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A Good Foundation. Adaptive Positioning and Equipment. Prekindergarten Program for Children with Disabilities Miami-Dade County Public Schools. Adaptive Positioning and Equipment. Used to enhance function Allows positions child is unable to sustain independently

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A good foundation l.jpg

A Good Foundation

Adaptive Positioning and Equipment

Prekindergarten Program for Children with Disabilities

Miami-Dade County Public Schools


Adaptive positioning and equipment l.jpg
Adaptive Positioning and Equipment

  • Used to enhance function

  • Allows positions child is unable to sustain independently

  • Should match environment and activity

  • Should ALWAYS be considered in collaboration with and prescribed by a registered physical and/or occupational therapist


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Adaptive Positioning and Equipment

  • Evaluate child and prescribe positions and equipment

  • Adjust equipment for growth over time

  • Train school team on body mechanics and proper use of equipment

Role of Therapist

Role of teacher

  • Implement use of adaptive equipment and positioning throughout ACTIVE learning

  • Monitor child’s function and status

  • Monitor for growth

  • Consult with therapist(s) regularly


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What is “Good” Positioning?

  • Child can see activity/people

  • Child is supported but can move freely

  • Hips at approx. 90˚ angle (sitting) or slightly less (forward)

  • Feet supported flat on a surface (sitting and standing)

  • Tray or work surface at elbow height or slightly higher

  • For more info…consult with a therapist



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Adapted chair

FUNCTION:

FEATURES:

  • Back and side support

  • Footplate with optional sandals

  • Optional wheel base

  • Tray

  • Activity surface at table level

  • Cafeteria

  • Supported sitting for children with adequate trunk/head control


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Seating Systems

FEATURES:

FUNCTION:

  • Variety of sizes

  • Many support options

  • Wheel base/tray

  • Tilt in space

  • Raise and lower in space

  • Recline while keeping hip flexion angle

  • Activity chair for children who need maximum support

  • Inclusion in table activities


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Bolster Chair

  • Bolster to separate legs for children with increased tone and poor trunk control

  • Tray, wheels


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Adjustable Corner Chair

FUNCTION:

FEATURES:

  • Promotes symmetrical posture and midline control of head and arms

  • Reduces retraction (pulling back) of arms/shoulders for children with poor trunk control and stabilization against gravity

  • 3-way angled backrest

  • Adjustable height and seat depth

  • Tray/wheels


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Educube Chair

FUNCTION:

FEATURES:

  • Side support

  • Sense of boundary or personal space

  • For individual or group activities

  • Shallow or deep seat

  • Tray


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Adapted Educube Chair

FEATURES:

  • Tray with bumpers

  • Abductor

  • Support straps

  • Crayon holder


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Adapted Educube Chair

FEATURES:

  • PVC Tray Stand

  • Bicycle seat


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TumbleForms Feeder Seat

FUNCTION:

FEATURES:

  • Comfortable chair for children with poor head control

  • Floor level activities

  • Precautions for insufficient back/hip support

  • Adjustable recline

  • Soft, contoured surface

  • Separate tray ($$)



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Floor sitter

FUNCTION:

FEATURES:

  • Floor level activities

  • Precautions for children with less than 90˚ hip flexion

  • Hip/chest support

  • Tray


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Bench

FUNCTION:

FEATURES:

  • Sitting level activities

  • Develops trunk control

  • Adult can sit with child

  • Can be used as “tray” for floor sitting

  • Adjustable height and angle



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Supine Stander/Easy Stander

FUNCTION:

FEATURES:

  • Weight bearing

  • Upright positioning for children with difficulty with head control

  • Activity surface in standing

  • Chest, hip, knee, foot straps

  • Hip guides and other supports

  • Adjustable angle of incline

  • Goes from sit to stand easily


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Prone Stander

FUNCTION:

FEATURES:

  • Weight bearing

  • Upright positioning for children with some head control

  • Activity surface in standing

  • Back, hip, and foot straps

  • Hip/trunk guides and other supports

  • Adjustable angle of incline


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Tot Stander

FUNCTION:

FEATURES:

  • Weight bearing

  • Upright positioning for children with good head control and some trunk control

  • Get closer to activity

  • Torso, hip, and foot straps

  • Knee guides



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Dynamic Stander

FUNCTION:

FEATURES:

  • Mobility for children who can wheel themselves

  • Activity surface for dynamic activities

  • Classroom traffic patterns must be considered

  • Torso, hip, and foot straps

  • Knee guides

  • Large wheels with grab bar

  • Tray



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Gait Trainer

FUNCTION:

FEATURES:

  • Mobility for children who can take steps

  • Classroom traffic patterns must be considered

  • Various models offer different degrees of support


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Walker

FUNCTION:

FEATURES:

  • Mobility for children who can support upper body and take steps

  • Classroom traffic patterns must be considered

  • Can be used anterior or posterior

  • Wheeled option



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Prone Wedge

FUNCTION:

FEATURES:

  • Floor level play

  • Develops head control and weight bearing on arms

  • Precaution to avoid frustration – make it functional

  • Available in different heights (elbow to shoulder)

  • Strap option for help with hip extension

Hint: For smaller children, a rolled up towel can serve the same function!


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Sidelying

BENEFITS:

  • Floor level play

  • Incline option

  • Promotes midline orientation for children with poor control against gravity

  • Relaxed position benefits breathing and digestion


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Tadpole Positioning System

FUNCTION:

FEATURES:

  • Floor level play in variety of positions: prone, supine, sitting and sidelying

  • “Grasshopper” is available for older, larger children

  • Soft vinyl modular pieces that can be put together (velcro) in different configurations



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Adapted Tricycles

FUNCTION:

FEATURES:

  • Supportive back

  • Lap/chest belts

  • Footplates, straps

  • Adapted handle bars

  • Adapted pedals

  • Mobility on playground

  • Different models for different strengths and needs



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Adapted Potty Seats

FUNCTION:

FEATURES:

  • Sitting support on toilet

  • Different models offer different levels of support


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