Neurology
Neurology

Seat support for children with cerebral palsy is an appointment and description!

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Unfortunately, modern medicine can not offer methods of complete cure of cerebral palsy. At the present stage, only methods have been developed that give an opportunity to suspend the inevitable progression of the disease and to adapt the child to adulthood as much as possible.

In the photo a child with cerebral palsy

In the photo the child with cerebral palsy

The main factor in the successful fight against the disease is the unification of the efforts of doctors and close relatives. The second is the biggest daily work and responsibility. The earlier rehabilitation began, the more chances of success. In the process of child rehabilitation, psychologists, special educators and physiotherapists are also of great importance.

Rehabilitation of children with cerebral palsy

Rehabilitation of children with cerebral palsy

Contents of the material

  • 1 Why do you need seat supports
  • 2 Purpose of special rehabilitation tools
  • 3 What are the criteria for selecting the
  • 4 supports? A list of used seat supports and their characteristics
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  • 5 What adjustments can the
  • 6 supports have? What dimensions can the
    • 6.1 Video - Wheelchair for patients with cerebral palsy

Why do they need seating

Babies can not support the body in the right position. As a result, the ailment progresses, internal organs become atrophied, the support apparatus degrades. Special seats and seating supports have been developed, which teach him to repeat the correct movements and poses. The availability of such skills is an important factor for successful treatment. To ensure the correct development of the child you need to help him learn to fix the body in a physiologically correct arrangement.

Seat support

Seat support

Aids must be selected strictly individually, after consultation with the attending physician. He should explain what parameters should be met by the seating support, and the model chosen by carers for the child. Parents should pay attention to the presence of special devices that help maintain the correct position of the trunk. It is important to adjust the settings for each individual child, taking into account his physical condition.

Orthopedic chair

Orthopedic chair

Purpose of special rehabilitation tools

Special adaptations are selected taking into account the age of the patient and the severity of the disease. These can be ordinary chairs with tables, chair-chairs with special additional equipment or wheelchairs. In the course of daily training, they must develop the child's skills in the correct position of the body, develop his musculoskeletal system, promote the coordinated work of the central nervous system, regulate the processes of excitation and inhibition. After each training, the muscles develop a stable physical memory. Supports for sitting allow you to convert an ordinary chair into an orthopedic chair, which is very convenient.

Orthopedic functional armchair

Orthopedic functional chair

Orthopedic tools allow you to gradually add loads and improve the position of the body, which increases muscle strength, the connection between the muscles and the nervous system becomes more stable and coordinated. The chair with a seating support is considered one of the main means of auxiliary therapy, it allows the child to develop vital skills and adapt faster. The earlier the classes with the child are started, the more chances for successful treatment.

Child in support with table

Child in support with table

What are the criteria for selecting supports

This is a very important factor, with an illiterate approach or incorrect use, the opposite result can be obtained instead of good. Correctly fixed posture in a sitting position allows the child to make purposeful movements with his hands and head. If the child has a serious stage of the disease and can not support the vertical position on his own, then there must be special additional fixatives on the support. They are adjusted to the growth and features of the spine, gently support the body, do not give him unpleasant sensations.

Child seat support

Pedestal for sitting

If the child has a mild illness and has the opportunity to sit on his own and rest his hands on the table, it is better for him to purchase a small low chair with armrests. Special support is needed only if his head tilts back, and the child can not return it to its normal position. Such a seating support should have a headrest that will support the head in a comfortable position. Special lateral support is needed for children, constantly piling on one side. In this case, the backrest should have a more complex design with additional locking straps.

Seat supports with an angle of inclination up to 90 °

Seat supports with an angle of up to 90 °

For outdoor walks, you should buy a wheelchair. When choosing a specific model, the real capabilities of the patient should be taken into account. If he can move a little on his own, the wheelchair will do, if he has a complicated form of cerebral palsy and can not do without one's help, then you need to buy a wheelchair. In all cases, physical abilities and age should be taken into account. Another important point - the presence of a special chair and a gurney does not mean that the child does not need to be accustomed to a vertical position. Let the hope that he will ever be able to walk on his own or stand completely absent, still the body should be kept upright every day for a while.

Disabled Wheelchair

Wheelchair for walking

The presence of an abductor and a set of special support belts is a prerequisite for any kind of support. Only with their help it is possible to maintain the physiological position of the body. The most modern models of orthopedic supports are used as universal auxiliaries, enabling not only to sit, but also to stand.

Seat support made of plastic

Plastic seat support

It is important to buy not only one chair, but a set of special furniture. The chair has all the necessary adjustments and locks, and the table can be used:

  • as a separate element of orthopedic furniture. It has a large number of different adjustments, which makes it possible to adapt to any chair;
  • as part of the verticalizer, the patient with his help gradually gets used to the vertical rack.
Support for sitting and lying

Support for sitting and lying

The support slightly changes according to the design features, depending on the purpose. For a child with cerebral palsy, it is advisable to purchase:

  • chair-seat for washing. The frame is made of aluminum alloy, has a support strap, which allows you to securely fix the child while taking bath procedures. The back itself bends down, which makes it possible to give the body the most comfortable position;
    Seat( hammock) for bathing a child with cerebral palsy

    Seat( hammock) for bathing a child with cerebral palsy

  • armchair-toilet. It makes it easier for parents to take care of their child, physiological needs are coped as needed without changing the situation. The chair has an orthopedic backrest with a full set of supporting belts, there is a store of feces and urine.
    Armchair-toilet

    Armchair WC

On such chairs the seat supports are adjusted taking into account the clinical picture of the course of the disease.

A short list of used seat supports and their characteristics

Rehabilitation vertical with the function of an armchair and couch

Rehabilitation verticalizer with chair and couch function

Seat supports are recommended not only for children with cerebral palsy, but also for effective rehabilitation of various post-traumatic or congenital pathologies. The frame is made of glued waterproof plywood, natural boards or aluminum alloys. Materials of manufacture do not cause allergic reactions, quality is checked by state sanitary authorities, each product has a certificate of conformity. Most of the designs are fitted with wheels, which makes it easy to move the child to another location. The front wheels are swivel, the rear wheels have a parking brake.

The use of a seat support extends a possible assortment of chairs, they can lie on ordinary furniture and turn it into an orthopedic. Industrial companies produce a wide range of special-purpose products, when choosing a particular model, the above recommendations should be taken into account. Despite the wide range of design features, all requirements for the seat are subject to a general requirement - the material of manufacture must be environmentally friendly.

Seat support "Zebra" Show on page Open in full size

Seat support "Zebra"
Show on page Open in full size

As a soft gasket is used high-quality environmentally friendly foam, for upholstery is used a skin substitute, resistant to detergents. Coverage does not allow the occurrence of irritation on the skin, the child's body can breathe freely, the appearance of diaper rash is excluded. Each manufacturer of supports can change the list of materials used and develop their own design features.

Seat support, for children from 6-11( 12) years old

Seat support, for children from 6-11( 12) years

What adjustments may have

supports Thanks to the numerous adjustments, parents can set individual parameters of the child's body position. The settings are adjusted depending on the dynamics of rehabilitation and age changes. What parameters are monitored?

Parameter Description
Height and slope of the footrest. The angle of bending of the legs in the knees should be within 90 °, the feet in the horizontal position. This physiological norms, they need to strive for. If the child has a complicated form of cerebral palsy, then the step is regulated gradually, you do not need to strive to force the rehabilitation process.
Height and inclination of the backrest. This parameter allows you to change the height of the backrest according to the growth of the baby. If it is difficult for him to hold the body in an upright position, the back is fixed to the support by straps.
Headrest dimensions. The element can be mounted on supports at once or included in the list of additional equipment. Used to fix the position of the head, facilitates the process of feeding, allows the baby to move his head in the direction most favorable for him.
Seat options. Suitable for each patient, various body positions can be adjusted by adjustment.
The position of the armrests. This parameter allows the patient to use the armrests as stops. The muscles of the skeleton develop, the physical memory of the position of the body appears.
Fitting location of the interlining wedge. The element is called the abductor, develops the correct position of the thighs, helps the patient to quickly learn the skills of independent standing or walking.
The position of the removable table. In most cases it is realized as an additional component of the configuration, it is regulated by height and distance to the seat.

These adjustments are considered standard, the absolute majority of seat supports meet the requirements of orthopedists. The first precise adjustment of the child's body position should be performed under the supervision of a doctor. Parents should carefully read his recommendations and unquestioningly carry them out.

Support for children with cerebral palsy

Support for children with cerebral palsy

What dimensions can have seat supports

The dimensions are standardized, only the adjustment parameters can change.

Parameter name 1 size 2 size 3 size
Height to floor 36-44 cm 36-44 cm 48-58 cm
Width 27 cm 31 cm
36 cm
Depth
11-30 cm 12-34 cm 20-38 cm
General dimensions 76 × 34 × 65 cm 76 × 37 × 65 cm 90 × 58 × 90 cm

It is very important for a patient to passively stretch and eliminate the cross leg. For this, there is an abductor, it has soft upholstery, which excludes blood circulation disorders.

Child support for rehabilitation

Pediatric support for rehabilitation

With the help of special supports you can gradually raise from a lying position to a sitting position. The process is slow, the patient does not feel any discomfort, is not nervous. In such devices, the angle of inclination can gradually increase from 0 ° to 45 °.With the help of additional pillows, the depth of the backrest or seat can vary.

It is necessary to teach the child to sit with bent legs by changing the angle of the support and adjusting the footrests. At the same time, active recuperation of the knee joint is achieved. For the fixation of the thoracic region, the bridle is used, the hip part is fixed by the hip attachments.

The photos show belts and fasteners

Belts and fastenings of

are visible on the photos. Children who have plaster cast on the hip belt due to complex abnormalities should get an abduction roller. The device has only an emphasis for the back, adjustments make it possible to give the torso a comfortable and physiological position. It is allowed to increase the maximum angle, which makes it possible for the child to rest or sleep in this position. For ease of sitting, some backrest support models are fully reclining. The roller is equipped with a table, the patient can play with it or perform elementary lessons with the parents for the development of motor skills. A table on the wheels, if the child makes moves with his feet, he can move around the room on his own.

Video - Wheelchair for patients with cerebral palsy

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