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Flashcards in Wheelchair fitting Deck (55)
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Individuals with Disabilities Education Act (IDEA

the services a school district may need to provide to ensure assistive technology is useful in the school setting.


Law definition of assistive technology:

Any service that directly assists an individual with a disability in the selection, acquisition or use of an assistive technology device


No technology:

devices are not electronic. An example can range from a piece of foam glued onto the corners of book pages to make turning easier to a study carrel to reduce distraction


Low technology:

devices are electronic but do not include computer components. An example could be an electronic voice-recording device or a talking watch


High technology:

devices utilize multifunction technology in a complex way and usually include a computer and software


Step 1 implementation/selection of assistive technologies

Collect child and family information. Discussions begin about the child’s strengths, abilities, preferences, needs, and what strategies have worked


Step 2
implementation/selection of assistive technologies

Identify activities within the environments that a child encounters throughout the day and any limitations that may be presented by the environment


Step 3
implementation/selection of assistive technologies

Discuss indicators of a successful intervention and current levels of participation. Observed behaviors and independent interactions will be analyzed


Step 4
implementation/selection of assistive technologies

Brainstorming of Assistive Technologies begins. Activities and desired outcomes must be established and possible solutions discussed with educators, family members, physical therapist, and other people with whom the child interacts on a weekly basis. Supports should be included for movement, communication and/or use of materials if needed. Available supports in the environment should be considered first, then adaptations to those materials


Step 5
implementation/selection of assistive technologies

Test Assistive Technologies. Determine when the intervention will begin and create an observation plan to record the child’s participation with the additional supports


Step 6
implementation/selection of assistive technologies

Identify interventions that work and make any needed modifications. Implementation of Assistive Technologies is a continuous process


Hearing assistive technology systems (HATS)

are devices that are designed to help those with hearing disabilities function better in their day-to-day communication situations. They can be used with or without hearing aids or cochlear implants to make hearing easier and hopefully reduce stress and fatigue


What do sling seats lead to?

tend to hammock and lead to hip adduction and internal rotation


Antithrust seat:

“curb” to prevent forward sliding or migration of the pelvis into a posterior tilt


Lower height backs:

allow more trunk movement and do not interfere with access to the wheels for propelling a manual wheelchair


Higher backs:

provide more posterior support and the ability to mount lateral and anterior trunk supports, as well as a head support


Sling backs

the lightest-weight option but can lead to a rounded trunk or kyphotic posture


Linear or planar backs:

often used with children for ease of growth


Lower section of linear or planar backs:

The lower section, which is often mounted at a 90º angle to the seat, goes up to the top of the pelvis to support a neutral pelvic tilt


Upper section of linear or planar backs:

angled posteriorly to promote trunk extension


What do molded backs and molded seats do?

accommodate significant orthopedic asymmetries and provide maximum pressure distribution, support, and stability


What do secondary supports provide?

provide support but also to help with alignment and positioning


Where can secondary supports be placed?

laterally, anteriorly, or posteriorly to the body


What do lateral supports do?

generally on the trunk


What are hip guides for?

help control the pelvis


Anterior supports:

used to help maintain an upright posture and to promote trunk extension and scapular retraction;


Examples of anterior supports:

shoulder straps, shoulder retractors, chest straps, and vest


Anterior pelvic support:

maintain the pelvis in the best functional sitting posture
Pelvic belts are the most commonly used anterior pelvic support


Posterior supports:

headrests or head supports. Head supports prevent the head from falling rearward, support the head during recline or tilt, and help the client to hold his or her head upright in an aligned position


What can neck flexion or hyperextension lead to?

Neck flexion or hyperextension can lead to drooling, poor swallowing, breathing impairment, and a poor visual field