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When Is the Right Time to Prescribe a Walking Frame?

When Is the Right Time to Prescribe a Walking Frame?

29/04/2022

As a pediatric physiotherapist, one of the most frequent questions parents ask me is, "Is my child going to walk?" Naturally, it's up there as one of the most emotive topics. The dream of seeing their child take their first steps is something that all parents hope to witness. It's a highly emotive topic for us physiotherapists, too.

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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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Créer un Plan de Gestion Posturale pour Soutenir un Bassin Neutre

Créer un Plan de Gestion Posturale pour Soutenir un Bassin Neutre

30/09/2021

Pour de nombreux thérapeutes, il est incroyablement frustrant, après une séance de thérapie productive, d'installer un enfant au développement atypique dans une posture assise "optimale", pour constater peu après que l'enfant ne ressemble en rien à la façon dont il a été positionné au départ. Nous remarquons lentement que le bassin commence à basculer vers l'arrière, que l'enfant glisse vers l'avant dans son siège, que le tronc commence à s'arrondir (provoquant une cyphose thoracique), que la colonne cervicale est en hyperextension et que le menton pointe vers l'avant. Finalement, la personne qui s'occupe de l'enfant ou l'enseignant le ramène en thérapie et nous demande, à nous les thérapeutes, de " réparer " le système d'assise.

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Le Rôle du Bassin dans un Plan de Gestion Posturale

Le Rôle du Bassin dans un Plan de Gestion Posturale

13/09/2021

La gestion posturale sur 24 heures est un programme planifié qui prend en compte toutes les positions pertinentes qu'un enfant utilise tout au long de la journée et intervient pour améliorer ou maintenir la forme du corps tout en favorisant le développement fonctionnel de l'enfant. Un plan de gestion posturale tente d'intégrer une position corporelle neutre dans les trois orientations posturales de base que sont la position couchée, la position assise et la position debout. Cependant, nous savons que le rôle du bassin est important dans la création de ces positions et mérite toute notre attention lorsque nous tentons d'intégrer des stratégies de positionnement dans les activités de l'enfant, du bain aux jeux au sol en passant par les mouvements debout.

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