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 Rehabilitation Therapist  Rehabilitation Therapist

Rehabilitation Therapist - PowerPoint Presentation

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Uploaded On 2020-04-11

Rehabilitation Therapist - PPT Presentation

Role Updated 6 132018 Rehabilitation Therapist Role Includes physical and occupational therapists Assess a childs physical capabilities and determine ways to improve a childs interaction with their environment ID: 776694

2018 positioning therapist child 2018 positioning therapist child seat family assessment side intervention role towel rehabilitation head restraint muscle

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Presentation Transcript

Slide1

Rehabilitation Therapist Role

Updated 6/13/2018

Slide2

Rehabilitation Therapist Role

Includes physical and occupational therapistsAssess a child’s physical capabilities and determine ways to improve a child’s interaction with their environment Essential members of a child’s medical team Often work with children who have involved positioning needs

6/13/2018

Slide3

Rehabilitation Therapist Role

Can offer individualized positioning guidelines if questions arise regarding how to position a child in a child safety seat Most are not CPSTs but important to involve them when working with children with complex positioning needs

6/13/2018

Slide4

Rehabilitation Therapist Role

Primary goal of CPST rehab therapist is to provide family centered care to enhance participation in every day activities by providing safe transportation optionsCan be achieved through the use of conventional or specialized restraints

6/13/2018

Slide5

Client and family interviewPositioning assessment and interventionRecommendationsOrder equipmentDeliver equipment

6/13/2018

Rehabilitation Therapist Role

Slide6

Client / Family Interview

Occupational therapist interviewing family

6/13/2018

Slide7

Client/Family Interview

The interview documents: Diagnosis Weight, height and age Positioning assessment Number and position of passengers in vehicle Current child restraint system Type and year of vehicle Installation information Equipment recommended

Interview form developed

by occupational therapists at Riley Hospital for Children

6/13/2018

Slide8

Positioning Assessment

High muscle toneMuscles are contracting more than normal and muscles are very tightLow muscle toneMuscles are contracting less than normal and may feel very loose

6/13/2018

Slide9

Positioning Assessment: Head Control

Decreased head controlHead can fall forward, to the side, or back

6/13/2018

Slide10

Intervention: Decreased Head Control

Head padsSoft cervical collar or towel rollsChoose a seat that offers head support system

6/13/2018

Slide11

Positioning Assessment:Trunk Control

Decreased trunk controlRounded backFalls side to side

6/13/2018

Slide12

Intervention:Decreased Trunk Control

Towel rolls on both sides or one side of trunkConsider adaptive car seat with positioning pads

Source: Automotive Safety Program

6/13/2018

Slide13

PositioningAssessment / Intervention

Muscle tone in lower extremitiesLegs can scissor, or crossFoam abductor or towel roll between legs

6/13/2018

Slide14

PositioningAssessment / Intervention

Muscle tone in lower extremitiesLegs can abduct (far apart)Towel rolls on side of hips

6/13/2018

Slide15

PositioningAssessment/Intervention

ScoliosisHarness may be looser on one sideMay be an empty space behind childMore padding on one side compared to the other for optimal supportChoose a seat that offers options e.g. Roosevelt scoliosis harness

Adjusts at hips to accommodate for asymmetry

6/13/2018

Slide16

Positioning Assessment/Intervention

Anterior/posterior pelvic tilt Towel rolls under knees to help keep pelvis positioned back in seat Place child in seat in an already flexed position to inhibit tone

6/13/2018

Slide17

Trial various medical seatsMeets child’s needsMeets family’s needs

6/13/2018

Recommendations

Slide18

Recommendations

Take measurementsHead circumferenceChest circumferenceSeated waist circumferenceShoulder to hip height (seated torso height)Leg length (seat depth)Shoulder width

6/13/2018

Slide19

Ordering Equipment

Determine is child restraint will fit in car with other passengers Order equipmentObtain prescription form (prior to appointment)Write letter of medical necessityAgree upon vendor/supplier with family inputVendor receives funding approval and orders child restraint system

6/13/2018

Slide20

Fit and deliver restraint systemInstall child restraint in family vehicleMay need to arrange for heavy duty tether installationFamily return demonstrate installation

6/13/2018

Delivering Equipment

Mobility specialists installing heavy duty tether anchors