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Robotic Technology and Artificial Intelligence in Rehabilitation Medicine
Published in Lawrence S. Chan, William C. Tang, Engineering-Medicine, 2019
There are many ways to classify ATDs. One way is to divide them into two major categories: low level ATDs (such as a cane, a walker, a portable ramp, or a transfer bench, etc.), versus high level ATDs. The robotic assistive technologies and the application of AI belong to the high level ATDs. ATDs can also be classified more comprehensively into ten domains: (1) architectural; (2) sensory aids; (3) computer software; (4) environmental control units; (5) personal care items; (6) prosthetics and orthotics; (7) personal mobility; (8) modified furniture; (9) adaptive sports; and (10) services.
Adaptive equipment
Published in Michael Y. Wang, Andrea L. Strayer, Odette A. Harris, Cathy M. Rosenberg, Praveen V. Mummaneni, Handbook of Neurosurgery, Neurology, and Spinal Medicine for Nurses and Advanced Practice Health Professionals, 2017
Transfer equipment includes sliding boards, Hoyer lifts, gait belts, sit-stand lift devices, and trapezes (for pulling upright in bed). A tub/shower chair can be placed in a tub or shower to provide a seat for bathing. A tub transfer bench extends out of the tub for individuals with a weak lower extremity. (For example, a patient with paraplegia may transfer directly from his or her wheelchair to a bath bench to be able to sit for showering.)
Measuring the Impact of Assistive Technology on Family Caregivers
Published in Stefano Federici, Marcia J. Scherer, Assistive Technology Assessment Handbook, 2017
Louise Demers, William Ben Mortenson
Step 3: To facilitate mobility, several AT strategies are considered; however, balance problems and instability of his right knee necessitate the use of a standard walker for ambulation. To facilitate bathroom transfers, they decided to have a higher toilet seat so that it is easier for Bob to sit down. To make this transfer easier, they tried some toilet armrests so that Bob can use his arms to help him raise and lower himself. For the bathtub, a variety of options are considered. Although it would be possible to have a bath chair in the tub, they are worried that he might fall getting over the side of the tub. Instead, they used a tub transfer bench that extends outside the tub with a tub grab to facilitate bathroom transfers. In terms of dressing options, they decided to trial a flexible sock aide to facilitate donning socks and a long handled shoehorn and reacher are trialed to facilitate donning and doffing shoes and socks.
Clients’ Perspectives of the Effectiveness of Home Modification Recommendations by Occupational Therapists
Published in Occupational Therapy In Health Care, 2018
Guby Wai Chu Lau, Mong-Lin Yu, Ted Brown, Cassandra Locke
Finally, three suggestions originally recommended by the occupational therapists were declined by the participants. Two participants preferred using temporary equipment (e.g., transfer bench and suction cup grab rail) rather than permanent devices and expressed that their occupational functioning improved over time, so their need of home modifications was reduced. Another participant declined a ramp recommendation because of its poor fit due to the recommended size and positioning; instead, his family put in another ramp using their own measurements and design, stating that “The ramp would not work the way people think…So I made up my own ramp to replace it” (Rob).
The Occupation-Based Intervention of Bathing: Cases in Home Health Care
Published in Occupational Therapy In Health Care, 2018
Rod Morgan, Rosanne DiZazzo-Miller
The occupation-based intervention of bathing is not being utilized as a treatment option throughout the literature. Rather than interview clients or caregivers about their level of functioning in ADLs and recommend equipment, it is critical to first understand each client’s unique challenges, fears and sensitivities and address them together while performing the ADL allowing for task analysis and further related compensatory or remedial interventions. Comprehensive outcome measures should also be implemented to ensure measurability. Specific intervention strategies that contributed to improved independence included the following:New routine development and consistent routines for clients with anxiety as well as safer, less taxing routines for energy conservation and endurance such as having items required for bathing ready and within reach while bathing, and clothing laid out and ready for dressing after bathing.Bathroom/shower modifications and equipment related to the occupation of bathing such as an adapted hand-held shower, tub seat and/or transfer bench to allow for safer, less taxing transfers and decreased effort during bathing. Placing a bedside commode over the toilet is a common modification since Medicare does not pay for raised toilet seats and this adaptation can assist with toilet transfers while providing a dry seat for dressing after bathing.Task modifications such as having the client take a shower with his or her back facing the shower to increase left or right sided awareness while allowing transfers to the unaffected, stronger side.Verbal and physical cueing for left or right sided awareness, impulsivity and safety awareness.Energy conservation techniques such as pacing and utilizing a wheelchair to decrease effort required to complete bathing without undue fatigue.Wheelchair adaptations that included oxygen concentrator placement and increased accessibility allowing clients to increase access to the bathroom.Transfer training with verbal and physical assistance as needed to modify and grade safe transfers into and out of the shower/tub.Safe and functional mobility with high repetitions of implementing safe use of ambulation aides to address endurance as well as clients with a fear of falling that inhibits bathing independence.