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Peds Positioning 4

Peds Positioning/Handling Ch.13

Positioning: Standing Involves full weight bearing on hips/LEs and promotes bone development.
Positioning: Standing It keeps optimum range of movement in muscle tissue/maintains good circulation
Positioning: Standing Standers support body from either the back or front surface and can be secured in a full vertical tilted position.
Positioning: Standing Reclining a stander can be used to adjust to children’s muscle tone and keep their joints properly aligned.
Positioning: Standing Using standers can help with positioning children that have increased extensor tone. Remember to tilt stander forward just enough to decrease tone and help child maintain head in midline position.
Positioning: Standing Supine standers that provide support from the lower trunk downward can be helpful for children with Diplegia.
Positioning: Standing (advantages) Allows children to view the environment from an upright orientation and interact with others at eye level
Positioning: Standing (advantages) Activates balance receptors in the soles of the feet
Positioning: Standing (advantages) Facilitates the controlled use of the neck and facial muscles used for eating and speaking
Positioning: Standing (disadvantages) Older and larger children may require assistance of 2 people for positioning in standers
Positioning: Standing (disadvantages) Children with little (I) postural control may fatigue rapidly when placed in upright antigravity positions.
Positioning: Standing (disadvantages) FWB on hips/LEs may be painful for children with muscle contractures or skeletal deformities in these body areas.
Wheelchairs Provide children with mobility and access to their environment
Wheelchairs Team makes a group decision concerning features of WC (frame, push handles, rear wheels, front casters, arm/leg rests, wheel locks)
Wheelchairs Child should participate in selecting style, fabric, color of WC
Wheelchairs Seat selection very important
Wheelchairs Important for WC to properly fit child
Mobility OT practitioners may suggest strollers, scooters, adapted tricycles, or other equipment to encourage movement in children.
Created by: 100000007924890