Skip to main content

Assistive Devices

When deciding what assistive device is best for each client, there are many factors that need to be considered in order to have the best "fit." It is important to consider the physical condition of the client, including their disability, weight bearing status, strength, and balance. For example, if the client is not allowed to put any weight through one leg, you would not want to suggest they receive a cane. Additionally, it is important to fit the assistive device to your client to ensure safety and proper body mechanics. If the client's crutches are too short and not adjusted to match their landmarks we use to fit, then they will likely have poor body mechanics. If these factors are not considered, it can be detrimental to your client and cause an increase in risk for falls or further injury.
To properly fit a cane or rolling walker to your client, the hand grip should be at the level of their greater trochanter to allow their elbow to be flexed 20-30 degrees. Also, we need educate the client to use the cane in the hand opposite of the involved leg. The same landmark of the greater trochanter applies when fitting the hand grips for axillary crutches. The axillary rest should be 5 centimeters below the floor of the axilla to not cause harm to all the vital structures that are in that area. For Lofstrand crutches, the hand grip location is the same as the previous, with the grips facing forward. The arm cuff should be approximately two-thirds up the forearm. For clients who need a platform walker to weightbear through their forearm, the platform should allow the elbow to be bent to 90 degrees when the client is standing. The platform handle should be places slightly medially to allow for comfort. Additionally, the ulna should be positioned 1-2 inches off the platform to avoid nerve compression.

Comments

Post a Comment


Logan and I on our first day of OT school.

Popular posts from this blog

Parkinson's and Deep Brain Stimulation

   I watched a TED Talk called “Parkinson’s, depression and the switch that might turn them off” by neurosurgeon Andres Lozano. I chose to watched this because I was unfamiliar with deep brain stimulation until we discussed it in class. I wanted to further my knowledge on this subject and the diagnoses that it can be effectively used. Neurosurgery has been around for 7000 years. Originally, people with psychiatric and neurological problems were thought to be possessed by evil spirits. In order to release the spirit, they thought they needed to cut a hole in the skull.    As we have learned, different parts of the brain control different functions. If there is a dysfunction in a specific area of the brain, there are specific functions that will be impaired. Dr. Lozano became interested in this and how deep brain stimulation can help people with various disorders. Deep brain stimulation is achieved by cutting a hole in the skull to reach an area of the brain with ...

Locus of Control

     Locus of control is how a person perceives the cause of their situations in life, and can be on a continuum between internal and external.  I received 13 points out of a total of 23 points on the worksheet. I fell in about the middle of the scale between internal locus of control and external locus of control. After scoring this, it did not surprise me on how I fell within the scale. I had a hard time with many questions deciding which one I agreed with more. I believe that there is a mix of things we can control and things we cannot. Some things are just bound to happen, no matter how hard you work to avoid it.      I found this topic and how it related to the client/therapist interaction very interesting. I appreciated how the article posted for our reference discussed how as therapists we can encourage an external or internal locus of control towards our treatment of clients. I also believe it is important to encourage an internal locus o...

Media Project

The most significant thing I learned from this assignment is the importance of taking the client’s values into consideration when providing therapy services. If the client does not feel like the intervention is meaningful to them, they will not be invested in it. I learned that it can sometimes be difficult to find something that relates to a client’s needs. It may require extra hours, consulting other therapists, thinking outside the box, and adapting an item to best fit each individual client. You may have to try something new with a client, because they have different values and needs than previous clients.  This assignment prepared me to think outside the box. Additionally, it allowed me to look at the whole client and what are their most important needs. For Maurice, he was afraid of becoming bored and lonely. I wanted to create something that was portable and could be kept with him at all times to prevent the feelings he was scared of. The Legen-Dairy Notebook incorp...

Contact Form

Name

Email *

Message *

Translate