts desired but rarely funded (CMS, Waiver)
![Page 31: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/31.jpg)
Will it fit?
See also the Slider: http://www.adaptivemall.com/slidbatchair.html
![Page 32: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/32.jpg)
![Page 33: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/33.jpg)
Going potty
Not necessary to wait for walking and talking
Support feet, trunk if needed, reduce size of hole to reduce fear of falling in
![Page 34: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/34.jpg)
ADLs - Eating
Ataxia – bigger, heavier utensils Reduced dexterity – swivel and/or bent spoon
![Page 35: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/35.jpg)
![Page 36: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/36.jpg)
Winsford feeders
Cheek switch to scoop and present food
Need some head control
Hands-free
![Page 37: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/37.jpg)
Food preparation
![Page 38: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/38.jpg)
Cultural relevance
![Page 39: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/39.jpg)
Dressing, doors, reaching
![Page 40: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/40.jpg)
Miscellaneous gadgets
![Page 41: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/41.jpg)
Writing and typing
Writing bird, typing stick (or use pencil eraser end down in cuff)
Don’t underestimate two or even single finger typing
![Page 42: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/42.jpg)
Computer access
Simple handwriting replacement – consider portable keyboard instead AlphaSmart QuickPad
Voice recognition still improving Slower, hands free use possible
Adaptive keyboards Smaller for weaker, less mobile hand use Larger for less accurate hand use Special ergonomic One-handed (software vs hardware)
Alternative mouse access
![Page 43: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/43.jpg)
Motor, sensory, or cognitive issues
Trackball or Mouse Keys for mouse if can see it Tactile mouse for blind person experimental
Need keystroke navigation Screen reader – text to speech Magnification software, large monitors Voice rec. – speech to text
Different correction strategy Scanning access – severe motor issues
Low efficiency Compensate with word prediction
![Page 44: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/44.jpg)
![Page 45: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/45.jpg)
AAC (Alternative – Augementative)
Prerequisites vs Participation Interdisciplinary evaluation mandatory
May Rx “therapy units as needed” Different choices for ambulatory vs not
Verbal communication may increase Communicate more than basic needs to familiar
caregivers May interface with computer Training and programming issues
Literate English vs special language vs pictures Need for support
![Page 46: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/46.jpg)
The Strawberry Shake Story
![Page 47: Equipment Part II: Developmental Motor, ADL, and Communication Spring Break, March 28, 2006 (GRAT and Cases NEXT week!)](https://reader036.vdocuments.us/reader036/viewer/2022062714/56649d365503460f94a0e02f/html5/thumbnails/47.jpg)
THE TOP TEN ADAPTED SLOGANS
10.OT- Function, Folks, and Fun
9. OT- You got the right one baby, uh-huh!
8. OT- When you care enough to have the very best
7. A.O.T.A.- Membership has its privileges.
6. Male OTs- You've come a long way, baby.
5. _T- "I'd like to buy a vowel, Pat."
4. OT- Built for the human race.
3. OT- Real Therapy for Real People
2. OT- it does a body good.
1. OT- JUST DO IT!