612 chapter 65
CP DESIGN FOR A WHEELCHAIR INSERT
This insert, from Positioning the Client with Central Nervous System Deficits,
provides a lot of control, and is especially useful for some children with spasticity.
Although it was designed as an insert for a wheelchair, you can use it as the frame
of a wooden wheelchair, or chair without wheels built for a specific child.
adjustable shoulder
blade wings
hip guide
removable
knee and foot
separator
(wider at
front so that
child’s knees
do not slip
forward)
long, thin holes
for adjusting
back pieces
small-of-back
support
hip strap
40.5
Fasten these joints
together with
angle irons.
Wide lip fits firmly
against the front side
supports of the wheelchair.
35.5
35.5
measurements of an insert
to fit a standard ‘junior
growing wheelchair’
The height
and depth
measurements
18
must be adapted
to the
individual
child.
38 23
25 56
Measurements are given in
centimeters (cm.). To change
to inches, divide by 2.5.
DESIGN FOR A STRAIGHT-LEG SITTING FRAME
(mostly for very young children)
shoulder blade wings
hip guide
straps for
holding
legs apart
To seat the child,
the frame can be
put on the ground,
a table, a chair,
or into a
wheelchair.
DESIGN FOR AN ADAPTED CASTER CART (WHEEL BOARD)
Use the same suggestions for
supports, guides, and straps.
Note: The child’s weight is
over the large wheels. He
can rock from one caster
to the other. For travel over
rough ground, he will learn
to balance on the center
wheel and barely touch
down with the others.
CAUTION: Be sure to add cushions or adequate padding to all
seating designs. Children whose bodies push in uncontrolled
ways can very easily develop pressure sores (see Chapter 24).
Disabled village Children