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Side Stepping and Suspended Walking Using a Gait Trainer Enhances Walking Ability

Side Stepping and Suspended Walking Using a Gait Trainer Enhances Walking Ability

02/02/2024

Willow is working hard on her hip muscle strength in therapy sessions, at home, and at school, but can find it challenging. In therapy sessions, she works with her physical therapist on activities such as side-stepping in the parallel bars but needs hands-on guidance to achieve the correct movement. Her physical therapist thought using the side-stepping feature of the Leckey MyWay+ would enable Willow to work on her muscle strength independently while being properly supported by the chest harness.

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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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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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