How to Select a Dependent Mobility Device: Reviewing Options

How to Select a Dependent Mobility Device: Reviewing Options

17/01/2022

In many cases, recommending a mobility device for an infant who is dependent on a caregiver to be moved from place to place is straightforward. After all, a six-month old with or without a neuromuscular disorder is expected to need a buggy for mobility in the community. As babies grow into toddlers, preschoolers, children, and through adolescence, the decision between a dependent and independent mobility device for an individual with disabilities can become a bit more complex. If you haven't done so already, be sure to read How to Select a Dependent Mobility Device: Identifying Needs.At the end of Part 1 of this series, Linda mentioned that there are three overarching categories of dependent mobility devices: adaptive strollers, transport wheelchairs, and manual wheelchairs (tilt-in-space and standard). In this post, we are going to take a closer look at the two categories of dependent mobility devices that can fall under the umbrella of complex rehab technology (CRT): adaptive strollers and manual wheelchairs.

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How to Select a Dependent Mobility Device: Identifying Needs

How to Select a Dependent Mobility Device: Identifying Needs

17/01/2022

When reviewing the intake information of a new patient, it is common for one of the first questions the evaluating team seeks to answer is, "Will the client need a manual wheelchair or a power wheelchair?" Depending on a number of factors such as age and diagnosis, determining a suitable mobility solution prior to seeing the patient in person for the first time can be relatively cut-and-dry. However, determining manual versus power isn't as straightforward when the individual presents with diagnoses such as a developmental disorder, severe cognitive impairments, intellectual disabilities, etc., in addition to their orthopedic impairments. In these cases, the team will likely need to shift the initial focus to answering the question, "With the proper components, setup, and training, does the client exhibit the potential to be independent with mobility or is a dependent mobility device more appropriate?"This two-part blog series will focus on identifying when a dependent mobility device is appropriate and tips for selecting the best style of dependent mobility base.

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La elevación de asiento desde una perspectiva clínica

La elevación de asiento desde una perspectiva clínica

16/12/2021

A medida que la tecnología y el diseño continúan desarrollándose, las sillas de ruedas y las opciones eléctricas de asiento también han evolucionado. Si bien puede ser tentador pedir una silla de ruedas eléctrica con todas las opciones disponibles, es importante como médico comprender cuáles son los beneficios clínicos de cada función para garantizar una prescripción adecuada.

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Creating a Postural Management Plan to Support a Neutral Pelvis

Creating a Postural Management Plan to Support a Neutral Pelvis

30/09/2021

For many therapists, it is incredibly frustrating when, after providing a productive therapy session, we set up a child with non-typical development in "optimal" seated posture only to find shortly after that the child looks nothing like how they were first positioned. We slowly notice that the pelvis begins to posterior tilt, the child slides forward in their seat, the trunk starts to round out (causing thoracic kyphosis), the cervical spine is hyperextended, and the chin pokes forward. Eventually, the child's caregiver or teacher brings the child back to therapy and asks us, the therapists, to "fix" the seating system.

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El papel de la pelvis en el cuidado postural del niño

El papel de la pelvis en el cuidado postural del niño

13/09/2021

El cuidado postural 24 horas considera todas las posiciones relevantes que un niño adopta a lo largo del día e interviene para mejorar o mantener la alineación corporal, al tiempo que promueve su desarrollo funcional. ​Un plan de cuidado postural intenta asegurar una posición corporal neutra en las tres orientaciones posturales fundamentales: acostado, sentado y de pie. Sin embargo, sabemos que el papel de la pelvis es significativo para crear estas posiciones y merece toda nuestra atención cuando intentamos incorporar estrategias de posicionamiento en las actividades del niño, desde el baño hasta el juego en el suelo y el movimiento erguido.

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RESERVADO PARA UTILIZAÇÃO PROFISSIONAL. ESTE BLOGUE E A INFORMAÇÃO APRESENTADA NO MESMO NÃO PRESSUPÕEM ACONSELHAMENTO CLÍNICO. A Sunrise Medical não pode fornecer serviços médicos. Todas as informações apresentadas aqui (incluindo documentos a que se faz referência), incluindo, mas não limitado a, textos, gráficos, imagens e descrições, são meramente informativas e destinam-se a ser usadas exclusivamente por profissionais de saúde como um recurso geral de informação e apoio ao seu trabalho de avaliação e aconselhamento a pessoas em cadeira de rodas, nos temas de sedestação e adaptação de equipamentos de mobilidade. As informações aqui apresentadas (incluindo os documentos referenciados) não pretendem ser nem substituir uma avaliação clínica, diagnóstico ou tratamento médico. Nunca ignore os tratamentos médicos e conselhos de um profissional de saúde como consequência da informação e documentos referenciados que eventualmente venha a tomar conhecimento neste blogue. É função dos especialistas clínicos rever e comparar a informação aqui apresentada com outras fontes.