Around the time of year of my anniversary I tend to think of my experiences at rehab. Rehab was a long process for me that lasted more than a year. Between my SCI and TBI I was a trainwreck. I woke up from a coma unable to do anything for myself. It was hell. I repeat, it was hell. I don’t think anyone looks back at their rehab experience and says oh wow that was great. Don’t you wish you could do that again? No, despite how awesome and friendly all of the staff are it’s still a nightmare. Read more
The Bantam as a Bench
Necessity is the mother of using equipment for other than its originally intended purpose.
When our Early Childhood Education building was being remodeled, things had to be shuffled around and put in storage. We got to play our own little version of the, “If your workplace was on fire (and there were of course no darling preschoolers in the building to consider), what items would you save?” My EasyStand Bantam stander was at the top of the list, of course. Read more
With over hundreds of research studies on standing and weight bearing you would think that both private and public healthcare payer sources would fund Standing Devices without a second thought. Unfortunately, in today’s ever shrinking insurance coverage and payment arena that is not the case. In fact, decreasing coverage and payment for standing devices is exactly why the National Coalition for Assistive and Rehab Technology (NCART)‘s Standing Device Workgroup was formed to create the Standing Device Funding Guide. Read more
At some point, I’m pretty sure just about everyone has wished for a pony. Kids of all ages with mobility limitations are probably no exception. A right-sized companion with four extra-strong legs? Yes, please.
Aside from being cute and cuddly, or sleek and shiny, or however the horses of your dreams look, they are able to provide functional benefits on multiple levels via therapeutic horseback riding, or hippotherapy. Read more
I would love to see Red Green do an episode on adaptive products. If you have no idea who I’m talking about, he’s a goofy Canadian guy on TV who’s addicted to DIY fixes. Duct tape is his best friend, and he refuses to go to anybody for anything he needs. He makes everything. Read more
After my program recently moved to a new location, some of our favorite sayings were hung in new places. Looking up from my desk, for instance, I see, “No one cares how much you know.” Don’t worry, that’s not the whole saying, just the result of unfortunate bulletin board placement. The full phrase I see when I stand up is:
“No one cares how much you know until they know how much you care.” Read more
For high school students with Special Education services, team meetings should address plans for post-secondary education, employment, and living options, as well as the type of support required for success in these areas. During Tina’s meeting, there was something about her non-verbals that made me think she was excited about the prospect of all the things we were discussing, with the exception of one significant detail. I suspected it was about who would be cast in the role of “Personal Care Attendant” in the future she imagined. Her mother currently provides the bulk or Tina’s PCA services. Mom is an energetic, attentive, kind, and funny woman, but that does not mean that Tina necessarily wants that much of Mom’s attention in her bedroom, in the bathroom, using transportation, at a job, or on a college campus. Read more
A child with motor or sensory impairments may benefit from skilled Physical or Occupational Therapy intervention. The way the need for services is determined and how the services are delivered vary based on whether services are delivered in a medical or educational setting.
In the medical or clinical setting a child receives therapeutic intervention based on some combination of physician recommendation, medical diagnosis that tends to have an accompanying motor or sensory impairment, and a therapist’s identification of deficits or delays via evaluation. Some insurance companies require a child to score well below what could be considered an average range of motor ability to be eligible for ongoing therapy.
In the school setting, Physical Therapy and Occupational Therapy are “related services”, deemed necessary when they are required to assist a child with a disability to benefit from special education. It is only appropriate to provide PT and OT to children who qualify for special education services. In order to receive services in a school setting, a child must have unique needs that the team agrees can only be addressed with the particular knowledge and skill the therapy provider can contribute. These needs are agreed upon by the family and educational team and are reflected in the goals and adaptations on the child’s Individual Education Plan (IEP).
How Is Service Provided?
A child is treated in a clinic in an individual or small group session with the therapist. Intervention can be focused on the areas of need identified in the evaluation. Time is set aside periodically to discuss progress with parents or caregivers and make recommendations for home activities to build upon the gains made in therapy. Read more
Are you a PT, OT, or paraprofessional working at a school? Or maybe you are a special ed teacher or buyer? Even if you are the principal or the janitor, you may be interested in what I am about to tell you. This is not a secret or new information. In fact, we have been trying to help connect the school personnel to local rehab suppliers for over a decade. Read more