Powered Mobility Manual - Cerebral Palsy Alliance

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4.0 Setting Up To Go4.1 Seating Tips and Tool Kit for Setting UpThe following is a set of useful tips to prepare the therapist for the task of securing aclient in a demonstration or trial powered wheelchair. The challenge is to manipulate thetemporary (if not using their own) seating supports to provide optimal posture to trial thechosen controller/access method. It is worthwhile to note that without the optimal seatedposition, the person will not be at the best mechanical advantage to access the deviceto effectively mobilise in the wheelchair.Refer to the diagram on the next page for a quick overview of the steps involved in theseating set-up process.Seating tips• Do as much of the set-up as possible before the client arrives, using the bodymeasurements and postural needs listed in the PM Mat Eval.• Prepare alternatives.• When the client arrives, review PM Mat Eval details on plinth. (Use this step tocheck for growth or change if much time has elapsed between appointments).• If support needs are high, ensure you have extra hands for the session (2-3).• Seat calmly and firmly; insecurity can cause anxiety and increased muscle tone.• Have straps in position, ready for use.• Readjust seating supports to secure.• Use tilt-in-space to assist with positioning and posture in seat - check withclient/advocate first.The box below details the tool kit suggested for PM trial adjustments.Tool KitTape measureStraight rule or TASC calipers* (see below)GoniometerInclinometer (to measure seat anglefrom the horizontal)Tools (such as Allen keys in metric andimperial, adjustable spanners, socketset, screwdrivers)Velcro and scissorsStraps (pelvic belt, foot straps, chestharness, forearm cuffs, shin/calf)OR TAStrap* can be used in any of theabove placesThoracic supports, curved backs,commercial cushionsFoam wedges and blocksMasking tapeTray for forearm supportMounts for equipment or supports* TASC calipers - Wooden arms with central wingnut to capture accurate width for measurementSupplied by TASC Equipment Services.* TAStraps - TASC Assessment Straps are alength of webbing with a plastic buckle whichloops around the wheelchair and client to hold thetwo securely, during a trial session. Could alsobe used around an arm or leg or in front of shins.Supplied by TASC Equipment Services.24
SETTING UP TO GO | 44.2 Powered Mobility Trials - The Set-up ProcedureFollow the steps below to seat securely for powered mobility trials:1 Examine posture and joint rangeUse PM Mat Eval (Section 2.3)2 Use body measurements from PM Mat Evalto adjust seat size and angles on trial chair and attach appropriate supports.3 Secure using Postural Support HierarchyProvide hands-on support at key points to stabilise.Apply seating supports and straps to secure; begin with pelvis as shown below.Foam wedges can provide additional support where needed, e.g. trunk, thighs,knees, upper limbs.HeadUpper LimbsShouldersLower limbs and feetSecure the thighsSecure the trunkSecure the pelvis4 Tilt-in-spaceAdjust tilt-in-space for posture and vision.5 Mount access device/controllerThis will be specific to the individual, the device, mounts and locationStart simple, adjust to suit. Don’t over-fiddleTake measurements for follow-up sessions.6 Use Powered Mobility Trial - Record Sheet, (Appendix 12.3)Take photos, videoRecord data for further sessions.25
Page 2 and 3: AcknowledgementsThe authors would l
Page 4 and 5: © Cerebral Palsy Alliance, 2009ISB
Page 6 and 7: Contents7.0 Equipment Delivery ....
Page 9: 1.0 Introduction, Philosophy1.1 Int
Page 15 and 16: evaluation process and tools | 2Ini
Page 17: evaluation process and tools | 2•
Page 20 and 21: practical evaluation | 3For definit
Page 22 and 23: practical evaluation | 33.2 Instruc
Page 26 and 27: SETTING UP TO GO | 44.3 Basic Elect
Page 28 and 29: SETTING UP TO GO | 4How to connecta
Page 30 and 31: SETTING UP TO GO | 4How to connectS
Page 32 and 33: SETTING UP TO GO | 4How to connectt
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Page 36 and 37: PRESCRIPTION | 5Drive wheel locatio
Page 38 and 39: PRESCRIPTION | 5Controller / input
Page 40 and 41: PRESCRIPTION | 5Outdoor Performance
Page 43 and 44: 6.0 Funding Application6.1 Funding
Page 45 and 46: FUNDING APPLICATION | 6The wheelcha
Page 48 and 49: 7.0 Equipment Delivery7.1 Equipment
Page 51 and 52: 8.0Skill Developmentand Supervision
Page 53 and 54: SKILL DEVELOPMENT AND SUPERVISION |
Page 55 and 56: SKILL DEVELOPMENT AND SUPERVISION |
Page 58 and 59: 9.0 Equipment Information9.1 Propor
Page 60 and 61: equipment information | 9New propor
Page 62 and 63: equipment information | 9To operate
Page 64 and 65: equipment information | 9Integrated
Page 67 and 68: 10.0 TASC - A Specialty ServiceTASC
Page 69 and 70: tasc - a specialty service | 10•
Page 71 and 72: eferences and websites of interest
Page 73 and 74: 12.0 Appendices12.0 Appendices ....
Page 75 and 76:
Powered Mobility Initial Needs Surv
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Page 79 and 80:
Page 81 and 82:
Mat Evaluation for Powered Mobility
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Directional control (ease of use, m
Page 85:
Powered Wheelchair (Base) Compariso
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Appendix 12.6Equipment Delivery Che
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Appendix 12.8PM Skill Development P
Page 92 and 93:
PM Skill Development Program - Exam
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Appendix 12.9Powered Mobility Skill
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Appendix 12.10Goal Attainment Scale
Page 98 and 99:
Powered Mobility Performance Record
Page 100 and 101:
Appendix 12.12Powered Mobility Perf
Page 102 and 103:
Powered Mobility Performance Record
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Powered Mobility Manual - Cerebral Palsy Alliance

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