TADaid

c r e a t i v e s o l u t i o n s f o r p e o p l e w i t h d i s a b i l i t i e sTADaid

TA DJ o u r n a l s p e c i a l e d i t i o n 2009

2 About TADaid

3 Easy To Order5 Bath seats13 Access15 Supportive seating25 Standing frames31 Body dimensions chart

33 Ready To Go34 Mobility35 Education37 Exercise and recreation

38 Individual Solutions40 Mobility and access 44 Mobility accessories49 Bathing, toileting and personal care54 Position and posture55 Beds, cots and bedroom accessories59 Seating

60 Child safety63 Daily living65 Work67 Education69 Computing71 Exercise and recreation

76 Modified bicycles

78 About TADNSW

80 Frequently asked questions

contents1

about tadaidTechnical Aid to the Disabled NSW (TADNSW) is a not-for profit organisation which coordinates the work of volunteers to supply customised equipment, modified bicycles and recycled computers to people with disabilities. We also provide information about adaptive technology to people with disabilities, their families and carers, and the disability and health sectors.

Over the years TADNSW’s Custom Designed Aids Service (CDA) has developed unique experience in developing one-off customised solutions that allow people with disabilities to maximise their opportunities and enjoy their lives more fully and independently.

TADNSW makes or modifies equipment in situations where commercially accessible items cannot be obtained or are not suitable. The work is performed by skilled volunteers under the supervision of our

professional staff, so costs to clients are minimised.

This book shows the type and range of equipment that the CDA Service can make for individual people with disabilities. Our devices are used in all aspects of life, including personal care, mobility, seating and posture, daily living, work, education, computing and recreation.

The Easy To Order (ETO) section shows our established designs which can be customised to suit individual clients, mainly children. There are also dimension sheets which can be photocopied, filled in and sent in with your request.

The Ready To Go (RTG) section covers a small number of items that TADNSW has made regularly over time to a fixed design. They are not custom-sized and can be supplied quickly.

more informationAbout TADNSW page 78

Ordering an ETO page 4

Ordering an RTG page 33

Ordering an Individual page 39 Solution

Ordering a modified bike page 76

2

The Individual Solutions section showcases examples of one-off devices made in the last few years to meet client needs. Each request is individually made following careful assessment and design, and cannot be supplied immediately.

The FREEDOM WHEELS® section covers our special service which modifies bicycles so that children with disabilities can ride independently.

easy to order“Easy To Order” items (ETOs) use established designs developed in such a way that they can be customised using a short list of key dimensions. The designs have emerged over time in response to the needs of and feedback from our clients, their families and therapists. ETO features may vary in the future as they continue to develop.

As a general guide, ETOs suit younger children aged from two to eight. The age guides given on the following pages are provided to assist with selecting which device is most suitable for a particular child. However the devices may still be suitable for children outside this range, depending on individual circumstances.

The majority of needs can be satisfied by the predefined small and large sizes offered for most ETOs. The dimensions of each item can also be customised to individual requirements, within the design limits of the device. We strongly recommend that a therapist is involved in this process, to

ensure that the most appropriate device and dimensions are selected.

We can generally supply the small and large versions of each ETO faster than those with custom dimensions. We keep a limited supply of partly-assembled small and large devices ready for configuration, whereas custom-sized devices are built from scratch.

DimensionsEach ETO has a Dimension Sheet that provides a table of the key dimensions needed to construct the device. In most cases this will provide all the information necessary for the configuration.

If you require the predefined small or large version, simply tick the relevant box at the top of the column. If you require a customised version, put the desired dimensions in the custom column.

Alternate configurations and optional add-ons that are regularly requested with an ETO

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can also be specified on the dimension sheet. To configure the ETO to your needs, tick the required options and provide any additional information that is necessary.

If you are unsure of how to size the ETO you are requesting, please fill out the Body Dimensions Chart on page 32. We will use this to work out the appropriate dimensions for your device.

OrderingTo request an ETO, please submit a Custom Designed Aids Project Application Form (available from our website), the relevant ETO Dimension Sheet, and the completed Body Dimensions Chart if necessary. This will generally provide all the information we need to send you a quote.

You may want a device that is based on an ETO design but altered to suit the needs of a particular person. In this case please submit the dimension sheet along with notes,

pictures and/or sketches of how you would like the design to be altered. We will discuss the details with you and work up a specification to suit your requirements.

Because each ETO is individually built, the cost will vary according to the configuration and variations required. Our quote will take your specific requirements into account and itemise the details, allowing you to confirm or change the specification prior to construction.

more informationFrequently asked questions – page 80

How to order an ETO – www.tadnsw.org.au/tadaid

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5

Bath seats support children during bathing or water play,

helping to position the child safely in the bath and minimising risk of injury to carers. Children should be supervised at all times when in the bath, regardless of whether one of these devices is used.

The frames of our bath seats are made from white PVC pressure pipe and fittings. The covers are made from off-white mesh fabric similar to that used on some outdoor furniture. They are attached to the frame using lacing or Velcro.

Matilda Bath SeatFor supporting children for bathing.

Featuresl sits directly on the floor of the bath, reducing the volume of water needed for

bathingl the seat back is hinged, with the angle adjustable between 40° to 60° from the

horizontall suction cups at each corner of the base minimise movement in the bathl includes a pelvic belt with crotch strap

Optionsl a round knee roll can be fitted as an anti-thrust device – this runs the width of the

seat and is attached with Velcro straps under the seat l the pelvic belt can be fitted with a Velcro closure in place of the bucklel a neoprene sleeve can cover the pelvic belt to reduce skin shear

easy to order bath seats5

AGE GUIDE18 months - 8 years

introd

uction

Small Large Custom

A Frame width 310 360

B Seat depth 350 450

C Back height 550 650

D Back recline angle 60°-40° 60°-40° 60°-40°

E Crotch strap position CUSTOM4

F Crotch strap length CUSTOM4

Pelvic belt overall length CUSTOM4

85mm diameter anti-thrust/knee roll (foam roll with mesh fabric cover and Velcro straps)

Velcro closure on pelvic belt (in place of buckle)

Neoprene sleeve over belt

Matilda Bath Seat dimensions (mm)

Matilda Bath Seat options (additional cost)

24 6 easy to order bath seats

Todd Bath Seat For supporting children for bathing.

Featuresl the seat back is fixed at 90° to the seatl the whole seat unit is hinged on the base, with the recline angle adjustable between

approximately 40° to 60° from the horizontall suction cups at each corner of the base minimise movement in the bathl includes a pelvic belt with crotch strap

Optionsl a round knee roll can be fitted as an anti-thrust device – this runs the

width of the seat and is attached with Velcro straps under the seat l the pelvic belt can be fitted with a Velcro closure in place of the bucklel a neoprene sleeve can cover the pelvic belt to reduce skin shearl can be fitted to the Bath Seat Stand for use as a shower seat (see page 11)

5 easy to order bath seats7


Small Large Custom








85mm diameter anti-thrust/knee roll (foam roll with mesh fabric cover and velcro straps)



PVC tube floor support stand (Please include the separate dimension sheet for the bath seat stand – see page 11)

Todd Bath Seat dimensions (mm)

Todd Bath Seat options (additional cost)

introd

uction

24 8 easy to order bath seats

Linda Bath Seat For supporting children for bathing.

Featuresl the seat back is fixed at 135° to the seat for children needing a more open hip anglel the whole seat unit is hinged on the base, with the recline angle adjustable between

approximately 30° to 45° from the horizontall suction cups at each corner of the base minimise movement in the bathl includes a pelvic belt with crotch strap

Optionsl a round knee roll can be fitted as an anti-thrust device – this runs the

width of the seat and is attached with Velcro straps under the seat l the pelvic belt can be fitted with a Velcro closure in place of the bucklel a neoprene sleeve can cover the pelvic belt to reduce skin shearl can be fitted to the Bath Seat Stand for use as a shower seat (see page 11)



Small Large Custom








85mm diameter anti-thrust/knee roll (foam roll with mesh fabric cover and velcro straps)



PVC tube floor support stand (Please include the separate dimension sheet for the bath seat stand)

Linda Bath Seat dimensions (mm)

Linda Bath Seat options (additional cost)

10 easy to order bath seats

Bath Seat StandFor supporting the Todd and Linda bath seats when used in a shower recess.

Featuresl the stand is matched to the dimensions of the relevant bath seatl the height can be customised to suit the carer’s preferred working heightl it has braked castors to assist with transferring between the shower and

change areasl it is easy to attach and remove the bath seat from the stand

Optionsl the standard zinc plated castors can be upgraded to stainless steel castors

which are fully waterproofed for heavy duty use


AGE GUIDEto suit chosen bath seat

Small Large Custom

A Width of chair frame centres being supported

325 400

B Seat depth of chair being supported

260 350

C Chair seat height above floor

900 900

Stainless steel/fully waterproofed castor hardware

Bath seat stand dimensions (mm)

Bath seat stand options (additional cost)

12 easy to order bath seats

Access platform and railFor assisting children with poor balance or short stature to transfer safely onto and off the toilet, and providing support while sitting on the toilet. Can also be used to enable a child to access other facilities such as washbasins, baths and beds.

Featuresl upper and intermediate rail heights provide adequate reachl white powdercoated or stainless steel framel non-slip strips across platform surfacel rubber-tipped feet

Optionsl extension rails at intermediate rail height for side support while on the

toiletl a cutout in the platform to fit around the front of the toilet panl an additional step, which can retract under the platforml the extension rails can be hinged to fold back for washbasin access or

similar, and to minimise storage space

easy to order access13

F Extended intermediate rail depth * CUSTOM4

G Cutout width (for toilet pedestal) CUSTOM4

H Cutout depth (for toilet pedestal) CUSTOM4

Intermediate step up to platform Height (extendable/retractable) Depth

Hinged/folding extended rails (for limited space storage)

* Please advise width across toilet seat to ensure fit Width across toilet seat

Small Large Custom

A Top rail height from ground 680 780

B Intermediate rail height from ground 580 680

C Platform height from ground 120 140

D Platform width between rails 450 550

E Platform depth 300 350

Access platform and rail dimensions (mm)

Access platform options (additional cost)

Extended intermediate rails with cutout option

Detail for cutout option

14 easy to order access

Joey Chair and TableA small floor sitting corner chair and adjustable height table, for seating young children in a well-supported and functional position.

Featuresl has two back panels at 90° on a flat basel has a pommel in the centre front of the

seat which can be positioned at the required distance from the back corner

l the table latches to the sides of the chair and is height adjustable through 50mm

l the table has a body cutout and lipped edges to help keep objects on the table

Optionsl a pelvic beltl seat and back cushions

easy to order supportive seating15


Typical Custom

A Seat radius/effective depth 260

B Back height 300

C Abductor peg distance from corner 210

D Table width 550

E Table depth 500

F Cutout width 220

G Cutout depth (no greater than F ÷ 2) 95

H Table height above seat 205-255

Pelvic belt with Length buckle closure Belt width 38mm 50mm

Seat cushion, covered Thickness and attached with Velcro

25mm 50mm

Back cushions, covered Thickness and attached with Velcro

12mm 25mm

Joey Corner Chair dimensions (mm)

Joey Corner Chair options (additional cost)

16 easy to order supportive seating

Kangaroo Corner Chair and TableA corner chair for floor sitting with an adjustable- height table, for seating young children in a well-supported and functional long-sitting position. Generally to suit children up to primary school age.

Featuresl the seat base is approximately 40mm off the

floorl the chair has a winged back support for

shoulder protraction, with side panels at 45° to the centre back panel

l the chair includes a buckled pelvic belt with choice of width, and seat cushions with choice of thickness

l the table is height-adjustable and latches to the side of the winged panels

l lipped table edges help keep objects on the table

Optionsl a removable, adjustable pommell covered cushions can be fitted to the back

panelsl the seat base can be extended to the required

length for long sitting



Small Large Custom

A Seat width 400 470


C Back height from seat 400 600

D Centre panel width 180 180

E Table width 600 670

F Table depth 400 475

G Cutout width 220 220

H Cutout depth (no greater than G ÷ 2)

95 95

I Table height from floor * 200-325 200-325



25mm 50mm

Kangaroo Corner Chair and Table dimensions (mm)

* Lowest possible heights are achieved with adjustable legs removed.

Abductor pommel Width – adjustable position, padded Height


12mm 25mm

Seat extension piece, 200mm long, latched on (This may be suitable in place of a longer seat depth)

Kangaroo Corner Chair and Table options (additional cost)

18 easy to order supportive seating

Koala Corner Chair and TableA corner pedestal chair for upright sitting with an adjustable height table, for seating young children in a well-supported and functional upright sitting position.

Featuresl the chair is mounted on a base plate for stability

and for attaching footcups if requiredl the chair has a winged back support for shoulder

protraction, with side panels at 45° to the centre back panel

l the chair includes a buckled pelvic belt with choice of width, and seat cushions with choice of thickness

l the table is height-adjustable and latches to the side of the winged panels


Optionsl a height adjustable footplate can be attached to

the front of the chair l small braked castors can be fitted under the base

plate l a removable, adjustable pommell the back panels can be fitted with covered cushionsl footcups can be fitted to the base plate or to the

adjustable footplate



Small Large Custom




D Seat height from base 125 225

E Centre panel width 180 180

G Table width 600 670

H Table depth 400 475

I Cutout width 220 220

J Cutout depth (no greater than I ÷ 2)

95 95

K Table height from floor * 250-375 370-495



25mm 50mm

Koala Corner Chair and Table dimensions (mm)


20easy to order supportive seating

Adjustable height Footplate depth footplate

Braked swivel castors on base



12mm 25mm

Footcups Shoe width Shoe length

Separation between inner footcup edges

Koala Corner Chair and Table options (additional cost)

F

Rawson Adjustable Chair and TableProvides optimum seating for young children who need to maintain an upright and stable posture.

Featuresl the chair back is perpendicular to the seatl the seat, armrest and table height can

be easily adjusted by hand in 25mm increments


Optionsl the chair can be fixed to a base board so

that footcups can be fitted if requiredl a buckled webbing pelvic beltl a removable, adjustable pommell seat and back cushions


AGE GUIDE2-8 years

Small Large Custom




D Seat height from ground * 120-220 170-270

E Armrest height from seat 95-145 95-145

F Table width 600 600

G Table depth 500 500

H Cutout width 220 220

I Cutout depth (no greater than H÷ 2)

95 95

J Table height from ground * 230-380 290-440

Rawson Adjustable Chair and Table dimensions (mm)



Chair fixed to Baseboard baseboard to resist dimensions rocking and tipping






25mm 50mm

Back cushion, covered Thickness and attached with Velcro

25mm 50mm

Rawson options (additional cost)

Michelle Tilt-In-Space ChairA seat for children with high support needs which can be tilted through a range of angles from upright to reclined. It is designed to accommodate a client’s shaped foam seating insert if required.

Optionsl if a seating insert will not be used, the

chair can be fitted with flat seat and back cushions, combined with optional side cushions

l a pelvic beltl a removable, adjustable pommell footcups can be attached to the

footplate


Featuresl the inner seat tilt ranges from vertical

to 45° reclinel the chair has a height-adjustable

footplatel the tray is height and tilt adjustable and

has a customised torso cutout, so it can be used at various recline angles

l the tray is fitted to the chair on sliding clamped arms for easy attachment and removal

l lipped tray edges help keep objects on the table

l the base is set onto small braked castorsl a handle is fitted to the back of the

chair to assist with adjusting the tilt

AGE/WEIGHT GUIDE1-5 years

up to 25kg

Small Large Custom

A Overall seat width including side cushions (if any)

300 400



D Nominal seat height from floor

~325 ~325

E Footplate distance from seat

170-255 170-255

F Footplate depth 160 160

G Tray width 600 600

H Tray depth 450 450

I Cutout width 220 220

J Cutout depth

(no greater than I÷ 2)

95 95

K Back recline angle range 45°- upright

45°- upright

45°- upright

Michelle Tilt in Space Chair dimensions (mm)



25mm 50mm

Back cushion, covered Thickness and attached with Velcro

25mm 50mm

Side cushions, seat Thickness and back





Michelle Tilt in Space Chair options (additional cost)

Barry Standing FrameA prone standing frame with a tray to give forward leaning support in standing.

Featuresl the tilt angle is adjustable between 6° to 30° from the verticall the adjustable self-levelling tray is fitted above the trunk support to provide

arm supportl lipped tray edges help keep objects on the trayl braked furniture castors allow the frame to be easily movedl the footplate can be lowered for growth in 50mm incrementsl the simple foot guides pictured are included to help with foot positioningl the padding thickness can be altered to accommodate growth in widthl supplied with support straps at buttock and chest height

Optionsl cutout guides can be added to the footplate for more specific foot positioningl footcups can be attached to the footplate l the frame can be mounted on heavy duty rubber tyresl additional support strap can be provided to user requirement

easy to order standing frames25


Small Large Custom

A Overall body support length

540-690 620-770

B Effective body support width 240 320

C Effective footrest depth 260 260

D Tray width 520 520

E Tray depth 420 420

F Effective footrest width 260 340

G Tilt increments 6° / 12° / 18° / 24° / 30°

Barry Standing Frame dimensions (mm)

Simple foot guides

Cutout foot guides

26easy to order standing frames

Cutout foot guides Cutout width



65mm diameter rubber tyred locking castors

Additional body support strap Width

Barry Standing Frame options (additional cost)

Lazy Squirrel Standing FrameProvides upright to semi-supine standing.

Features:l broad base for stabilityl the frame can be tilted from vertical through to 30° reclinel the body and head support backing is made of mesh fabricl the frame has one body support strap and one leg positioning

strap (also made of mesh fabric), with a knee separation block integrated with the leg positioning strap

l the body and leg straps are adjustable for height and wrap-length using Velcro fastening at the back of the frame

l the height-adjustable lipped tray fits to the outer frame for simple attachment and removal

l the tray and upright section of the standing frame are removable from the base for easy transport and storage

Optionsl footcups can be attached to the baseplatel additional body support can be providedl braked furniture castors can be added to the base



Typical Custom

A Effective support width 240

B Effective support height 900

C Footplate depth 270

D Tray width 600

E Tray depth 500

F Cutout width 280

G Cutout depth (no greater than F ÷ 2) 130

H Frame tilt relative to base upright - 60°

upright - 60°

Heelplate height 120 120

Lazy Squirrel Standing Frame dimensions (mm)




Additional body support strap Width

Braked swivel furniture castors on base

Lazy Squirrel Standing Frame options (additional cost)

PLUS Supine StanderProvides highly adjustable supine standing for young children needing a high degree of support, up to 1100mm overall height.

The PLUS is designed with adjustability built in to suit most needs within the overall size limits. If customisation to suit very specific user dimensions is required, please provide the details with your application.

Featuresl adjustable padded supports for head, thoracic, hip

and knee positioning, each with a set of Velcro-closed positioning belts

l separate 25mm-thick covered cushions behind head and body

l reclines between upright and 55° from horizontall has a tilt-adjustable, detachable tray with six height

settings in 50mm incrementsl adjustment ranges to suit a wide variety of user

dimensions within the overall limits


AGE GUIDE2-8 years


Typical

A Overall body support length 1100

B Overall body support width 460

C Head support separation 130-230

D Body support belt separation 220

E Lateral supports separation 190-290

F Knee support separation 140

G Knee support height from footplate 140-290

H Lateral support height from footplate 250-750

I Head support height from footplate 750-1000

J Footplate depth 220

K Recline angle range (from horizontal) 55° - upright

L Tray width 600

M Tray depth 450

N Tray cutout width 300

O Tray cutout depth 150

PLUS Supine Stander dimensions (mm)

easy to order body dimensions chart31 A

BC

DE

H

G

I

F L

K

J

M

N

O

32easy to order body dimensions chart

A Seat to top of head

B Seat to top of shoulder

C Seat to armpit

D Seat to elbow flexed at 90°

E Clearance height – seat to top of thigh

F Depth of thorax

G Upper leg length (backrest of seat to behind knee)

H Lower leg length (seat to floor height)

I Foot length (heel to toe with shoes on)

J Head width

K Shoulder width

L Chest width

M Hip width

N Width across knees

O Separation between knees

Body dimensions chart (mm)Please provide actual body dimensions, not chair or other furniture dimenions.

Measurements should be taken with feet flat while sitting upright and supported.

You can request variations to the design of an RTG, but this will become an Individual Solution and will take longer to supply. Please turn to page 38 for more information about Individual Solutions.

“Ready To Go” items (RTGs) are devices that TADNSW has provided regularly over time to a fixed design. They address a range of needs, generally relating to young children of up to primary school age.

These devices are easy to request as there is no custom sizing or variation involved. The pricing process is straightforward and the device can be produced with minimal delay once we receive an order.

OrderingRTG prices are available on the TADNSW website. The prices are updated to reflect changes in material and delivery costs, so please check for the current price at the time of ordering.

To request an RTG, please submit an order form (available from our website), nominating which device(s) you require and the quantity. We will despatch your order upon receipt of your form, and send you an invoice with the delivery.


How to order an RTG – www.tadnsw.org.au/tadaid

33

ready to go

34 ready to go mobilityTAD weighted block trolleyA stable, counterweighted aid for children who need additional support while learning to walk.

Featuresl a counterweight is installed at the front end of the trolleyl front castors mounted beneath the tray make it easy to steerl trolley dimensions:

– 330mm wide x 285mm high x 420mm long– tray depth approximately 120mm– handle height range adjustable between approximately 490mm – 630mm from floor level

TAD mobility stoolProvides seated mobility for adults working with children at low level tables, or assisting them in learning to walk.

Featuresl the seat is firmly anchored to a platform base mounted on castorsl the platform base can be used for storagel stool dimensions:

– seat height 320mm above floor level– seat 280mm wide, 300mm long– base 315mm wide, 445mm long

21

Magnetic paper holderHolds paper to enable children with single hand function to cut it independently.

Featuresl enables paper to be elevated and held stablel a screw clamp secures the holder to the desk surface for greater stability and easy use

with one hand

Magnetic geometry set Enables children with single hand function or limited grip strength to use plastic geometric shapes for drawing.

Featuresl the standard plastic school geometry set includes a 30cm ruler, 45/45/90 set square,

30/60/90 set square and protractorl the set pieces are backed with magnetic material and provided with a thin steel platel small grip handles are attached to the front of the set pieces for ease of use

ready to go education35

24

External switching adaptation for battery-powered toysBattery-powered toys are converted so they can be turned on and off using an external switch. The toy may then be suitable for use as a reward activity or to teach cause and effect to children with limited hand function.

Toys that have complex interactions may not perform well by interrupting the battery power alone. In this case a more sophisticated modification may be required to activate the toy.

Featuresl a 3.5mm jack socket is inserted into the power on/off circuit of the toy, and mounted

conveniently on the case or through the fur of the toy for external accessl when the external switch is disconnected, the toy can still be operated normally by its

own power on/off switchl the client provides their own external switch with cable and jack plug to suit their specific

requirement

36 ready to go education

ready to go exercise and recreationSit-to-stand ladder with seatAllows children to practice standing up from a sitting position (age guide: 12 months – 6 years).

Featuresl the sturdy ladder and adjustable seat are fixed to a common base for stability l the ladder width, height and rung diameter are customised to user requirementl the height-adjustable seat provides side and back support l the spacing between the seat and ladder can be set to suit the user

Optionsl the stool and ladder can be supplied separately (see photo of the separate ladder

on page 33)

Billiard cue rest setAllows people with limited hand function to position a billiard cue

Featuresl the set includes two pieces which allow a variety of shots l the first allows shots to be played off the rail, and the second on the feltl each piece has a weighted brass base for stability

37

38

individual solutionsMuch of TADNSW’s work involves creating individual solutions to solve specific problems or meet specific client needs. They are created for both children and adults and assist people in a range of areas, including mobility, access, personal care, daily living, work, education, computer use and recreational activities.

Individual solutions range from quite simple devices or modifications to more complex adaptive technology. Their common feature is that they generally improve the opportunities and/or independence of people with disabilities, as well as assisting their families and carers.

TADNSW will only create a device if a suitable solution is not commercially accessible. In cases where an item is not completely suitable, or requires importing, or the cost is prohibitive, we may consider an alternative solution.

Individual solutions often start out with a commercially accessible device that requires modification to suit the client. In other cases there may be nothing available at all, and we will design and construct a specific device from scratch.

OrderingTo order an individual solution, please submit a Custom Designed Aids Application Form (available from our website). Include details of the client’s problem or need, with diagrams and/or photos as appropriate. TADNSW will then contact you to discuss your requirements.

For most individual solutions, we strongly recommend that a therapist is involved. Therapists can provide valuable assistance in identifying the most suitable approach and ensuring adequate follow-up.


How to order an Individual Solution – www.tadnsw.org.au/tadaid

Commercially accessible items The Independent Living Centre NSW provides information on items that are commercially accessible. They are a good resource to check prior to applying for our services – 1300 885 886 or www.ilcnsw.asn.au

If the information supplied is adequate and the project is relatively simple, we may be able to provide a quote without needing a home visit. In other cases we can perform an assessment to work out the best solution, in consultation with the client and their family, carers and/or therapists as appropriate.

Once the design and quote have been approved and returned to TADNSW, we assign the job to the most suitable volunteer in terms of skills and location. The volunteer will then contact the therapist and/or the client to work out the final details.

In regional areas, the solution is generally devised by the local Branch Coordinator, in consultation with the referring therapist, the client and their carers. An individual solution may not always be possible in regional areas as it depends on the availability of a suitable local volunteer.

Following are examples of devices that have been made or modified recently to suit specific client needs. They were all designed and made individually to suit the client after a detailed assessment of their needs and situation.

39

individual solutions cont inued

individual solutions mobility and accessWalking frame alterationsTADNSW has assisted a number of mainly older clients by altering walking frames. These modifications can include relocating handgrips, adding or modifying gutter splints, enabling use with only one hand, adding trays or baskets to carry items while using the walker and adding fittings to carry other mobility devices such as walking sticks.

Lowered handlesModified handgrips were made for a client whose walking frame no longer suited her as her posture worsened.

l the original padded handgrips and brake levers were lowered using a new S-bend sectionl the new handles don’t interfere with the height of the seat or the ability to fold the walkerl the handles are height-adjustable

40

Postural support for walkerA young boy with muscular dystrophy who is unable to crawl, sit, stand or walk unassisted needed more postural support while using his walker. This was provided with parts normally used for modifying bicycles.

l a U-frame is mounted on the frame of the walkerl a padded back plate and thoracic fins with velcro-fastening strap are mounted on the U-framel the back plate and fins are adjustablel the modifications are easily removable using a quick-release pin

Anti-reversing camsThis client needed to negotiate kerbs and steps with her walker without having to apply the brakes to stabilise it. She also asked for a method of carrying her walking stick and white cane on the frame.

l special cams were fitted to the back wheels to allow them to run forward freely but prevent them going backwards

l the cams are engaged using a simple lever and can be easily disengaged to allow manoeuvring as required

l the walking stick and cane are mounted within the frame to maximise manouevreability in the client’s small flat

l all the new attachments are positioned so they don’t interfere with folding the walker to go into the car

individual solutions mobility and access41

One-handed walker operationThis walking frame was adapted for a client who could not use her right arm following a stroke. She can now steer the frame and operate the brakes with one hand.

l one of the existing handgrips was relocated to the centre of a new bar which spans between the original handlebars

l the brake levers were reconfigured so there is now only one lever and the cable is then split to apply equal pressure to both wheels

l the new bar pivots from the right side to swing out of the way for sitting on the framel the modifications don’t interfere with the ability to fold the frame

individual solutions mobility and access 42

Wheelchair access gangplankThis ramp is occasionally made for wheelchair users with good arm and upper body strength to lift themselves up from the floor to the wheelchair seat.

l the ramp is stabilised by adjustable hooks under the top edge and rubber feet under the lower edge

l side handrails with large handgrip cutouts and small steps up the length of the ramp assist the user to move upward

l a longer ramp makes a shallower incline but needs more space, a shorter ramp saves space but gives a steeper incline

Gate and door accessOpening and closing doors and gates can be difficult from a wheelchair or scooter, particularly for clients who lack dexterity or strength in their hands or have limited reach. TADNSW can make customised devices to assist in opening and closing specific doors and gates as required.

Child Safety Gate OpenerThis tool enables a client with post-polio syndrome to operate the child safety gates at her retirement village from her scooter.

l simple and lightweightl sized to suit the particular knob on the model of safety gate

individual solutions mobility and access43

Chailley CartThis cart is occasionally made for children who cannot walk but have good upper body strength. It is close to the ground and is easily manoeuvred and propelled.

l the cart is propelled by pushing directly on the side wheelsl the side wheels can be set forward or backward to suit the userl this type of cart can be made with a variety of seat styles, including a padded corner chair

back, small plastic seat shell or bucket seat

Modified tricycleA tricycle was modified for a young boy who has muscular dystrophy and is unable to walk. He can propel the trike with his feet indoors, but the family also wanted to use it outdoors.

l the pedals were fixed in position to act as footrestsl the seat was repositioned at the correct height to suit the client’s leg length, and the angle

was adjustedl a steering limiter prevents the client from turning the front wheel too far to either sidel the frame bar between the front wheel and the seat were covered with protective foam

tubingl the existing push handle was strengthened and extended so it is easier for a carer to push

the trike

individual solutions mobility accessories 44

Protective canopies for wheelchairs and scootersIf the manufacturer cannot supply an appropriate canopy for a wheelchair or scooter, TADNSW can make a specialised canopy to protect the user and the controls from rain and/or sun as needed.

Scooter Rain Canopy and Basket CoverA client who carries work equipment on a scooter needed covers to protect herself and the equipment from rain during travelling.

l the canopy frame can be folded like a collapsible strollerl the canopy is mounted high for head clearance during transfersl a plastic cover for the controls flips into place when neededl a protective cover and lid completely encloses the scooter’s wire basket

Sun protectionA young boy with a metabolic condition enjoys riding in a plastic wagon on family outings, but he is very sensitive to the sun and doesn’t like flies. TADNSW made a cover for the wagon which protects him from the elements.

l the cover is mounted on a steel frame which rests on the edge of the wagon l straps under the wagon ensure that the frame doesn’t come off in the windl Velcro strips keep the access flap open during entry and exit

individual solutions mobility accessories45

Holders for other mobility devicesAttachments and holders can be made to enable clients to carry other mobility devices such as walking sticks, crutches and walking frames on their scooter or wheelchairs. These can be easily accessed when getting out of the scooter or wheelchair, and secured to it when not in use.

Carriers for crutches on scooterA client with post-polio syndrome needed to carry her crutches on her scooter, so they are accessible when she reached her destination.

l the crutches are easily removablel the holders are mounted on the scooter base so they don’t interfere with the swivel

mechanism of the chair

Seealso “Anti-reversing cams” on page 41 for an example of carrying two walking sticks on a walking frame.


Modifications for carrying itemsClients may need specialised methods for carrying items while using a mobility device such as a walking frame, wheelchair or scooter. TADNSW can supply customised carriers to suit individual strength, reach and needs.

Food and drink trayA client with rheumatoid arthritis who has limited strength and reach needed to carry her meals from the kitchen to the dining area while using her forearm support frame, so TADNSW made an add-on tray for the frame. This enabled her to remain living in her current home after a fall.

l a cut-out hole for drinks minimises risk of spillagel the tray height is matched to the height of the kitchen benchl the tray has an easy-to-use drop in/lift off attachmentl the tray does not affect the frame’s ability to collapse for transport

Multi-purpose tray and basketThe client wanted to carry various items while using her walking frame, including her phone, wallet and gardening tools. She also needed to carry meals from the kitchen to the dining table.

l a purchased basket was mounted to the front bar of the walkerl a tray was hinged from the outer side of the basket so it can sit flat on the basket for

carrying the meals or lift up out of the way to access the basketl the tray has a lip on the three outer edges and a non-slip surface to prevent items from

falling off

individual solutions s mobility accessories47

Modifications for ease of useTADNSW can modify mobility devices to make them easier to use or improve independence.

Wheelchair control buttonsA client with cerebral palsy had difficulty controlling the joystick which operates his electric wheelchair. TADNSW made him a new wheelchair tray with round holes cut for pushbutton switches, and the cutout around his trunk was also shaped for better comfort and fit.

l the buttons are arranged in a central diamond pattern for forward/back/left/right movement control

l the chair mode and on/off buttons are mounted within reach but away from the direction controls

l the slightly sunken button mounting makes targeting each button easier

Wheelchair footplate gripperA client who received serious injuries in a car accident could not lift the footplates of her electric wheelchair when she wanted to get out of the chair. Among other things, this meant that she could not go to the toilet independently. l a gripper stick with a hook added above the pincers, made from a right angled section of

steel, enables the client to lever up the footplatesl the stick is mounted in a convenient position at the back of the wheelchair using velcro strips l sections were also cut out of the footplates to prevent them from hitting the front wheels

and from falling back down when lifted


Pram and stroller modificationsParents with disabilities may need modifications to prams and strollers to make them easier to use.

Pram with hand-operated brakesA client with cerebral palsy was unstable while pushing her new baby in his pram and could not use the existing foot-operated locking brakes. TADNSW added lockable hand-operated brakes, a device to resist tipping backwards, and a tether strap.

l hand levers with thumb locks enable both variable braking and complete lockingl the modifications do not affect the ability to fold and collapse the pram

individual solutions bathing, toileting and personal care49

Devices for the bathroomTADNSW has a number of established designs for customised PVC bath seats for children. Please see the Easy To Order section from page 5 for more information.

We can also make individual solutions to assist clients with their own personal care or care for children. In the case of children, these most often relate to safety issues for the child and/or their carer. The devices may be designed specifically to suit a particular bathroom, or to be transferable from one bathroom to another.

Duck Bath ChairThis style of bath chair is occasionally made for supporting very young children for bathing.

l uses a plastic swing seat, with the angle adjustable between approximately 40° to 60° from the horizontal

l the original T-bar from the swing seat can be retained for use as a pommel (as in the picture)

l suction cups at each corner of the base minimise movement in the bathl includes a pelvic belt with crotch strap

individual solutions bathing, toileting and personal care 50

WA Bath ChairThis style of bath chair is occasionally made for young children who can sit upright, but need assistance with balance for bathing.

l sits directly on the floor of the bath, reducing the volume of water needed for bathingl has a back support bar padded with foam, and in this picture an additional front supportl the height and width of the supporting arms can be customised to suit the user.l suction cups at each corner of the base minimise movement in the bathl includes a pelvic belt with crotch strap

In-bath transfer seatPeople who cannot easily get in or out of the bath may use a transfer bench or board, but for small bathrooms, a standard bench may not be practical. This small transfer bench was made for a client with multiple disabilities, who needed better stability and raised seating while bathing. Due to the limited space in her bathroom, the bench is custom-made to straddle the exact width of her bath. This allows transfers from the side of the bath to the seat without it intruding into the rest of the bathroom.

l the tapered seat edge at the bath lip allows the client to transfer from the bath edge at a single level

l the hand rail at the end of the bench assists with transfersl the legs are placed to stand flat on the floor of the bathl the legs have rubber feet for stability and to avoid damaging the bath


Bath insert support frame A child with cerebral palsy had outgrown his baby bath, and his parents needed a way to support a commercially made Sunburst™ bath insert at a comfortable height over their regular bath. This sturdy frame was designed to solve the problem.

l the height is customised to suit the parents’ preference and minimise back strainl the insert is positioned so it can be easily filled using a flexible hosel an overflow drain was added to the bath insert so the water level can’t rise too highl the frame and insert can be easily removed from the regular bath when requiredl this solution avoided the need for expensive bathroom modifications

Overbath framesTADNSW can make support frames to straddle or stand in individual baths. The frames can either support a client on a stretcher of waterproof mesh, or support other bathing equipment. The frame is made at the height needed for safe bathing for both the client and the carer.

l freestanding designs means the existing bath and bathroom are unchangedl the stands are designed to be as lightweight as possiblel they eliminate difficult reaching and bending into the bathl they suit bathing with a hand shower

individual solutions bathing, toileting and personal care 52

Shower standing support frameThis customised frame provides assistance in the bathroom for a client with reduced balance and stability. The device is freestanding and portable, which suits the client as he could not install permanent rails in his rented accommodation.

l the upper handrails assist the client while showeringl the lower rails provide stability when using the toiletl the handgrips on the rails have a broad grip for comfort

Bathing stretcherA family needed to bathe a boy with cerebral palsy when he was staying with his grandmother. Her bathroom is quite small and it is difficult to manoeuvre in. As he grew older the client was too big for a bath seat that sat in the bottom of the bath, and his carers were risking back injury by bending over to wash him. The problem was solved by a frame which sits over the bath and is covered in waterproof mesh.

41

Portable toilet chairAn obese client who also has asthma could not lift herself from a standard toilet seat without a strong support to lean on. She uses a disabled toilet when she is in public places, but she had problems when visiting family and friends. Commercially accessible toilet seats did not have the right dimensions, so TADNSW made her a portable commode chair.

l the sturdy steel frame provides enough support for the client to lean on as she risesl the legs have rubber stoppers to prevent them from slippingl the entire seat folds flat for easy transport

Foot support for shower commode chairThe client has muscular dystrophy and needs to sit down in the shower. He is unable to raise his arms above his head, so he rests his elbows on his legs to wash his face and hair. TADNSW made a foot support which enables his to stabilise himself by sitting with his legs very wide apart, and raises his legs to a height where he can reach his head. In conjunction with some adjustments to his commode chair made by the supplier, it allows him to bathe as independently as possible.

l the support is constructed to the ideal height, and is also height-adjustablel the vertical handle enables easy positioningl the support is suitable for use when showering and at the toilet


individual solutions position and posture 54

A s well as the established designs for supportive seating and standing frames shown in the Easy To Order (ETO) section, TADNSW can also make one-off devices to assist with positioning and posture. These may suit the particular needs of

young children for whom the ETOs are not suitable, or older children and adults who need a device on a different scale.

Side/prone lierThis type of device is occasionally made for clients who require side and prone lying positions. It has padded sides and positioning straps.

l the sides fold down for sliding transfers without gapsl the armrest support board/tray has two positionsl the body positioning straps are adjustablel the bed is mounted on large castors for easy moving between rooms and travelling over

uneven floor surfaces

Adjustable seatA simple adjustable seat can be made for school children to use during class activities.

l the seat is custom-sized and has low raised sides and backl the height is adjustable

individual solutions beds, cots and bedroom accessories55

Safety surrounds for bedsBed surrounds can increase clients’ safety and improve peace of mind for their families and carers in situations where the client is prone to falling out of bed or becoming entangled with partial enclosures. TADNSW can build safety surrounds for almost any type of bed, to suit the particular needs of the client, the available space and the intended usage. The surrounds are generally rails or frames covered with mesh.

l the surrounds are designed to minimise visual impact, create as pleasant as possible a sleeping environment and maintain good airflow across the bed

l they are designed to suit the width and height required, and the strength needed for differing weights and levels of activity of the occupant

l to access the bed, the sides of the surround can drop down, lift off or have gates

Removable bed surroundA young girl with Angelman Syndrome has limited understanding of her own safety and is very active at night. Commercially available bed rails did not suit her as she tended to pull herself up on them. TADNSW designed and built a mesh surround for one side of her bed which keeps her safe.

l the bed surround is lightweight and can be easily lifted off when the girl gets in and out of bed (a gated surround was not suitable in the available space)

l the mesh fabric wall provides ventilation and visibility into and out of the bedl the fabric walls are decorated to match the girl’s room

individual solutions beds, cots and bedroom accessories 56

Mesh bed surroundA boy with developmental delay is very active at night and was in danger of injuring himself while his parents were asleep, so TADNSW made a surround for his queen-sized bed which now keeps him safe.

l the surround has a gate in one side for the client to use, and the other side can be completely removed to make it easier to change the sheets

l the mesh fabric walls of the surround let in light from the nearby windowl the surround is freestanding and does not interfere with the original structure of the bed,

but is flush with it to ensure there are no gaps to cause entrapment hazards.l a decorative panel at the head of the bed provides entertainment for the client

Bunk bed protectionA young girl with Edwards Syndrome is very restless at night and needed to be protected from falling out of her bunk bed. TADNSW made a side panel, modified the ladder to the top bunk (used by the client’s sister) so the client couldn’t injure herself on it, then added a bracket to the end of the bed for her feeding device. Her parents are able to gain some much-needed rest knowing that their daughter is safe.

l the new panel is made from mesh furniture fabric attached to a padded tubular metal frame, so the client can’t hurt herself if she bumps into it

l the lower rungs of the ladder are shielded on the inside with the same mesh fabric, and there is a new set of rungs set away from the edge of the bed

l the new set of rungs is easily lifted out to restore the original condition of the bunks if needed l the panel is low enough for the client to see over the top to watch television from bed,

which she loves

Cot modifications for parents with a disabilityTADNSW can make a variety of modifications to cots to help parents with a disability access the cot and safely look after their child. Generally these relate to the height of the cot and the means of access.

Raised and gated cotA client with quadriplegia who has limited reach and hand strength needed to wheel her chair right under her baby’s cot and easily reach inside it. TADNSW raised the legs of the cot and altered the standard drop-side rails to a gate.

l the centre-opening gates enable the client to easily access her baby l swinging bar-door hinges on the gates means that once opened, they stay open, and they

are self-closing after an initial pushl two sets of latches provide safety for the baby but are still easy for the client to operate

individual solutions beds, cots and bedroom accessories57

Gated cot with step blockThe client was a young girl with Angelman syndrome who needs to sleep in a cot rather than a bed. Her mother has back pain and was having increasing difficulty lifting her daughter in and out of the cot as she grew older and heavier. TADNSW turned the end of the bed into a gate and made a step block so that with assistance, the client can access the cot without being lifted.

l a handle on the outside only prevents the client from opening the gate once she is in the cotl the gate matches the rest of the cot and looks attractivel the cot can also be used as a change table

47 individual solutions beds, cots and bedroom accessories 58

Bedside tableThis bedside table was made for a client who has rheumatoid arthritis and has very limited reach and strength. She wanted to keep a large number of items close to her while in her hospital-style bed, including her intercom system. Mounted on an existing H-shaped base, the table has two levels with a sliding shelf on the lower level.

l the shelf can be pulled out for easier access during the day and then pushed back to provide more space at night

l the shelf is moved using a small hook which is easy for the client to grasp but doesn’t get in the way

l there is a small gap at the back of the table for appliance cords, and a larger gap for the single-piece intercom to be inserted

Overbed trays and tablesTADNSW can make customised tables and trays to suit clients who need to perform a range of activities while in bed. The design will take into account the style of bed involved and the strength, reach and positioning needs of each client.

Table for computer use in bedThe client already used an overbed table, but wanted an extra cabinet fitted to house his computer equipment. The design provided a natural counterbalance to the table, making it more stable when loaded.

T ADNSW can modify existing chairs and lounges to suit particular needs when a commercially accessible option is not available. If necessary we can also advise on suitable seating to purchase for modification. The most common

modifications involve raising and/or stabilising the chair, modifying controls and adding accessories such as trays.

individual solutions seating59

Chair elevationThis client is unsteady on his feet following a stroke. TADNSW stabilised his favourite lounge chair so he could sit in it more easily, and raised it to the ideal height for him to get in and out of.

l a broad base of support stabilises the chairl the lipped edge on the raiser prevents the concealed armchair base frames from slipping offl the base matches the chair and blends in with household decor

Joshua ChairThis adjustable high chair with tray is occasionally made to suit young children who have outgrown their high chair and need a chair at table height with moderate support.

l the seating depth, back height and foot support plate height are all adjustablel the chair back is perpendicular to the seatl the surrounding grab rail is secured with a tether strapl there is a sturdy handle at the rear of the chair to assist with manouevringl large diameter braked castors enable easy movementl the lightweight, removable tray has lipped edgesl can be fitted with various supports such as pelvic belts, footcups, lateral fins and harnesses

(please refer to “Frequently Asked Questions” on page 81 for more information)

4847 individual solutions seating 60

POSH school chair modificationsTADNSW has modified a number of the Sebel Postura™ range of schoolchairs to provide additional support for children with disabilities. This assists integration by allowing them to use the same chairs as their peers.

The possible modifications include:

l glide pads fitted to the underside of the chair legsl foot supportl pelvic beltl footcups l lateral support fins with adjustable height and spacingl seat and back cushioningl a simple seat insert (where a specific seat back angle is required)l additional head support (a padded plate added to the back of the chair)l harness attachment points, if a seat insert has been fitted (please refer to “Frequently

Asked Questions” on page 81 for more information) l the chair can be attached to a wider base plate for improved stability and/or to resist

tipping, with the option of small castors

Some of the above modifications can be applied to other school chairs, such as the Sebel Hobnob™ and Namco™ models – these will be considered on an individual basis.

In this example, the thoracic fins allow the client to sit independently in the chair, as he leans further to the side as he tires during the day, and the pelvic belt prevents him from sliding down the chair. The foot support allows him to maintain an upright posture, but is retractable to enable transfers on and off the seat. The glide pads help him to push his chair in and out from under his desk.

individual solutions child safety61

C hildren with particular disabilities may not be able to understand the dangers present in the kitchen and may be at risk of injury without appropriate safety measures. TADNSW can make a range of devices to improve safety in and around the kitchen.

Fridge securityA client with autism was accessing the fridge, emptying its contents and breaking jars. TADNSW fitted a custom safety latch which protected the client from potential hazards but still allowed other family members to easily access the fridge.

l the latch only requires one hand to release, leaving the other free to open the fridge doorl the safety latch does not allow the door to close unintentionally, avoiding the possibility

of the client getting inside and closing it on himselfl the latch is mounted at the top of the doors where it can only be reached by adults

Preventing access to kitchen drawers TADNSW installed a concealed lock release system to prevent a child with a severe developmental disability from accessing the drawers in the kitchen. The child can’t operate the system, but it is easy for the parents to use.

l a hidden latch inside the drawers locks them in placel the latch is easily released with one hand by turning a handle on the side of the drawers

while simultaneously opening the drawer l all the space in the drawers is retained

47 individual solutions child safety 62

Safety gates

T o block access to unsafe areas, a custom-made gate is sometimes required to span a specific gap. Different latches or locking mechanisms can be fitted to prevent the client from opening the gate according to individual requirements.

Kitchen gateTADNSW built a customised gate to prevent a determined boy with severe developmental delay from accessing the family kitchen. Behaviour modification was not able to resolve the problem, so the gate was required to ensure the child’s safety. The customised gate replaced an existing folding lattice gate which had broken.

l the gate is strengthened and has vertical slats to discourage climbingl the latch was selected and located so that the client can’t open itl the gate folds in half and then folds back against the wall, so it is out of the way when the

client is at schooll the gate looks attractive and matches the decor in the house

51 individual solutions daily living63

T ADNSW can make a wide variety of devices to assist with activities of daily living, including cooking, eating and drinking, dressing, doing housework, gardening, shopping, using transport and getting in and out of the house. In this area a quite

simple tool can often make a big difference in terms of independence and quality of life.

Bed-based tableTADNSW made a table for a client with quadriplegia who lives independently and needed access to his remote controls once he is settled in bed for the evening. He is not able to reach a table beside the bed, so he needed the remotes to be securely positioned on the bed, without taking up too much space. The commercially available options were too large for him.

l a cushion filled with polystyrene beads provides a very secure base for the tablel the table top has lipped edges and non-slip fabric to ensure that items don’t slide off

Customised cutleryA client with an auto-immune disease found it very hard to grip things, so he had to eat without using his hands which he found unpleasant. TADNSW made cutlery holders which have enabled him to enjoy his food and retain his dignity.

l the holders are made from steel sheet shaped to fit the client’s handsl the natural spring of the steel allows the client to bend the holders back to insert his

hands, and keeps them in place once on

Drinkline Positioning SystemSome clients are unable to hold a straw or cup to drink independently. This adjustable drinkline system carries a tube through the centre of multiple flexible segments. The position of the drinkline is easy to adjust and set.

l a universal clamp enables attachment to any suitable fixing pointl the food grade drinking tube can be inserted into any drink containerl the line’s multiple segments are joined in lengths to suit most requirements

47 individual solutions daily living 64

Chopping boardA common request is for a device to assist a person with hemiplegia to perform tasks which usually require two hands. TADNSW made a versatile chopping board for an enthusiastic cook who wanted to cut a variety of different foodstuffs. This made an important contribution to retaining her independence.l two polypropylene jaws with textured grooves adjust to firmly hold items of varying

shapes and sizesl an adjustable holder for the tip of the chopping knife reduces the effort required for

chopping, compared with having to reposition the knife for every strokel the jaws and cutting sections are easily removed for cleaningl the board’s base has a rubber underlay to prevent it slipping on the client’s marble

benchtop

51 individual solutions work65

T ADNSW has made a number of devices over the years to enable clients to perform a greater range of tasks at work. Common areas of assistance include devices to:

l allow people who lack fine motor skills to perform tasks requiring precisionl enable people with hemiplegia to perform tasks that generally require two handsl improve safety or avoid the risk of injury; and l assist with computer use (see “Computing” on page 69).

Riveter standA client with Down syndrome needed to use a heavy riveter in her job making signs for botanical gardens. The riveter was very slow and difficult to operate repetitively without risk of injury. TADNSW built a stand which made it much easier for all the staff in the workshop to use the riveter, and increased productivity significantly.

l a counterweighted suspension cable makes it easy to position and operate the riveter, and expands the riveter open again after fixing each rivet

l a broad timber base provides a clear space for setting up the item for rivetingl the stand is light enough to be moved when required to suit different work

47 individual solutions work 66

Safety stoolA client with cerebral palsy who has balance problems needed to use a stool to reach the high shelves at her job in a supermarket. TADNSW added a rail and castors to an existing plastic safe step stool to create a safe working environment for her.

l the rail is set at the ideal height to provide support and prevent the need to lean on the shelves

l the spring-loaded castors make it easy to move the stool along the aisle and ensure that it stands steadily on the floor when weight is applied to it

Paper collatorThis holder was made to enable a client with hemiplegia to arrange, collate and staple papers with one hand. The tray is precisely A4 size so that the papers are neatly stacked, and has a cut-out on the top left corner for the stapler. TADNSW also provided custom-designed clamps to suit the workbench.

individual solutions education67

TADNSW can make devices that actively assist with the education process, to the specifications of therapists and teachers. We have also made other devices to

assist students with access and with completing assessment tasks as required, in areas as diverse as basic literacy, graphic design, cookery and woodwork.

Rewards boxThese boxes are occasionally made for therapists who need to provide children with a reward for successfully completing a task during hearing and behavioural assessments. The show is concealed until activated by an external switch.

l a tinted viewing screen restricts visibility until the internal lights are illuminatedl a stimulating arrangement of lights and moving toys are revealed inside the box when the

external switch is activatedl the lighting and activity pieces can be installed to suit any particular requirementl the device is easily moved

Sensory stations and activity centresTADNSW has made a number of sensory stations and activity centres to suit specific behavioural needs and children’s favourite objects and activities. A behavioural therapist is usually involved to determine the ideal set of sensory experiences to suit the particular client(s).

This playstation is one of a number made to encourage children with disabilities at a special school to go outside and play at lunchtime. Mounted to the playground railings, the brightly coloured boxes open out to create a play area accessible from a wheelchair.

47 individual solutions education 68

Classroom equipmentMoving from primary school to high school presented a problem for a client with dwarfism, as he was no longer based in a single classroom. TADNSW cut down seven desks for him to use in each classroom, and made four different platforms to enable him to reach the benches for art, science, home economics and woodwork. We also made him a stool for the art room and a set of steps for use in the library.

l the platforms have non-slip strips on the basel they are light and easy to move around the classrooml one of the heavier platforms and the library steps have wheels at one end so they can be

lifted at the other end and moved like a wheelbarrow

Book standTADNSW has made a number of customised book stands for people with vision impairment. These are commercially accessible, but the designs available do not suit every individual’s needs. This client needed a very strong adjustable stand to hold the heavy textbooks she was using for her university course, and locate them in the optimum position for her eyesight.

l the stand has a heavy base and a steel post, and is adjustable for height and anglel spring-loaded aluminium arms hold the pages in place

individual solutions computing69

C omputers are providing many opportunities for people with disabilities to achieve things that were not possible before, to access services and information, and to communicate with family, friends and people with similar interests. They also

improve opportunities for training and employment.

TADNSW can assist with designing and modifying workstations to suit individual needs for computer access, for example to accommodate wheelchair access, limited reach or strength, or specific ergonomic requirements. We can also make tools or support equipment that is needed.

Overbed laptop workstationThis client’s bed-based workstation required improved support for his laptop computer and a convenient place to reach his collection of remote controls using a mouthstick.

l easy to operate clips and retainers keep the laptop on the tilt table at a near-vertical angle, and make it easy to remove the laptop for use away from the bed workstation when required

l the remote controls are arranged on the panel added to the workstation and can be easily removed and repositioned with Velcro fastener

For affordable computers for people with disabilities, contact the TADNSW Computer Support Service two packages available l Microsoft software l two-year repair agreement l help-desk support l phone 1300 663 243

47 individual solutions computing 70

Workstation adjustmentsA client with quadriplegia had bought a commercially accessible workstation for his computer but was unable to use it without adjustments.

l a small section cut out of the keyboard tray accommodates his wheelchair controls, so he can get in close enough to the keyboard

l a small extra shelf for his trackball controller enables him to reach and use it easily

CD/DVD holderThis tool was made to help a client with limited hand control to pick up a CD from its case and place it in the computer’s CD drive, and vice versa. It consists of a handle with a suction cup at one end, which the client presses onto the CD.

l the long round handle provides grip and directional controll the client can use the weight of his other hand to detach the tool once the CD is placed in

the drive or back in the case as required

individual solutions exercise and recreation71

T ADNSW can assist clients to undertake many kinds of exercise and recreation, or to continue these activities after their situation has changed. We have modified exercise equipment, made and modified devices for sport and recreational

pastimes, such as sailing and fishing, and made equipment for accessing swimming pools.

We have also helped with indoor activities by making games for the elderly, stands and enlargements for people with vision impairment, easels for painting, sewing machine modifications and devices for other hobbies as required.

The FREEDOM WHEELS® Modified Bike Service modifies standard bikes to enable children with disabilities to ride independently. Please refer to page 76 for more information about this service. Bikes can also be modified for adults if required.

Ride-on modificationsThere are a wide variety of battery powered ride-on trikes and quads available for children, which are usually operated by a foot switch. If a child has limited leg and foot function, TADNSW can modify these trikes by transferring the control to switches mounted on the handlebars. Other modifications can also be made as needed.

l the modifications can be applied to most 6V models made by TCVl the control circuit of the ride-on is upgraded to add a variable speed control and soft

start/stop function, to improve the riding experience for the clientl handlebar switches can be added to either side, or to both handlebarsl alternate types of seat can be fitted for improved support, such as small moulded bucket

seats, swing seat shells or small schoolchair shellsl footcups, a pelvic belt and thoracic positioning straps can be fittedl handlebars can be modified to better suit a client’s riding stylel alternate control switches can be fitted such as a Jellybean® switch or touch-sensing handgrips

47 individual solutions exercise and recreation 72

Wrist stretcherFor clients who have weak wrist extension and have developed contractures or tight wrist joint structures, we can make specialised wrist stretching boards. There are seven increments of stretch, ranging approximately between horizontal to vertical. The parts that come in contact with the skin are made from neoprene and closed cell foam and are easily washable.

Exercise bike modificationsA client with multiple sclerosis had bought an exercise bike which enabled him to line his wheelchair up behind it and slide from his chair onto the seat. However this design was not robust and wore out with frequent use. TADNSW welded the frame back together, designed a new, stronger pivot arrangement, increased the resistance on the pedals and added toe clips to assist the client to keep his feet on the pedals.

Exercise gloveA client with hemiplegia couldn’t grip the handle of exercise equipment she needed to use at the gym. TADNSW designed a special glove which attaches to the handlebar using Velcro.


PhotographyTADNSW can make modifications to provide grips for easier handling, supports and mounts for wheelchairs, adaptations to the shutter, focus and zoom controls and remote operating attachments.

With so many models of camera on the market, the solution may be slightly different in each case, but an aid can be made to suit most cameras and client needs.

Camera wheelchair mount and controllerThis sophisticated solution was designed for a client whose jerky arm and hand movement resulted in very blurred pictures and poor framing of the picture. It includes a remote control and a mounting frame for the client’s wheelchair.

l the remote control has easily operated buttons for focus, shutter release and zoom functions

l the control has rechargeable batteries which can be charged overnightl the camera can be fully rotated horizontally, and a small mirror allows the viewfinder

screen to be seen for taking self portraits or when the screen is out of viewing anglel once the camera is aimed, the client does not need to touch the camera to take the picturel the mounting frame is universal and can be transferred to another wheelchair in the

future

47 individual solutions exercise and recreation 74

Camera gripThis grip and operating mechanism was made to assist a client with limited arm mobility and strength due to C5/6 quadriplegia. It enables him to hold his camera, press the shutter halfway and fully down, and operate the zoom function.

l two foam-covered handles below the camera enable the client to hold it stable - the lower handle is adjustable

l the client operates the shutter and zoom switch using metal levers l the mechanism magnifies the shutter button action to help the client feel and make the

small movements needed to partially and fully depress the shutterl the grip attaches to the tripod mount on the camera and is easy to remove if other family

members want to use the camera

Model standThis client is very keen on making models, which requires joining and painting cast resin pieces. As he has cerebral palsy which affects his right side, he asked for a stand to keep the models firmly in position while he works on them with his stronger hand.

l the clamps on the stand can hold any shape either gently or firmly, and are gentle enough so they don’t damage the resin

l the models can be positioned at any angle, and can be rotated 360° without unclampingl the stand is designed so it is adjusted using only one movement at a time, and is therefore

entirely operable with one hand


SwingTADNSW has modified a number of swings to suit children who need more support than is provided by a commercially accessible swing. A range of seating and design options can be used depending on the needs of the child and the proposed location of the swing. This swing was added to the existing family swing set for a boy with multicystic leukoencephalopathy, who has poor motor skills and can’t walk unaided.

l rigid hanging members keep the seating orientation fixed and provide a comfortable surface to hold

l the hanging members are positioned forward of the back-to-seat join for added stabilityl the entire seat tips slightly backwards to reduce the risk of the client tipping forwardl a pelvic belt and crotch strap keep him securely in position

Tennis ball holderA young client with an incomplete left hand was very keen to play tennis, but he could not throw the ball up to serve. A ball holder that attaches to his lower arm enables him to serve in the normal way.

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modif ied bic yclesThe FREEDOM WHEELS® Modified Bike Service modifies standard bicycles so that children with disabilities can ride them. This can give a child new opportunities for independence, inclusion and exercise. Bikes are also sometimes modified for adults.

A range of modifications are available which can be combined to meet the individual support and stability needs of each child. These modifications may include:l a wider seatl stabiliser or “outrigger” wheelsl postural supports such as pelvic belts,

back and head support plates, and hip and thoracic fins

l footcupsl gloves to assist with gripping the

handlebarsl modified handlebarsl towbars

Careful assessment is required to determine the modifications required to suit the age,

height, weight, type of disability and physical and cognitive abilities of the child. Generally this occurs at a bike clinic where TADNSW’s staff bring sample bikes and modification components to use in the process. Input from the child’s carers and therapists is also important at this stage.

The components used in the modifications are designed to fit a specific bike frame, so families cannot provide their own bikes. However the FREEDOM WHEELS bike frames are supplied at lower than recommended retail prices. TADNSW and our corporate partner Amway of Australia fund the cost of staff input, so clients only pay for the bike and the components required for the modifications.

How to order a FREEDOM WHEELS bikeIf there is a therapist involved in the child’s care, they should be consulted to determine


How to order a modified bike www.tadnsw.org.au/tadaid

whether bike riding is a suitable activity for the child. (TADNSW will advise on this if the child does not have a therapist.) Therapists are encouraged to attend the child’s assessment appointments if possible.

To apply for a bike, please submit a FREEDOM WHEELS Application Form (available from our website). FREEDOM WHEELS staff will contact you to make an appointment for an assessment. After the assessment you will receive a quote and assembly of the bike will begin once the quote has been accepted.

This boy has spastic diplegia and can’t walk independently, but he has reasonable upper body control and good fine motor skills. His bike, which he demonstrates above, has modifications which enable him to keep his balance, sit in a correct riding position and propel the bike. They include a wider seat, stabiliser wheels, footcups, hip fins, a pelvic belt and a backrest.

This girl (pictured at right riding with her sister) has weakness on the right side of her body due to hemiplegia. Her bike has a wider seat, stabiliser wheels and footcups, as well as modified handlebars to make them easier to reach. She also has a hand mitt to help keep her right hand on the handlebar, and a step block to make it easier for her to get on and off the bike independently.

This adult client with one leg amputated above the knee wanted to have the freedom and exercise of riding a bicycle. Her modified bike has a larger seat, outrigger wheels, footcups with Velcro straps and a splint to keep her left leg prosthesis on the pedal. She was also given a rod which joins her bike to her husband’s, so he can help out with pedalling when they are going uphill.

modified bicycles77

What is TAD?Technical Aid to the Disabled (TAD) was initiated in Sydney in 1973 by George Winston AM, an electrical engineer. George recognised that customised devices could assist people with disabilities to maximise their opportunities and live their lives more fully.

TAD was formally established in 1975 with the support of disability organisations. Over 30 years later, similar organisations operate in all states of Australia and the ACT. The TAD organisations coordinate the work of a wide range of volunteers, who construct assistive devices and refurbish donated computers for people with disabilities.

TADNSW’s ServicesTADNSW provides personalised equipment and advice to people with disabilities and their carers, through the

about tadnswinnovative services of skilled volunteers and staff. We supply equipment, support clients in the use of equipment, and provide advice and information about equipment to people with disabilities, their carers and the disability sector.

CustomDesignedAidsService(CDA)

Designs and makes custom-designed equipment for people with disabilities and their carers where commercial equipment is not appropriate.

FREEDOMWHEELS®ModifiedBikeService

Modifies bicycles to enable people with disabilities to ride them.

ComputerSupportService(CSS)

Refurbishes donated computers and related equipment, supplies these to people with disabilities and provides technical support in their use.

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GeorgeWinstonCommunicationService

Communicates “the TAD story” to disability networks, stakeholders and the general public. Showcases ways in which assistive technology can help people with disabilities, and works with our other services to attract support for TADNSW.

Who does TADNSW help?TADNSW helps anyone with a disability and their carers, including conditions associated with ageing. There is no means test, and a referral is not always necessary.

SponsorsMany generous organisations and individuals support our unique work for people with disabilities. We particularly recognise the support of two major sponsors: Amway of Australia supports the FREEDOM WHEELS® Modified Bike Service and Cemex supports the Custom Designed Aids Service.

79

Our volunteersVolunteers are actively engaged in the delivery of all TADNSW’s services. They make and modify the equipment supplied by TADNSW’s Custom Designed Aids Service, under the supervision of a team of therapists, engineers and support staff.

CDA volunteers include professionals, tradespeople and hobbyists. They have a wide range of skills spanning engineering, woodwork, metalwork, plastics, electronics and information technology. To bring the necessary mix of skills required, our volunteers will often collaborate on a project.

Volunteers donate their time and are reimbursed for the cost of materials, travel and out-of-pocket expenses. They enjoy the opportunity to contribute something to the community in a practical and direct way, and the companionship of like-minded people.

more informationAbout TADNSW – www.tadnsw.org.au

Custom Designed Aids Service

Computer Support Service

FREEDOM WHEELS

George Winston Communication Service Volunteering at TADNSW

For all the above, go to – www.tadnsw.org.au/tadaid

about tadnsw cont inued

What is an ETO (Easy To Order)?

See page 3.

What is an RTG (Ready To Go)?

See page 33.

What is an Individual Solution?

See page 38.

How do I apply for services?Please submit a Project Application Form, available from our website. You can also contact our office and we will send you a form.

How do I complete the Project Application Form?Please see the Guidelines for completing the Project Application Form, which are available from our website.

What happens after I submit my application?Applications are dealt with in the order that they are received. When we receive

your application form, TADNSW staff will review the requirements and process your application. We will contact you if more information is needed. We will prepare a quote and send this to you for approval before any work is commenced.

Can I get a quote over the phone?No, you need to submit a project application to receive a quote. However, we can provide the cost of base versions of ETO and RTG devices for guidance. Our written quote will provide firm costing for your particular device.

How is a quote produced?If you are requesting an ETO item, we can generally provide a quote based on the information you provide on the Project Application Form and the dimension sheet (see the ETO section beginning on page 3 for dimension sheets).

For Individual Solutions, more information may be needed. We may be able to

gather all the information required by email and phone. If necessary, we may arrange an assessment with the client and other relevant people such as their therapist, family and/or carers.

RTG items have a fixed price – please use the order form to request them.

What can I do to support my application?The process will generally be much quicker if an appropriate therapist is involved. Photos, measurements and sketches may be very useful for Individual Solution requests. These can be emailed to [email protected].

How can I contact a therapist?

There is a list of some organisations that provide therapist services on our website. This list is not exhaustive.

What should I do after I receive my quote?

When you receive the quote for your device, please check the details and

frequently asked questions80

approve the quote by signing it and returning it to us. If you want to change anything, please amend the details as necessary. If these changes alter the costs, we may reissue the quote.

What if I am applying for funding?

You can use our quote to submit an application to the relevant funding body. Once you have obtained approval for funding, please ensure the payer has also completed the relevant section of the quote.

How is the work performed?

The majority of work on our clients’ projects is performed by our skilled volunteers. After your approval to proceed has been received, we allocate the job to a volunteer with the appropriate skills to complete the work. In some cases, the volunteer may contact you to get more information and/or arrange to visit you. It is unlikely that the

staff member that you initially dealt with will be involved in the construction of your device.

Can I cancel my application?

You can withdraw your application before you approve the quote, or decline the quote itself when you receive it. If you withdraw your application after we receive your approval to proceed, you may be charged for any expenses that have already been incurred.

What will I be charged for?

TADNSW only charges for the cost of materials, transport and volunteer out-of-pocket expenses. We will send the invoice when the completed project is delivered.

What if I am not satisfied with the final result?

If you feel that the device is not satisfactory, contact our office and we will

try to solve the problem. If the device was supplied as specified, please ensure that the account has been paid, even if your requirements have changed. If this is the case, we may need to provide another quote and charge for any additional expenses involved. If you wish to lodge a complaint, please refer to our website for further information.

What if the client requires a harness for postural support?

TADNSW does not manufacture harnesses or advise on their fitting. However, we do occasionally fit Spastic Centre harnesses to a therapist’s prescription. If this is required, the referring therapist will need to source the appropriate harness.

We can fit the harness with the client sitting in the device when it has been completed. The therapist must be present at this time to give us the appropriate mounting points.

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frequently asked questions cont inued

TADNSW advises that any person wishing to use or apply any information contained in this booklet should contact the authors, or otherwise seek further professional advice and assistance. Persons attempting to build devices shown in this publication without seeking professional advice do so at their own risk.

TADNSW accepts no responsibility for the selection or use of any equipment described in this booklet.

All rights reserved. Permission is granted to copy this publication for clinic or home use only. Material from this book may not be reproduced in any other publication without written permission from the publisher.

more informationCustom Designed Aids Project Application Forms

Guidelines for completing a Project Application Form

Consumer Guide

FREEDOM WHEELS application form and Consumer Guide

TADNSW Client Complaints Policy

TADNSW Privacy Policy

Organisations providing therapist services

For all of the above, go to – www.tadnsw.org.au/tadaid

You can also request copies of our forms, guidelines and policies by phoning the TADNSW office.

This booklet was produced by TADNSW’s Custom Designed Aids Service in September 2009. The main contributors were: Nicholas Asha BE,

Rachelle Starr BAppSc (Physiotherapy), Carley Tucker BA, GradDipComms, Brendan Worne BAppSc

(Physiotherapy), and Weh Yeoh BAppSc (Physiotherapy).

Black

TAD NSW Logo Artwork Solid Black

ADDRESS l Unit 10, 185 Briens Road, Northmead NSW 2152, AustraliaPOSTAL ADDRESS l Locked Bag 2008, Wentworthville NSW 2145, AustraliaPHONE l (02) 9912 3400 / 1300 663 243FAX l (02) 9890 1911 EMAIL l [email protected] l www.tadnsw.org.au

CUSTOM DESIGNED AIDS SERVICEPHONE l (02) 9912 3400 option 2FAX l (02) 9890 1912EMAIL l [email protected]

Official journal of TADNSW Vol 29 No 2 Funded by a grant from the NSW Department of Ageing, Disability and Home Care ISSN 0725.2919 l Print Post Approved PP244 099 100 ACN 002 042 462 l ABN 82 002 042 462

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