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.

extended foot rest in 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.

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

Case 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.

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

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!

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)

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 628 – this client requested a “shortened” spare hand device to help pull up her under ware after using the toilet .

This single parent dad with muscular dystrophy needs to put on his coat without assistance (for collecting his daughter from school) during winter months. A coat hanging device employing a n electric powered ram was constructed with spring loaded clips activated by cables . The coat was attached in the lowered position then he turned round & inserted his arms into both sleeves whilst the RAM slowly started to lift the coat upwards on to his upper arms & shoulders . It switched itself off automatically after 16″ by which time the coat was effectively “on” and could be released from the clips by depressing a lever on the side of the frame .

lowered position
coat attached
coat in raised in upper position
coat hanger in raised upper position

case 644 – this mother suffers from epilepsy and needed a failsafe” brake on her child’s buggy so that it would not run away in the event that she lost control whilst having a seizure . The existing braking system consisted of spring loaded rods which would project out and lock into the hubs of the rear wheels -stopping the buggy . This was modified so that the brake was effectively “on” unless the brake lever on the buggy handle was retracted ie the brake had to kept pulled back to allow progress but was released into the “on” position as soon as the lever was let go.

note- the brake lever on the handle bars
brake cables control the sliding rods going into the wheel hubs on both sides

case 649- this lady was disabled with advanced rheumatoid arthritis and wanted a pedastal table which could be swung out of her way when accessing/leaving her riser/recliner chair. The pedastal was anchored through her carpet into the concrete floor beneath and could easily be lifted off & replaced when necessary .

case 645 -this gentleman used elbow crutches but was also on haemodialysis . Unfortunately the elbow support from the crutches rubbed against the arterial access point for his treatment so his crutches were shortened by 6″ so the elbow support rested against his fore arm instead.

end of 2018 year report