May 232018
 

Completed projects 2018 

 

 

Case 627- an elderly lady tended to slip down in her riser recliner chair so that her feet fell over the end of the foot rest. As changing was posture was not thought practical, it was decided to extend the depth of her foot  rest instead.

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extended foot rest in retracted position

extended foot rest in retracted position

Case 614- an elderly & frail lady, who lived alone  was reluctant to mobilise following several nasty falls resulting in fractures to her right fore arm  and little grip in her right hand. A deep “gutter arm” crutch was fashioned & attached to the right side of her wheeled Zimmer frame  so that she could rest her injured right arm in whilst mobilising and effectively use it for steering on that side. With active encouragement from her physio she gradually built up her confidence & re-established her mobility using the modified frame.

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Case 619- this lady with poor mobility & confidence following a couple of nasty falls needed a rollator with reverse braking – ie pull off  so she had better control of it. In addition she often needed to carry food/drinks from from her kitchen to her chair -hence a tray was fitted in place of the usual seat. DSCN0443Case 611 – this tall gentlemen (6ft 7″)  was having difficulty in getting  up from using his commode due to weak legs, requiring the legs of the  commode to be extended (by internal splinting) by 6″ which resolved the problem.

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Case 622- a gentleman with poor mobility associated with core instability (ie unstable gait) had a pair of Atlas frames for use down & upstairs) which required extensive refurbishment following prolonged use as there were literally “falling to pieces! The photo shows the rebuilt walking frames to which had been added  “out-riders”  to prevent the frames from toppling over sideways


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the gutter arm supports had to be re-mounted

the gutter arm supports had to be re-mounted

Case 624 – this lady was recovering from a long  debilitating illness and was limited to getting around her house with a wheeled Zimmer frame . However she was keen to start walking outside but with very limited use of her fingers was unable to grip the brake levers of a conventional rollator. Obviously any form of outdoor walker would require to have operative brakes for safety reasons.

Gutter arm support were fitted to aluminium channel bearers which were bolted to the handle bars (with handle grips removed) . The gutter arms were pivoted in fore/aft direction and the upper end of the brake cable fitted close to pivot point so that by pressing forwards & down on the gutter arms the brakes could then be applied (and released again by pressing backwards. This system of braking control worked well and the client was soon up & about outside (without having to control the brakes with her fingers)


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Case 634 – this lady, with mobility problems,  was a keen supporter of her local grass bowls club . Her rollator was banned from use on the bowling lawn  in case her standard width  wheels caused rutting in the “hallowed turf” . However the regulations permitted a mobility device providing the wheels had a  a minimum width of 60mm smooth tread. The existing wheels & front forks were removed and extra wide forks for the front wheels welded up from 40 x 2mm mild steel plate and both sets of wheels mounted using 12mm mild steel axles.  A set of 260mm high by 95mm wide plastic “sand hopper” wheels , commonly found in boating dinghy trollies were fitted to the axles with hard wood cylindrical spacers machined up from Utile (26mm  o/d & 12mm i/d) . Finally the original braking system was re-fitted.

The outcome (see photo) provided good manoeuvrability and exceeded the minimum wheel width  by 33m and also had a pleasing  “chunky” appearance!


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Bertha (rollator)

Case 650 –   a stroke patient needed Left sided single handed  braking on her rollator which had a gutter arm fitted on the RHS. A double cable (from a tricycle) activated brake lever was tried initially but the parking brake button proved too difficult to engage  so a different approach was required ie the brake cable from the Right side was transferred from the brake lever and attached “upside down” to the wheel brake assembly on the Left side (see photo)- so that the existing Left brake cable activated the brakes on both rear wheels. This modification  required careful adjustment to ensure the all-important parking brake facility worked normally – a word doc.is kept on file for future reference.

case 650case 6500Case    643 – coat putting-on device –

This client had profound weakness in his upper>lower limbs due to muscular dystrophy and was unable to put on his coat unaided. Several designs for a coat putting-on device already exist in the Remapedia archives and our design is based around several of them.  It consists of a pair of parallel stainless tubes mounted vertically (attached to a plywood base , which in turn is fastened to his bedroom wall) . These are sleeved externally with short lengths of  S/S tubing with a wooden coat hanger attached by jubilee clips . The centre point is attached to the upper end of electric  ram arm with a 16″ long stroke. A spring loaded (wood working type) hand clamp is attached at each end of the coat hanger, which have extended wooden handles  and  also bowden cables running down to brake levers (from rollators) -so that the clamps can be open/close both manually (for loading on the coat) & via the brake levers (for releasing the coat)


Proceedure

With the RAM fully retracted, both ends of the coat collar  is attached to the hanger by squeezing the manual hand grips open.

Now the RAM is switched on and the client turns round and inserts both arms into the arm holes of the coat whilst  the RAM slowly starts to extend upwards (the cycle takes >90seconds!)

The RAM stops automatically when fully extended , by which time the coat is now over his shoulders and with hands now protruding from the cuffs, he can press down on the brake levers and release the coat from the clamps. 

Finally the ARM has to be rest to the lowered position for next usage

 

Case 644- fail -safe braking for child’s buggy. This single mum suffered from epilepsy and needed fail safe braking on her buggy in case she blacked out whilst using it on her own. Several versions  have already been made for this same purpose and can be viewed in Remapedia. Our version is based around them. The manual parking brake was retained and a pair of wooden block were mounted close to the rear wheels. These were sleeved with 8mm stainless tubing and 6mm stainless rod ran through these and impinged on to the cog-wheel feature of the inner aspect of the wheels. The rods were attached at their inner ends to 6mm threaded rod , which in turn were linked, under tension from springs, to bowden cables  -which terminated in a double cable cycle brake lever ,attached to the handle bar.  The springs were set up to extend the rods outwards -and hence engage with the cog-wheel arrangement of the wheels-effectively braking the buggy . However the rods would be retracted (releasing the brake ) when the brake lever was pulled up . In effect this was a pull-off brake device . The fail safe mechanism activated immediately as soon as a the brake lever was let go.

upper half of finished project

lower half of completed buggy

attachment of Bowden cables to threaded rod extensions

 

twin cable cycle brake lever

rod extending through wooden mounting block into cog-wheel part of rear wheel

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