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“Speech is the most important thing we have. It makes us a person and not a thing. No one should ever have to be a thing.” -Dorene Individual who uses AAC. Augmentative Communication-How Do Pediatric Occupational and Physical Therapists Fit In? . Molly Shannon, OTR/L, ATP

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slide1

“Speech is the most important thing we have. It makes us a person and not a thing. No one should ever have to be a thing.”-Dorene

Individual who uses AAC

augmentative communication how do pediatric occupational and physical therapists fit in

Augmentative Communication-How Do Pediatric Occupational and Physical Therapists Fit In?

Molly Shannon, OTR/L, ATP

Tammy Pereboom, PT, ATP

North Carolina Assistive Technology Program

www.ncatp.org

ncatp overview
NCATP Overview
  • Federal and state funded Tech Act Program
  • Free consumer consults if no funding source
  • Fee based evaluations, trainings
  • Interagency collaborations
  • Loan Program
  • Speech to Speech Dial 711, Overview/handout
  • Work with all ages and all disabilities in many western NC counties (depends upon age as to which counties, but about 12-22 counties overall)
overview introductions
Overview, Introductions
  • Molly and Tammy’s bios
  • Course Objectives: definitions, OT/PT roles, AAC, Assessment, Access, Mounting, Devices, Resources
  • Agenda, Handouts
  • Two Breaks, Restrooms
  • Tours of AT center available in breaks, Devices available for hands on
  • Scott Chapman of Dynavox and Dawn Haynes from Prentke Romich are here, thanks!
  • Participant Introductions: name, where work, main reason they are here today
slide5

Why Aren’t OTs and PTs Using AT or Helping with AAC?

  • Lack of experience and/or confidence
  • Too little time for additional training
  • Little access to AT in particular settings
  • No mentors
  • Just don’t get it, no buy in yet or “ah-ha” moment or client
  • Afraid to admit sometimes that we don’t know
  • Lack of institutional or supervisor support
  • Lack of resource information
  • Fear of technology! Batteries to hard drive analogy.
  • YOU ARE HERE! Thanks for coming!
slide6

Definitions of OT, PT and AT

  • AOTA: OT is skilled treatment that helps individuals with disabilities achieve independence in all facets of their lives. It gives people the “skills for living” necessary for independent and satisfying lives.
  • APTA: PT includes:
    • Examining individuals with impairment, functional limitation, and disability or other health related conditions in order to determine a diagnosis, prognosis, and intervention.
    • Alleviating impairment and functional limitation by designing, implementing, and modifying therapeutic interventions.
    • Preventing injury, impairment, functional limitation, and disability, including the promotion and maintenance of fitness, health, and quality of life in people of all ages.
    • Engaging in consultation, education, and research.
at definition from pl 100 407
AT Definition from PL 100-407:
  • AT Device: Any item, piece of equipment or product system whether acquired commercially off-the-shelf, modified, or customized that is used to increase or improve functional capabilities of individuals with disabilities.
  • AT Service: Any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.
slide8

What is Augmentative and Alternative Communication (AAC)?

  • According to ASHA, augmentative and alternative communication (AAC) is an integrated group of symbols, aids, strategies, and techniques used by individuals to enhance communication.
  • AAC serves as part of a person’s communication system, supplementing gestural, spoken, and/or written communication abilities.
resna certification for atp
RESNA Certification for ATP
  • Now is only one certification for professionals and vendors
  • Used to be ATP and ATS
  • We do have ATPs from wheelchair companies in Charlotte
  • Exam, ongoing continuing education, training, ethics, etc.
  • www.resna.org
slide10

What Augmentative and Alternative Communication (AAC) Does:

  • Facilitate language development
  • Provide a different form of communication, enhancing the student’s present communication system
  • Increase independence
  • Facilitate academic development and classroom participation
  • Offer opportunity for social interaction
slide11

AAC Does Not:

  • Inhibit spoken language
  • Interfere with classroom instruction
  • Create social barriers
slide12

AAC may involve:

  • Low tech techniques, like picture schedules, Picture Exchange Communication Systems (PECS), and communication boards or books. Students touch/point to or look at objects, picture symbols, words, or letters to communicate.
slide13

High Tech techniques/devices with voice output that provide students with a way to speak intelligibly. These approaches give the student the opportunity to use pictures, words, or letters to produce

    • a single message,

“Please, turn on the fan.”

slide14

a few messages,

“I want a drink.” or

“I am hungry.”

aac device overview
AAC Device Overview
  • Quick look at some low to high tech devices
    • No tech ideas: flip, boards
    • Partner One and other less expensive one message devices: Yes, Virginia there are more options than Big Macs!!!
    • Tech 8 with ECU
    • Tech 32 with levels
    • Dynawrite
    • Springboard Lite
    • Dynavox V
    • Eco 14
    • PASS Software for demo, nice option for training! Show Access
  • Hands on during breaks
slide17

A Beginning…

  • I drew it, the letter A. There it was on the floor before me. I looked up. I saw my mother’s face for a moment, tears on her cheeks. I had done it! It had started, the thing that was to give my mind it’s chance of expressing itself. That one letter, scrawled on the floor with a broken bit of yellow chalk gripped between my toes, was my road to a new world, my key to mental freedom.

Christy Brown, 1954

My Left Foot, movie and book

How can therapists not believe that

we are a vital component of AAC delivery?

slide18

Communication is not only the essence of being human, but also a vital property of life.

John A. Piece

slide19

“Molly or Tammy? Why Did You Stop Being an OT/PT?” WRONG!!

  • We have never stopped being OTs and PTs.
  • We are proud to be OTs and PTs!! Some in AT, not so much!
  • We are therapists that specialize in AT.
  • AT professionals come from all backgrounds, but OT and PT are logical choices.
  • We have always done adaptive equipment and AT is just the umbrella term for all of the equipment categories.
  • As do more AT, become more of a generalist and lines merge with professions.
slide20

If you want to know what it is like to be unable to speak, there is a way. Go to a party and don’t talk. Play mute. Use your hands if you wish, but don’t use paper and pencil. Paper and Pencil are not always handy for a mute person. Here is what you will find: people talking: talking behind, beside, around, over, under through, and even for you. But never with you. You are ignored until finally you feel like a piece of furniture.

  • Rick Creech
  • Individual who uses AAC
slide21

Categories of AT: Today’s Focus is AAC But Access Overlaps All Areas of Course!

  • Computer Access
  • Augmentative communication
  • Activities of Daily Living
  • Environmental Controls
  • Seating, Mobility and Positioning
slide22

Assessment Assistance:

  • AT assessment, $6 month for individuals, free 4 wk trial at www.customtyping.com GREAT site.
  • WATI free AT eval form (37 pages) and other materials online, http://www.wati.org/content/supports/free/pdf/ASNAT4thEditionDec08.pdf 337 page guide to AT, Section 9/10 on seating and positioning. Great forms!
  • GPAT www.gpat.org FANTASTIC protocols, 14 page one on AAC and OT and PT “areas” are nice
  • SETT (Student, Environment, Task, Tools) Zabala, hard to find now, but many use. Forms similar in WATI above.
  • MSIPT (DeCoste 1996) Find still?
msipt handout is an old form but nice assessment form hard to find anymore
Checklist for charting 3 observations with 3 different devices

M=movement

S= site of control

I=input method

P=position of input

T=targeting method

MSIPT, handout is an old form, but nice! Assessment form, hard to find anymore
slide24

http://public.doe.k12.ga.us/DMGetDocument.aspx/AAC%20Evaluation%20Protocol.pdf?p=6CC6799F8C1371F64E4F53D91653586E66B5D054B9D6977ACF2448B2C7785534&Type=Dhttp://public.doe.k12.ga.us/DMGetDocument.aspx/AAC%20Evaluation%20Protocol.pdf?p=6CC6799F8C1371F64E4F53D91653586E66B5D054B9D6977ACF2448B2C7785534&Type=D

slide25

Suggested Team Roles: No One Person Can Wear All the Hats!

  • Language/Communication: SLP
  • Programming of AAC: SLP, AT, parent/consumer, or other with interest! OT/PT?
  • Curriculum Integration/Literacy: Teacher, AT/OT
  • Physical Access and Positioning: OT/PT, AT
  • Linking and Computer: AT or other interested staff, some parents/consumers
  • Mounting: some would say PT only, but really anybody willing to try!!!
slide26

OT/PT Role Typical Roles in AT Evaluation:

  • Functional range of motion
  • Strength
  • Sensory
  • Cognitive, depending upon team
  • Coordination
  • Reach
  • Hand Strength and finger isolation or other isolated access control
  • Functional skill levels
  • Posture, changes in position and environments
assumption interdisciplinary assessments
Assumption: Interdisciplinary Assessments
  • Best to have entire team’s input
  • Current assessments
  • Parent and consumer/client info vital
  • Copies of private or outside evaluations or reports helpful
assessment a process not an event
Assessment: A Process, Not An Event

Assess to meet today’s needs, then tomorrow’s, and tomorrow’s and tomorrow’s…

Beukelman and Mirenda

slide29

Georgia Department of Education , GPAT:

Principles of Assistive Technology Evaluations

•Smith (1993) points out that the Goal: Is not Which Device, Rather….

What (The child needs to be able to do)

Where (In what environment)

Why (For what specific purpose)

How (Possible ways to help the child accomplish described tasks in specific environments)

Then, which device combined with which services and which individual strategies=FEATURE MATCHING

at evaluation considerations
AT Evaluation Considerations
  • Sensory Skills: hearing, vision acuity, perceptual/discrimination issues
  • Seating and Positioning: ambulatory issues vs. non-ambulatory
  • Individual Abilities
    • Motor and Access, Direct Select vs. Switch vs. Scanning
    • Receptive and Expressive Communication
  • Communication Needs
    • Language Functions
    • Environments/Partners
    • Tasks
slide31

Hierarchy of AT/AAC Access

Keyboard

Mouse Technology

Proportional Joystick

Switched Joystick

4 switches

3 switches

Single switch scanning

2 switches

Single switch

Least Restrictive Access

Most Restrictive Access

evaluation process direct select most preferred method
Evaluation process, Direct Select? Most preferred method

1. Direct Selection: Determine student’s gross and fine motor abilities as related to accessing a system using direct selection, including

  • Range of motion
  • Position changes
  • Move your object around the area in front of student, assess to the right/left, top/bottom, midline/cross midline
  • Have them touch, point or pick up items
  • Fine motor control –how do they touch/point?
  • Ability to achieve an isolated point, closed fist, hand, arm, etc.
  • Strength and motor control
  • 90/90/90 myth!
access evaluation cont
Access Evaluation, cont.
  • Delays in processing/motor recognition/initiation
  • Observe/measure how long takes to recognize direction, initiate motor movement and complete motor act
  • Ability to utilize adapted equipment for direct selection, if unable to access independently
  • Try handheld pointers, splints, t-bars, headpointers, etc. and repeat range and control observations
direct selection access evaluation cont
Direct Selection Access Evaluation, cont.
  • Determine degree of accuracy student can use to access targets of various sizes
  • Maximum range and number of targets student can access
  • Extent to which adaptations can be used to optimize accuracy, efficiency, and range of motion
  • Determine student’s ability to utilize alternate input devices for adapted direct selection (with AAC or computer based systems)
  • Mouse, Trackpad, Joystick/trackball, headpointing system
eye gaze vs head control access
Eye Gaze vs. Head Control Access
  • Prentke Romich devices that are Plus have the Tracker infrared input
  • Can add on Head Mouse or Smart Nav to any device as access if correct cabling, USB, etc.
  • Magitek products nice too
head mouth based access demos
Head/Mouth Based Access Demos
  • Head Mouse
  • Others available
  • Low tech options to remember is : Mouthstick
  • QuadJoy? Jouse for access, mouse/sip and puff access
slide37

Eye Gaze Overview

  • Dedicated computers or AAC devices now
  • Products: Eco 14 EcoPoint, EyeMax from Dynavox, Erica, Quick Glance, Tobii, LC Tech
  • Cost, high but less than

used to be! 4K-20 depending upon if buying AAC device or computer

  • Evaluations cost for true eye gaze systems
if cannot direct select assess for switch access
If Cannot Direct Select, Assess for Switch Access
  • Determine student’s ability to use single switch access (using switch toys, music, w/ SLAT or Powerlink, motivating software with switch interface –no scanning at this point)
  • Identify activation sites student can use to activate one or more switches
  • Identify possible switch types
  • Determine student’s ability to
  • Activate a switch on command –how quickly, how easily
  • Release a switch on command –how quickly, how easily
  • Reactivate a switch –how quickly, how easily
  • Hold and maintain closure on a switch –how easily
  • Complete the above listed areas on a variety of activation sites and switch styles
slide40

Hierarchy of Access Sites: Can Have Multiple Sites for Access

Hands

Head/voice

Arms/elbow

Legs/knees

Feet

switch access evaluation cont
Switch Access Evaluation, cont.
  • Determine student’s ability to use two switches for potential dual switch/step scanning –two sites easily
  • Determine student’s ability to release and reactivate switch to continue use of communication system
  • Determine student’s ability to using scanning access for communication system use live voice scanning or partnered visual scanning with single message voice output device
  • Assess student’s ability to watch a visual cue, process and activate the switch when it is on a designated target (stand behind student if using an infrared pointer -start with one target, move to 2 –designate target, then go to choice 2-4)
spectrum of switch training and use
Spectrum of Switch Training and Use

toys

job

  • Play, Exploration, Leisure
  • Communication
  • Movement: Cooper Car, power chairs
  • Activities of daily living and Environmental control (EADL)
  • Education, Computer
  • Pre-vocational and vocational
slide44

Top Tips for Switch Selection:

Movement Issues: naturally occurring, volitional, social and communication issues, motivation is key

Positioning and Environmental Concerns: team assessment helps, space constrictions, reflexes, mounting, different locales/times different access?

Performance Variables: Target size, Force,Timing, Accuracy, Efficiency, Durability, Safety and Fatigue

User Input:Interest and acceptance, Fun for younger users, Increases independence, Comfortable, Ease of use, Reliability, Cost issues

Professional or Family Support Pointers: Wait!, consider previous attempts, try it yourself!, ease and reliability of set-up by staff/families

1 movement issues
1.Movement Issues
  • Observe naturally occurring movements
  • Look for a volitional movement
  • Don’t let it take away from communication interactions
  • Social considerations in different settings
  • Motivating movements will often win out
2 positioning and environmental concerns
2. Positioning and Environmental Concerns
  • Importance of prior team assessment
  • Reflexes: ATNR, STNR
  • Space restrictions
  • Different access site and switches for various settings, times of day
  • 90/90/90
  • Mounting issues
3 performance variables
3. Performance Variables
  • Target size
  • Force
  • Timing
  • Accuracy
  • Efficiency
  • Durability
  • Safety and Fatigue
4 user input
4. User Input
  • Interest and acceptance
  • Fun for younger users
  • Increases independence
  • Comfortable
  • Ease of use
  • Reliability
  • Cost issues
5 professional or family support pointers
5. Professional or Family Support Pointers
  • Wait, wait, wait for responses
  • Consider previous successful attempts
  • Try it yourself to see how it feels
  • Ease and reliability of set-up for caregivers is key
categories of switch types
Categories of Switch Types
  • Pressure: push or lever
  • Pneumatic: air sensitive such as Sip and Puff
  • Motion (mercury or infrared) or motoric (pinch, grip, etc.)
  • Photosensitive: Blink switch
more switch types
More Switch Types
  • Physioelectric or sensitivity (muscle tension):

P switch

  • Sound activated
  • Remote or proximity: Cordless Big Red or Untouchable Buddy/TASH
  • Taction switches:attach to surface of item or page of a book, but need Linkswitch
  • Flexible Switches: Adaptivation, work with any device and stick to surface
switch hands on activity 1
Switch Hands On Activity #1
  • Each small group gets a bag of goodies
  • Within each bag there is:
    • a mount or some type of positioning device
    • a switch
    • low tech AAC, book or toy
  • You will put mount and switch or devices together (15 minutes)
    • Brainstorm what kind of client could use
    • Some bags require more problem solving than others!
    • Extra materials on table if needed, tools, tape, Velcro, etc.
  • Every group will share briefly name of products and your ideas to group for show and tell. (15 minutes)
ideas for feature matching with switches varies with clients
Cerebral Palsy: coordination is key

Neuromuscular (ALS, MD, SMA): strength, ROM, fatigue

Spinal Cord Injuries: high level quads

DD/MR:

bright, big, sturdy

Visual Impairments:

Pressure, rocker, wobble switches. Mounting!

Spec, light touch, blink, P switch, cup, microlite

Sip and puff, tongue, head controlled

Big Red, Bass, wobble, auditory

Texture switch, auditory feedback

Ideas for Feature Matching with Switches: Varies with Clients!
direct selection vs scanning
Direct Selection vs. Scanning
  • Direct Input Methods: hand, feet, pointers, mouthstick, splints, eye gaze
  • Direct Input Devices: keyboards and alternate keyboards, eye gaze boards, low tech, onscreen keyboards, etc.
  • Scanning is not direct selection and is most restrictive access
  • Be aware that the entire AAC device screen can be one big switch! Nice option for many children.
  • Linda Burkhart great resource for teaching various switch skill progressions
    • www.lburkhart.com/hand2sw4s.htm
scanning techniques
Scanning: Techniques
  • Automatic: runs automatically number of times programmed to
  • Step: press to select and advance movement of cursor
  • Directed or Inverse: hold down switch until movement stops
scanning patterns
Scanning: Patterns
  • Linear
  • Circular
  • Group Item: item, row, column, block
  • Customized
switch use specific to aac devices
Switch Use Specific to AAC Devices
  • System specifics see manuals, websites, reps. Thanks Scott Chapman and Dawn Haynes!!!
  • Scanning Options: direction, type, speed, auditory
  • Setting scan patterns
  • Assessment guide in Dynavox :ROM/targeting, Scott demo
  • Encoding: ex:, eyegaze boards, Minspeak and morse. Very HIGH Tech info!
visual and or auditory scanning
Visual and/or Auditory Scanning
  • Visual
    • LED issues: one light in corner or entire message outline
    • Bi-modal
    • Communication field importance
  • Auditory
    • Entire web sites devoted to this method
    • Cognitive and memory load
    • Ironically often recommended for low functioning clients
regarding scanning
Regarding Scanning…
  • It should be emphasized that saying it can be done is not the same as saying it will be easy.

Stainback and Stainback

slide62

Stephen Hawking, from a

A Brief History of Time

“For a time after the tracheostomy operation the only way I could communicate was to spell out words letter by letter, by raising my eyebrows when someone pointed to the right letter on a spelling card. It is pretty difficult to carry on a conversation like that, let alone write a scientific paper.”

lightweight mounting ideas
Lightweight Mounting Ideas
  • Usually holds 5 pounds or less
  • Typically for switches or ECU devices and lightweight AAC devices
  • You typically use what you have and don’t even know the ‘real’ name of it
  • Many therapists make their own mounting solutions from low tech materials
slide65

Slim Armstrong, $279

  • www.ablenetinc.com
  • Versatile, strong, and easy to use.
  • Easy positioning with ball joint.
  • Telescoping arm stretches 20.5”.
  • Support up to 5 pounds.
  • Clamps to flat table surface or round wheelchair frame.
  • Five mix and match parts to create four different systems.
  • No tools needed!
slide66

Universal Switch Mounting System, $219

  • www.ablenetinc.com
  • Heavy-duty system, friction knob.
  • Holds up to 5 pounds.
  • Many positions, arm adjusts and locks by turn of lever.
  • Ideal for assessment or computer stations.
  • Includes large triangular mount for larger switches.
  • Ablenet: $219
tash mounting arm
TASH Mounting Arm
  • www.ablenetinc.com
  • $252
  • Any TASH can attach
  • Also…
  • Cling Arm
  • $120
mini arm from rj cooper
Mini Arm from RJ Cooper
  • www.rjcooper.com
  • $99
  • The Mini-Arm is a variation on the Articulating Arm.  Included is the great Super-Clamp so the Mini-Arm can be mounted to just about anything.  The Mini-Arm ranges from 4-11".  It comes with a 1" (for our Compact Switch) and 2.5" (for our Buddy Button) round plastic disk at the end, with Velcro, to mount switch.
articulating arm by rj cooper
Articulating Arm by RJ Cooper
  • $119
  • Three knobs to tighten, versus one, and is not quite as strong as the Magic Arm. But it is less expensive, stronger, and much easier to use than some.
magic arm from rj cooper
Magic Arm from RJ Cooper
  • $219
  • The base clamp attaches securely to just about anything: wheelchair tubing, tables, the CooperCar rollbar, you name it! The dial at the elbow tightens all three joints: the one at the base, the elbow, and the switch end. And when it's tight, it REALLY holds everything in perfect place.
slide71

Mighty Mount, Ablenet/TASH, $170

  • Attaches to any surface: table, chair, wheelchair, bed.
  • Easy to position.
  • Adjustable arm lengths, arm angle, and switch angle (length 16”-24”)
  • Best suited for Tash switches
maxess switch trays and mounts
Maxess Switch Trays and Mounts
  • www.inclusivetlc.com
  • Trays, $59-79
  • Mounts, $32-42
adapt a tray
Adapt-A-Tray
  • $685, plus
  • http://www.customsolutions.us/adaptatray/index.htm
  • The AdaptaTray is a new and unique upper body positioning system to assist individuals with physical disabilities to access equipment in their work and learning environment.
dedicated aac mounts
Dedicated AAC Mounts
  • So many available, we are showing representative or more popular ones
  • Some companies only recommend one or two vendors they prefer
  • Pricing is confusing
  • This is a tricky area. Ask for help from vendors and dealers
  • Warranty and customer support is important
slide75

Folding mount/ Rigid Mount

  • Used for voice output communication aids, laptop computers, trays and communication boards.
  • Vertical and horizontal tube joined at right angle.
  • Clamps onto wheelchair by Frame Clamp Assembly.
  • Folding mount folds completely down beside wheelchair. It may stick out from chair and hit wall when folded. Can be mounted on left or right of chair.
  • Rigid mount has no moving parts. It should be detached when mount is swung around beside wheelchair.
slide76

Folding and Rigid Mounts

Rear folding mount

Folding mount

Rigid mount

profiler mount from cjt 740
Profiler Mount from CJT, $740
  • Is a new innovative design that makes mounting to wheelchairs, walkers, hospital beds, stroller's and tables a breeze.
  • Can mount to square , oblong, and round tubing. You can use either vertical or horizontal tubing.
  • Can even be mounted to the inside of some chairs and brought out from the side and up.
  • It's lightweight and easy to adjust.
  • Can move to the side with the single lift of a lever.
  • Can be used with most of the communications devices on the market. Users have a choice of using any of the augmentative communication company's quick release, or C.J.T.'s device plate or C.J.T.'s new quick release system.
benefits of profiler
Benefits of Profiler
  • Easy to use.
  • Installs in minutes not hours.
  • Variety of angles and heights can be achieved within seconds.
  • Can change to clients new chair with minimum to no charge.
  • Can hold up to 15 lbs.
  • Nice looking.
  • Light weight.
  • Can swing away to the side.
  • Can mount on the left or right side.
  • Cost:
slide79

Profiler Lite from CJT

  • The ProLite mounting system is specifically designed to work with small and lightweight devices.
  • Is simple to use and offers a variety of options.
  • It's low profile makes it appealing to an individual while its flexibility and durability accommodate real needs.
  • Ordering the ProLite is simple.
  • You choose one product code, giving you all the parts you need to mount the ProLite to either the left or right side.
  • You can mount the ProLite to the base of the chair, the back, the arm, just find a small space and you can mount the system in minutes.
slide80

Profiler Lite, $265

Easy to assemble and disassemble.

Mounts to both left and right side.

Fully adjustable-Base turns 360 degrees.

Mounts to square or round tubing.

Lightweight.

Works with most light weight devices.

Max load 5lbs.

Mounts to wheelchairs, hospital beds, walkers, IV poles and more.

Come with device quick release.

Mounts to vertical or horizontal tubing.

Choice of length 9" to 16" or 16" to 21".

Durable.

slide81

Freedom Table Mount, $475

  • Freestanding.
  • Hands free support on any surface.
  • Change angles, height, and rotate 360°.
  • Locks into position.
  • Quick release lever allows quick positioning for use.
  • Can be used with all AAC devices and most notebook computers.
daessy mounting system from daedalus
DAESSY Mounting System from DAEDALUS
  • http://www.daessy.com/dms/indexm.html
  • The DAESSY Mounting System is a component based system that allows for customization and limitless configurations to meet mounting needs.
  • Selecting a Mount handout: http://www.daessy.com/PDF/select.pdf
what are the names of the parts of my daessy wheelchair mount
What are the Names of the Parts of my Daessy Wheelchair Mount?
  • http://support.prentrom.com/article.php?id=325 The picture is the Daessy Wheelchair Folding Mount shown with the Standard PRC Quick Release Mount and 7/8" round frame clamp.  Frame clamps come in different hole shapes and sizes, so your clamp may look a bit different. 
daessy wheelchair mount cont
Daessy Wheelchair Mount, cont.
  • The Daessy bar comes in 2 different lengths called offsets,  a 6"offset or a 12" offset.  A 12" offset adds inches to the Vertical Tube at both the bend section and to the length where the collar is attached. The shorter the offset, the closer the device will be to the person using it.
mount n mover
Mount ‘n Mover
  • www.broadenedhorizons.com
  • The Mount'n Mover system lets individuals choose where and when their mount is positioned with devices, trays or laptops can be at-the-ready, not in-the-way.
  • 2 easy to use knobs, one handed operation, customizable, holds up to 15 lbs. Cost from $800-1200ish
mounting worksheets
Mounting Worksheets…
  • Dynavox: Handout “Mounting Worksheet” http://dynavoxsys.custhelp.com/app/answers/detail/a_id/2218/kw/mounting/r_id/158 and additional questions for “Wheelchair Mount Ordering Basics” http://dynavoxsys.custhelp.com/app/answers/detail/a_id/4187/related/1/kw/mounting/r_id/158
  • DAESSY: 7 pages long http://www.daessy.com/PDF/select.pdf
  • Installation of DAESSY http://support.prentrom.com/article.php?id=330
  • How do I Determine the Proper Bar Length for my Mounting Kit? http://support.prentrom.com/article.php?id=799
challenges in aac mounting michelle lange http www medrehabnetwork com art adee cfm artid 9042
Challenges in AAC Mounting: Michelle Lange,http://www.medrehabnetwork.com/art-adee.cfm?artID=9042
  • Unusual tubing sizes
  • Stroller frames are simply not strong enough.
  • Ultra lightweight manual wheelchairs
  • Swing away mounts
  • Transfers
more challenges in aac mounts
More Challenges in AAC Mounts
  • Wheelchair and mounting companies are not always in sync with products, devices, and support
  • Tilt and/or recline systems
  • Never mount these systems to moveable parts.
more challenges
More Challenges…
  • Overall width of the wheelchair and device.
  • Visual field and social issues.
  • Multiple bases and environments.
  • Pricing information, modular issues. Frustrating to not know how much is going to cost!
bottom line with mounting
Bottom Line with Mounting…
  • Someone has to put this mount on the chair! Believe me, your average caregiver just isn’t going to do it.
  • Who can or will help?
  • Wheelchair vendors, AAC vendors, interested therapists, Rehab Engineers, dads
  • If you have to have an engineer mount the device, then is that the mount you really want for that client?
slide91

10 things I wish my teacher knew about AAC

(insert AT or therapist, parents, etc)ASHA and Callier Center, Dallas

1. I wish my teacher would joke with me.

2. I wish my teacher would learn how to work my communication device.

3. I wish my teacher would stop shouting at me like I can’t hear.

4. I wish my teacher would remember that I don’t always spell very well.

5. I wish my teacher wouldn’t have a heart attack when my device doesn’t work.

6. I wish my teacher would have more patience with me.

7. I wish my teacher wouldn’t hit my machine when it doesn’t work-that’s my mouth she’s hitting!

8. I wish my teacher would call on me for Share Day.

9. I wish my teacher would give me enough time to say what I’m thinking.

10. I wish I could walk and talk like my sister and brother.

resources
Resources
  • Various AT, great site from OT Bridget http://www.customtyping.com/tutorials/at/switches/assessment.htm and http://www.customtyping.com/tutorials/at/switches/movement.htm Joint movement switch tutorial and same gal at http://www.customsolutions.us/
  • Great for AAC info! Tons! http://aac.unl.edu/yaack/toc.html
dawn haynes from assistive technology works
Dawn Haynes from Assistive Technology Works
  • Prentke Romich Company rep
  • 540-337-4640
  • dhaynes@assistivetechworks.com
  • www.prentrom.com
  • Great online tech support and telephone too from PRC
scott chapman dynavox
Scott Chapman, Dynavox
  • Lives in South Charlotte!
  • Phone: 800-344-1778 ext.7937
  • Scott.chapman@dynavoxtech.com
  • www.dynavoxtech.com Great online support and tech support as well
  • Training videos within some products which is great.
thanks for coming
Thanks for coming!
  • Molly Shannon www.ncatp.org
  • Tammy Pereboom www.ncatp.org