Dec 112013
 

Completed Projects from January to December  2013 

Project 412- enhanced grip support needed for walking frame to prevent right hand slipping down frame . This was developed using the protective rubber hand grip & guard from a masonry brick bolster .

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Project 415- Tray required for wheelchair- existing tray cut to size & fitted as requested.

Project 418- wrists splints required for holding fishing rods- supplied/fitted. To be tested at start of fishing season .

Project 419 – client with MS needs extension of head rest to existing Aquatec Ocean VIP shower chair – extra setting holes provided.

Project 422- client has osteoarthritis affecting her shoulders,spine and hands associated with pronounced kypho-scoliosos (hump on upper back) resulting in difficulty in putting on her outdoor clothing. A device, hinged from the back of her kitchen door  was constructed with four extended metal arms with short chains ending in clothing grips (from commercial coat hangers)  with extended perspex handle grips (needed for her weak grip). A fifth grip hung from a short pulley with a handle attached to the far end. The coat was first attached to the five clips- to both of the shoulders, lapels & centre of collar , thereby opening up the coat so that the client could insert her “worst” arm first and then her “better” arm and finally pulling on the handle which pulled the coat up & over the obstruction on her back. Finally she walked away from the frame when all five grips became detached and the device was folded back  flat against the door which could then be reopened again.

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Project: 423 -client has special padded toilet seat with integral flip arms -essential for safe transferring. One of the metal brackets attaching the padded seat to the bowl had broken and needed replacing. The model was no longer available and a bespoke bracket was required- see photos

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Project 425 – client with bilateral above knee amputations having difficulty transferring to due to painful hyper- extension of wrists. Case closed incomplete & prematurely due to unforeseen medical problems.

Project 426- Client has specialist profiling bed with low  clearance for over bed table necessary for his Smart computer equipment . Existing table is too small and its castors have been removed to fit under bed . Withdrawal for bed making etc. of the table disturbs visual alignment of  electrical equipment -working on laser basis , as the under-table arms catch on the carpet. The four circular corner  feet of the bed were jacked up individually , by means of levers (with client still in the bed,at his insistence!)  and 2.5″ oak blocks- recessed by 1″ were placed under them-giving an overall raise of 1.5″ .The four metal square feet associated with the lifting mechanism were lifted by the same amount with similar blocks. This extra clearance now enabled the original castors to be fitted to the existing bed table whose top was enlarged by 50% and could be slid sideways on top of the previous one allowing the use of more electrical equipment. The bed table could now be moved easily without disturbing his Smart computer equipment.

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One pair of wooden corner post and metal frame work  feet with blocks in situ  

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just some of the Smart computer equipment …..

Project 427- the client with a past history of a CVE was an enthusiastic cook and was on his third vegetable work station(VWS) -the two previous plastic clamps having broken due to extensive usage . The device also slid around on his work surface due to poor adhesion from its sucker feet. A removable base board, in pine, was fitted to the work top and secured by “up & over” clips to the back support . The original VWS was fitted with sides in place of its sucker feet and could now be fitted over  the baseboard. An additional vegetable clamp was made in durable oak with large knob for holding it in place on the sliders for use when the existing plastic one failed. Finally a chopping board in beech was supplied and fitted in place of the VWS when needed.

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Base board in place -held in place by clips at the upper end and the lower end fitting snugly against the edge of the work      surface

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The VWS in place with new vegetable clamp ( poorly shown) , in oak,

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The chopping board in situ 

 

Project 428 – client has musculo-skeletal disorder and needs a low moveable /flexible axis point over her bath to hold the shower head for washing her hair whilst kneeling over edge of bath or if immersed in the bath. A fully retractable “angle poise ” type structure was assembled with three pivot points allowing the shower head to moved in vertical,horizontal &  forward/backward axes. The joints could be tightened by means of screw in tensioners.  This allowed a wide range of movement for the shower head (second photo) but could also be “flat ” back against the side of the bath when not required (first photo) .

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Shower head folded back against side of bath

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Shower head in place for use

 

Case 431- client unable to use existing 4 wheeled walking aid with conventional “pull on” brakes as it tended to run away from him then had difficulty applying the brakes evenly  & stopping safely  as his weak hand tended to fall off the hand grip.  There was a real danger of falling. However he had previously managed well with rollator with reverse braking ie: pull off as opposed to conventional  pull on  system. The braking system was redesigned to operate on a  “pull off”  basis and both cables were operated from his good left side using a twin cable brake lever (see case 432 below) .

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Modified rollator with left sided braking

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“reverse” braking system ie pull off

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Twin cable brake lever

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A modified “gutter support”  (obtained from a walking aid fitted with gutter supports) was fitted to the client’s right side which  supported his weak side. He was able to maintain grip on the handle due to the spasticity in that hand. This markedly improved control of the rollator .

 

Case 432 – under development  (client  uses a rollator  (4 wheeled walking aid ) following a CVE (stroke)  and cannot manage the brake lever on his left  (weak) side . He requires right sided brake lever to operate on both rear wheels . A twin cable brake lever used in trikes (for their twin rear wheels) was fitted on right side and the two cables fed into both rear wheel brakes. The original “pull on” mechanism was not changed.)

 

Case 433 –    client  uses a rollator  (4 wheeled walking aid ) following a CVE (stroke)  and cannot manage the brake lever on her right (weak) side . She requires left sided brake lever to operate on both rear wheels . A twin cable brake lever used in trikes (for their twin rear wheels) was fitted on Left side and the two cables fed into both rear wheel brakes. The original “pull on” mechanism was not changed.

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Rollator with twin cable brake lever

 

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Rollator with Left sided braking

Case 434- under development

Case 438– the elderly client was bed bound with generalised weakness associated severe curvature of her spine  and breathing difficulties. Due to her breathing problems, she could only lay on her side , propped up by one elbow , using her other arm & hand to care for herself. A  heavy  five foot long  trolly held her everyday equipment   including a computer,telephone, respirator (CPAP machine), writing materials, small fridge  etc had become too heavy for her to move up/down by her bedside.

A carousel -3 foot in diameter -was constructed in 12mm plywood and mounted on a wooden frame by means of a 12″ “lazy susan” . The frame itself was mounted on (lockable) castors. Her everyday “equipment” was placed around the perifery of the carousel, which could be easily rotated by her free hand and her fridge located within the frame. She could now access all her needs with minimum effort . The carousel could also be easily moved aside by care staff for her personal care needs.

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prototype – unpainted

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fully loaded with fridge in situ

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Computer keyboard with touch screen monitor

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Carousel in use by client (at her request)

Case 441- the client with a sensitive eye condition needed protective eye wear to prevent shampoo irritating her condition when washing her hair Standard swimming goggles were modified to meet her requirements.

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modified swimming goggles with “easy” attachment lanyard

Case 444– an elderly person with poor balance and weak hand grip needed a wheeled walking aid  which could also  carry food/drink from the kitchen area to her living room . She was supplied with a standard Kingfisher trolley with gutter arm rests fitted so that could rest her wrists/fore arms in the gutter whilst gripping the upright end- poles  in order to steer herself.

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Case 445– a 51year year old  lady with a neurological condition causing weakness of her legs needed a wheeled walking aid for mobility around her house. In view of her poor balance and one previous fall , a modified braking  version ie: pull off ( safety braking system: SBS) was indicated in order to re-establish her balance & continuing independence & mobility. She was supplied with a  two handed  SBS  version as she retained good grip in both arms.

Over view

Close up side view

This shows the latest  Mk 5  version.

Case 451- a mobility scooter required modification for a lady with loss of use of her Right arm/hand following a stroke. The forward control lever -activated by pressing forwards towards the Right handle grip needed to be re-rooted  so that it could be used by her Left hand instead . A section of copper pipe was attached to to “reverse” portion of her control lever and then bent so that she could grip it in front of her handle bar  (like a conventional bicycle brake lever). Compressing the bar gave forward motion, whilst pressing outwards -away fron the handle bar -gave reverse propulsion.

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re-rooted copper pipe extension of the direction control lever

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Seen from above

Case- unlabelled – an E tran frame is used as an Augmentated Alternative Comunication (AAC) tool .

Some people who have communication difficulties also have physical difficulties and find it difficult to point to a book or chart orto handle communication cards. People with good control over their eyes may be able to use an ETRAN frame. This is a sheet ofstiff, transparent plastic (Perspex) onto which symbols or words can be stuck with Blu-Tack or Velcro.

Etran frameThe communication partner faces the user and holds the chart up between them. The user gazes at the letter, symbol, or word they want to say. Initially one symbol or word will be placed at eachcorner. As the user and communication partner become more skilled, symbols can be added in themiddle of each side.The method can be developed using colour or number coding systems so that more items can be accessed

These E tran frames were laser cut by Pongofandango Ltd in Penryn on a pro bono basis after the first attempt to cut the 4mm acrylic sheet by conventional means proved problematic.

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the two new laser cut E tran frames -back to back