an 18 month old child has mild hypertonicity secondary to cerebral palsy. when sitting in a standard high chair, the child is initally able to maintain upright sitting but slides forward
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Breanna O.
You read in the PT evaluation that your patient has a fractured right femur that has healed. He is left with quadriceps weakness and is unable to transfer independently out of the chair or bed.
Shaiju T.
L.C. is an 85-year-old male who has recently undergone his second above-the-knee amputation for complications from type 2 diabetes mellitus. After his first amputation, he initially used a transfer board and then was able to progress to performing squat-turn transfers to move from his wheelchair to a drop-arm commode for toileting. He elected not to obtain a prosthesis because of his age and because of fear of falling during ambulation. Since his second amputation, he is unable to perform a squat-turn transfer (as he does not have a prosthesis) and is afraid that he will fall off a transfer board because he does not have any legs to stabilize his dynamic sitting balance during a transfer. 1. What type of transfer would you recommend that L.C. perform to reduce his fear of falling? 2. How could you improve this process if there is a gap between his wheelchair and the drop-arm commode? 3. What exercises would you recommend to facilitate L.C.'s independence in this transfer? 4. What other surfaces could L.C. use in this transfer method.
Madhur L.
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