Oct 202016
 
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Client was very keen on sewing and tapestry but, as a result of a stroke, she can no longer use her left hand/arm.

A pair of plywood boards was made to allow the item to be sewn to be held steady with plastic spring clips. Cunningly shaped holes allowed the needle to be passed through the cloth. The boards can be rotated to present a different shaped hole for different jobs. They can be used together to darn a sleeve. The arrangement clamps to the client’s table.

 

Berkshire Panel Job BK2016/59.

BerksRemap@gmail.com

 October 20, 2016  Posted by at 17:20 Leisure Activities No Responses »
Oct 182016
 
pic3
Original over-centre locking linkage with frame in closed position …
pic4 … and locked in open position.
pic1 New fixed linkage
pic5
Spacer added
pic2 The finished narrower rollator
The client’s 3-wheeled folding rollator was too wide to pass easily through the doorways in her home and she found the over-centre linkage that locks the rollator in the open position too stiff to use.  Unless the opening linkage is fully locked, the frame can (and has) closed up.

As the frame closes, the rear wheels ‘toe out’, so the amount that the frame could be closed to make it narrower was dictated by what was an acceptable amount of ‘toe out’. The reduction in width that could be achieved while retaining acceptable wheel alignment was approximately 60mm.

At this opening, the existing linkage would not lock so a new, fixed linkage was made to replace the existing one. It was secured on studs with butterfly nuts so that it was still possible to fold the frame, (for transport, for example).

The hole centres on the fixed linkage were 10mm less than on the original linkage (in its locked position). This reduced the gap between the vertical section of the frame (carrying the handles) so that the basket would not quite fit as normal. (The hooks on the basket fitted over the thumb screws that lock the handles in place.)  Spacers were inserted on the threads of the thumbscrews to compensate.

All the changes to the walker are easily reversible to its original state.

Berkshire Panel Job BK2016/62.

BerksRemap@gmail.com

Oct 102016
 

Remapni recently had an enquiry from a physiotherapist in a special school. Sheila has a pupil who wants to use a static exercise bike. The problem is that it is a little big for him, and his feet tend to turn outwards. This causes his heels to catch on the cranks. There are straps on the pedals, but the therapist doesn’t want to use them to pull the pupil’s feet into a position that is awkward for him.

 

 

 

One of our volunteers made a pair of aluminium footplates with heel guards. These would fit on to the pedals, allowing the pupil’s feet to turn outwards and at the same time protect his heels.

 

 

Because the exercise bike had to be used by a large number of pupils, ranging from ten years old to adult-sized, it had to be possible for the plates to be fitted and removed quickly and safely by staff with a minimum of training. We decided to clamp the plates rather than bolt them on; this also meant that we would not have to drill holes in the pedals.

For adaptability, we fitted the clamp bolts into slots rather than holes in the soles of the plates. This meant that they could be adjusted for use on different pedals.

 

At this point we discovered that there is a commercial solution that could be adapted very easily.

James Leckey Ltd makes sandals, as they call them, for use with wheelchairs.

 

 

These have a single coach bolt fitting through a slot for attachment to the wheelchair. By fitting a second bolt in the slot, and fitting it with a spacing block the same length as the thickness of the pedal, the sandal could be fitted to the pedal.

 

 

Our volunteer fitted one of the sandals and a therapist fitted the other without any further instruction. The senior therapist removed both sandals and refitted them without difficulty.

 Derek McMullan

Remap Northern Ireland

 

Oct 062016
 
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The client suffers with Parkinson’s Disease and is permanently flexed 90 degrees at the hip. As a result, eating is very difficult to do with dignity.  The legs of standard over-chair tables would not pass under the client’s riser/recliner chair and the OT did not wish to raise it

The table that was made has a table top set at the lowest possible height above the knees, narrow enough to pass between the chair arms and legs wide enough to pass either side of the chair.

Subsequently, the client asked for a caddy to hold her spectacles, TV remote control, etc.

caddy

Caddy added

Berkshire Panel Job BK2016/58.

BerksRemap@gmail.com

 October 6, 2016  Posted by at 12:19 Eating and Drinking No Responses »
Oct 022016
 
Cricket
Cricket transfer aid

IMG_2465

The client’s carers use a Cricket transfer aid and are concerned that, when transferring to/from the top of the stairlift, the wheels of the Cricket will topple over.

A simple plywood stop was made that can be easily placed at the top of the stairs by the carers when needed, but can be removed to avoid creating a tripping hazard for others..

 

Berkshire Panel Job BK2016/32.

BerksRemap@gmail.com

Oct 022016
 
Accora configura seat
Chair and controller before modification
pic1 
Armrest with joystick and wrist support.
pic4
Dismantled armrest showing sliding joystick, pulleys and cord.
pic2
Joystick in use in the forward position with backrest upright …
pic3 
… and in rear-most position with backrest lowered.

Due to the nature of his neurological condition, the client’s hand function is declining and he requires an adaptation of the trailing-lead push-button controller of his riser/recliner chair.  His hand is fixed in an open palm shape and so he struggled to hold the controller, let alone press and hold the buttons. 

Using a mock-up, it was established that the client could operate a joystick and, since no such controllers were available from the chair manufacturer, one was bought and fitted in parallel with the standard controller (for use by his carers).

Because of his limited arm movement, the client was unable to move his hand to keep it on the joystick as the chair backrest (and his body) moved backwards.  The joystick would not only have to be mounted within the top of the armrest, but it (and the wrist support) would also have to follow the movement of the backrest. This was achieved by a system of pulleys and elasticated cord.

Accora (the chair manufacturer) and Phoenix Mecano (the UK arm of Okin, the providers of the existing controls) were particularly helpful in their assistance.

 

Berkshire Panel Job BK2016/36.

BerksRemap@gmail.com

 October 2, 2016  Posted by at 09:35 Chairs and Chair Accessories No Responses »