I was wondering what link you were talking about for the video on transfers....I would like to check it out also...
Thanks for the information... Christi Vicino OTA Program Director Grossmont College 619-644-7305 -----Original Message----- From: [EMAIL PROTECTED] on behalf of susanne Sent: Wed 5/30/2007 6:25 PM To: OTlist@OTnow.com Subject: Re: [OTlist] On-line Colloboration (5/29 Update) Hi Ron - thanks for the update! > Just got back from an appt. with the person w/ a > T9-T10 > spinal cord > injury. She confirmed that independent transfers and > taking a > shower are > her two primary goals. > > The pt. was able to indpendently go from supine to > bedside > sitting. Good! She > is able to perform a slide board transfer from the bed > to > her w/c with > min-mod asst (primarily for LE placement). Did you check the "transfers" video links I sent you - some are done by quads. Look at Shaun and JGNI. Note how and at which points they move their legs. Oh - and maybe try a different sliding board! And try sticking it under the seat cushion. However, she is > UNABLE to > perform sitting bed mobility. again if you look at those two guys, they never move sidewards while sitting on bedside. Their positioning in bed is done something like half sidelying (they also both demonstrate some active elbow extension, which is c7 function, so I don't quite trust their SCI-levels - but sure they are quads). > She is short and bottom-heavy. With her hands on the bed > and > her elbows > fully extended, she still has too much weight on her > bottom. Both build and firmness of surface has a lot of influence. It's often more difficult for women. When she's able to turn in bed at night, maybe use a firm mattress. And if using a softer overlay, this should not extend all the way to the side of the bed. (We actually sleep on a futon, bf with an overlay - will find a link for that one later) > She tried a > push-up block but it "sunk" into the mattress. Are we talking bedside sitting here? And what is she trying to do - move sidewards? Oh - because it's a power chair, she can't just drag it closer - is that it? They have > a mattress > overlay that they are going to try to see if this give > a > comfortable > nights sleep while being firm enough to assist with > transfers. > > She has difficulty moving her LE because of trunk > instability but this > should quickly improve. Yeah - that and strong arms and shoulders will make the difference, I believe. Lifting weights is often recommended. Also working on the half-lying bed mobility (long-sitting etc). > > If you remember she was weaning herself off the TLSO. > She > told me that > on Saturday, she went all day without it and she did not > wear > it during > today's therapy. Good - now onto strengthen those trunk muscles, also so she don't hurt herself. > Next week, I think we will tackle tub transfers. > Probably using a > standard tub transfer bench. > > So, what suggestions can you give regarding bed > mobility > and/or tub > transfers. We don't have many tubs left in Denmark, so I guess I can only spell "roll in shower". Or, if there's a drain in the bathroom floor, then showering while on (a commode over) the toilet cuts down on both time and transfers. My bf does this. The hot water also helps relax and speed up the BM procedure. Got a long shower hose, with an on/off button on the shower head. (No - no private pics - LOL). Warm greetings susanne, denmark - girlfriend of a great guy with quadriplegia -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
-- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
