1 2020-05-29 What do we do? What do we do? Occupational - - PDF document

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1 2020-05-29 What do we do? What do we do? Occupational - - PDF document

Feb 15, 2023 361 likes •455 views

2020-05-29 Equipment and Accessibility for Students with Physical Disabilities We, the Fraser Valley Child Development Centre, acknowledge that we provide our services on the traditional, ancestral, and unceded lands of the St:l peoples.

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Equipment and Accessibility for Students with Physical Disabilities

Prepared for Abbotsford School District staff

Spring 2020

Presenters Angela Chin, OT Robyn Holmgren, PT Anna Matthews, OT Stephanie Ridd, PT

We, the Fraser Valley Child Development Centre, acknowledge that we provide our services on the traditional, ancestral, and unceded lands of the Stó:lō peoples.

Disclosures

  • This presentation contains images of medical equipment. These images are

intended for educational purposes only and do not serve as an endorsement. FVCDC and its staff do not have any affiliation (financial or otherwise) with an equipment, medical device or communications organization.

  • This presentation should not be recorded, copied, or redistributed.

Learning Objectives

  • 1. Review the roles of Occupational Therapists and Physical Therapists in the

School-Aged Therapy Program

  • 2. Provide an overview of equipment commonly used by children with physical

disabilities

  • 3. Highlight common accessibility barriers and discuss how improvements to

school accessibility can promote inclusion, participation, and safety

Learning Objectives

  • 1. Roles
  • 2. Equipment
  • 3. Accessibility

○ Emergencies

Who are we?

  • Fraser Valley Child Development Centre

○ Multidisciplinary organization ○ Abbotsford, Mission, Chilliwack, Fraser Cascade ○ Early Intervention and School-Aged Programs

  • School-Aged Therapy Program

○ Province-wide ○ Students with physical disabilities ○ Consultation services

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What do we do?

Occupational Therapists and Physical Therapists….

  • Are healthcare professionals
  • Have post-secondary education
  • Are regulated professionals

○

College of Physical Therapists of British Columbia (CPTBC)

○

College of Occupational Therapists of British Columbia (COTBC)

What do we do?

Occupational Therapists and Physical Therapists….

  • Have extensive knowledge of the neurological and musculoskeletal

systems

  • Are part of multidisciplinary teams
  • Work with people of all ages in a variety of environments
  • Help people work towards functional goals

What do we do?

Physical Therapists

(AKA- Physiotherapists, Physios, PTs)

Optimize quality of life through movement

What do we do?

Occupational Therapists

Help people do the activities (occupations) they need and want to do

  • Self-care - getting dressed, eating, moving around the house
  • Productivity - going to work or school, participating in the community, and
  • Leisure activities - sports, gardening, social activities.

PT/OT Role in Schools

Participation Safety Health Accessibility

Motor Skills Written Communication Self-Help Skills Mobility Tasks/Routines

Advocacy

Physical Literacy

Learning

Eating Dressing Toileting Meal prep Handling money Typing Eye gaze Writing Cutting Classroom setup Positioning Ergonomics Leisure activities PE Playground Stairs Balance Walking Strength Endurance Transit Ramps Elevators Flexibility

Equipment

Transportation Standing Play Transfers Fitness Biking Biking

Learning Objectives

  • 1. Roles
  • 2. Equipment
  • 3. Accessibility

○ Emergencies

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Equipment

Process

○

Identify need

○

Trial

○

Prescribe

○

Funding

■ Why is equipment so expensive? ○

Setup

○

Use

○

Adjust

○

Re-evaluate

Equipment Mobility Positioning Environmental Other Equipment- Mobility

  • Crutches/Canes
  • Walker
  • Wheelchair
  • Manual
  • Power
  • Sport
  • Adapted stroller
  • Standing frame
  • Adapted bike

Equipment- Mobility

Crutches and Canes

Forearm crutches Quad Canes

Equipment- Mobility

Walker

Posterior Walker

Equipment- Mobility

Walker

(AKA “gait trainer”)

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Equipment- Mobility

Manual Wheelchair

Folding Rigid Tilt-in-space

Equipment- Mobility

Power Wheelchair

Equipment- Mobility

Sport Wheelchair

http://www.letsplaybc.ca/

Equipment- Mobility

Adapted Stroller

Equipment- Mobility

Standing Frame

Supine Prone Sit to Stand

Equipment- Mobility

Adapted Bike

Arm Propulsion

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Equipment- Positioning

  • Seating system
  • Sitting
  • Orthoses

○ Upper extremity ○ Lower extremity

Equipment- Positioning

Seating System

Equipment- Positioning

Sitting

Equipment- Positioning

Orthoses

(AKA- braces, splints, orthotics) Custom Foot Orthoses SMOs AFOs

Equipment- Environmental

  • Lifts
  • Slings
  • Toileting
  • Ramps/Elevating Platforms

Equipment- Environmental

Lifts

(AKA “hoists”) Can help safely move people

  • Floor (wheeled) lift
  • Ceiling lift

○ Fixed ○ Portable

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Equipment- Environmental

Slings

Universal Hygiene In situ

Equipment- Environmental

Toileting

Equipment- Environmental

Ramps and Elevating Platforms

Equipment- Other

Assistive Technology

Equipment- Other

  • Transportation
  • Sleeping
  • Bathing
  • Leisure

Wheelchair-Accessible Vehicles Bath chair Sleep System Trailrider

Learning Objectives

  • 1. Roles
  • 2. Equipment
  • 3. Accessibility

○ Emergencies

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Accessibility

  • School therapists play a key role in

supporting student access to school environments.

  • Providing universal access to safe,

inclusive, and accessible public spaces ensures that everyone is enabled to participate and live to their full potential!

Accessibility

Willow is a 7-year-old child who can self-propel their manual wheelchair. They can independently wheel within their classroom, and to/from the gym and bathroom. Their classroom has an exterior door that leads directly to the basketball court, but there is a threshold with a 2 inch drop-off. Willow can only enter/exit the school via the front door, which is heavy and not automated, so someone needs to hold the door open for them. Once Willow gets outside via the front door, there is loose gravel and wood chips leading to the basketball area, which they cannot traverse without

  • help. The basketball hoops are 8 feet tall and Willow is not able to shoot the ball that high.

Willow loves playing basketball with their family and watch basketball on TV (and was so excited to learn during the Paralympics that people can play basketball in their wheelchairs), but their school has several accessibility barriers.

Willow can’t play basketball with their friends at recess.

Accessibility

Classroom door threshold Heavy doors Gravel, wood chips Height of basketball hoops

When environments are accessible, “I can’t” becomes “I can”

Willow can play basketball independently with their friends at recess.

Accessibility

Best Practices

  • Identify barriers to access
  • Provide Interventions to

change the environment or activity

Accessibility

Universal Design

  • Well-designed accessible spaces that appeal to those

who need special features as well as those who don’t

  • Makes schools accessible to those with disabilities

Accessibility

Considerations

  • Window height
  • Desk/table height and arrangement

○

Kindergarten tables

○

Desk pods

○

High School classes: Science, Cooking, Shop, Drama

  • Sinks
  • Curbs/Curb cut outs
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Accessibility

Common School Solutions

  • Allow space for people who use wheelchairs and walkers to move freely
  • Lever-style door handles and faucets
  • Non-slip flooring
  • Smooth, low thresholds
  • Bright but non-glare lighting
  • Insulate exposed pipes under sinks

Accessibility

Rick Hansen Foundation

VIDEO: Rick Hansen Secondary- RHF Accessibility Certification Rick Hansen Foundation school program

https://www.rickhansen.com/schools-communities/school-program

Learning Objectives

  • 1. Roles
  • 2. Equipment
  • 3. Accessibility

○ Emergencies

Emergencies

  • Shelter-in-Place
  • Lockdown
  • Earthquake

○ ShakeOutBC ○ 3rd Thursday of October

  • Evacuation

○ Areas of Refuge ○ Liaise with fire department

(cited by ShakeOut BC)

Thank you! Questions?

Your Helping Teacher can connect you with the therapist(s) assigned to your school!

fvcdc.org

Youtube channel: Fraser Valley Child Development Centre

Resources

  • Fraser Valley Child Development Centre https://www.fvcdc.org/
  • College of Physical Therapists of British Columbia (CPTBC) https://cptbc.org/
  • College of Occupational Therapists of British Columbia (COTBC) https://cotbc.org/
  • Let’s Play BC http://www.letsplaybc.ca/
  • BC Mobility Opportunities Society (BCMOS) http://www.bcmos.org/
  • Tetra Society of North America https://www.tetrasociety.org/
  • Rick Hansen Foundation-School Program

https://www.rickhansen.com/schools-communities/school-program

  • The Centre for Excellence in Universal Design http://universaldesign.ie/
  • CAST- Universal Design for Learning

http://www.cast.org/our-work/about-udl.html#.XtFGMDpKjIU

  • ShakeOut BC https://www.shakeoutbc.ca/