2020-05-29 Equipment and Accessibility for Students with Physical Disabilities We, the Fraser Valley Child Development Centre, acknowledge that we provide our services on the traditional, ancestral, and unceded lands of the Stó:l ō peoples. Prepared for Presenters Abbotsford School District staff Angela Chin, OT Robyn Holmgren, PT Spring 2020 Anna Matthews, OT Stephanie Ridd, PT Disclosures Learning Objectives ● This presentation contains images of medical equipment. These images are 1. Review the roles of Occupational Therapists and Physical Therapists in the intended for educational purposes only and do not serve as an endorsement. School-Aged Therapy Program FVCDC and its staff do not have any affiliation (financial or otherwise) with an equipment, medical device or communications organization. 2. Provide an overview of equipment commonly used by children with physical ● This presentation should not be recorded, copied, or redistributed. disabilities 3. Highlight common accessibility barriers and discuss how improvements to school accessibility can promote inclusion, participation, and safety Learning Objectives Who are we? 1. Roles ● Fraser Valley Child Development Centre ○ Multidisciplinary organization 2. Equipment ○ Abbotsford, Mission, Chilliwack, Fraser Cascade ○ 3. Accessibility Early Intervention and School-Aged Programs ○ Emergencies ● School-Aged Therapy Program ○ Province-wide ○ Students with physical disabilities ○ Consultation services 1
2020-05-29 What do we do? What do we do? Occupational Therapists and Physical Therapists…. Occupational Therapists and Physical Therapists…. ● Are healthcare professionals ● Have extensive knowledge of the neurological and musculoskeletal ● Have post-secondary education systems ● Are regulated professionals ● Are part of multidisciplinary teams ○ College of Physical Therapists of British Columbia (CPTBC) ● Work with people of all ages in a variety of environments ○ College of Occupational Therapists of British Columbia (COTBC) ● Help people work towards functional goals What do we do? What do we do? Physical Therapists Occupational Therapists ( AKA- Physiotherapists, Physios, PTs) Help people do the activities (occupations) they need and want to do Optimize quality of life through movement ● Self-care - getting dressed, eating, moving around the house ● Productivity - going to work or school, participating in the community, and ● Leisure activities - sports, gardening, social activities. PT/OT Role in Schools Learning Objectives Positioning Standing Transportation Leisure activities Balance Classroom setup 1. Roles Ramps Cutting Biking Physical Literacy PE Play Flexibility Ergonomics 2. Equipment Advocacy Motor Skills Mobility 3. Accessibility Toileting Health Learning ○ Writing Emergencies Equipment Tasks/Routines Accessibility Participation Safety Stairs Endurance Playground Self-Help Skills Written Communication Eating Handling money Walking Typing Fitness Elevators Dressing Transit Transfers Meal prep Biking Strength Eye gaze 2
2020-05-29 Equipment Equipment Mobility Process Identify need ○ Positioning ○ Trial ○ Prescribe ○ Funding Environmental ■ Why is equipment so expensive? ○ Setup ○ Use Other ○ Adjust ○ Re-evaluate Equipment- Mobility Equipment- Mobility ● Crutches/Canes Crutches and Canes ● Walker ● Wheelchair ● Manual ● Power ● Sport ● Adapted stroller ● Standing frame ● Adapted bike Quad Canes Forearm crutches Equipment- Mobility Equipment- Mobility Walker Walker (AKA “gait trainer”) Posterior Walker 3
2020-05-29 Equipment- Mobility Equipment- Mobility Manual Wheelchair Power Wheelchair Tilt-in-space Rigid Folding Equipment- Mobility Equipment- Mobility Sport Wheelchair Adapted Stroller http://www.letsplaybc.ca/ Arm Propulsion Equipment- Mobility Equipment- Mobility Standing Frame Adapted Bike Prone Sit to Stand Supine 4
2020-05-29 Equipment- Positioning Equipment- Positioning ● Seating system Seating System ● Sitting ● Orthoses ○ Upper extremity ○ Lower extremity Equipment- Positioning Equipment- Positioning Sitting Orthoses (AKA- braces, splints, orthotics) Custom Foot Orthoses SMOs AFOs Equipment- Environmental Equipment- Environmental ● Lifts Lifts ● Slings (AKA “hoists”) ● Toileting Can help safely move people ● Ramps/Elevating Platforms ● Floor (wheeled) lift ● Ceiling lift ○ Fixed ○ Portable 5
2020-05-29 Equipment- Environmental Equipment- Environmental Slings Toileting Hygiene Universal In situ Equipment- Environmental Equipment- Other Ramps and Elevating Platforms Assistive Technology Equipment- Other Learning Objectives Wheelchair-Accessible Vehicles ● Transportation 1. Roles ● Sleeping 2. Equipment ● Bathing 3. Accessibility ● Leisure Bath chair Trailrider Sleep System ○ Emergencies 6
2020-05-29 Accessibility Accessibility ● School therapists play a key role in supporting student access to school Willow is a 7-year-old child who can self-propel their manual wheelchair. They can independently environments. wheel within their classroom, and to/from the gym and bathroom. Their classroom has an exterior door that leads directly to the basketball court, but there is a threshold with a 2 inch drop-off. ● Providing universal access to safe, Willow can only enter/exit the school via the front door, which is heavy and not automated, so inclusive, and accessible public someone needs to hold the door open for them. Once Willow gets outside via the front door, there spaces ensures that everyone is is loose gravel and wood chips leading to the basketball area, which they cannot traverse without help. The basketball hoops are 8 feet tall and Willow is not able to shoot the ball that high. enabled to participate and live to their full potential! Willow loves playing basketball with their family and watch basketball on TV (and was so excited to learn during the Paralympics that people can play basketball in their wheelchairs), but their school has several accessibility barriers. Willow can’t play basketball with their friends at recess. Accessibility Accessibility Best Practices Classroom door threshold -Identify barriers to access Heavy doors Gravel, wood chips -Provide Interventions to Height of basketball hoops change the environment or activity When environments are accessible, “ I can’t ” becomes “ I can” Willow can play basketball independently with their friends at recess. Accessibility Considerations ● Window height ● Desk/table height and arrangement Universal Design Accessibility ○ Kindergarten tables ○ Desk pods ● Well-designed accessible spaces that appeal to those ○ High School classes: Science, Cooking, who need special features as well as those who Shop, Drama don’t ● Sinks ● ● Curbs/Curb cut outs Makes schools accessible to those with disabilities 7
2020-05-29 Accessibility Accessibility Common School Solutions Rick Hansen Foundation ● Allow space for people who use wheelchairs and walkers to move freely ● Lever-style door handles and faucets VIDEO: Rick Hansen Secondary- RHF Accessibility Certification ● Non-slip flooring ● Smooth, low thresholds ● Bright but non-glare lighting Rick Hansen Foundation school program ● Insulate exposed pipes under sinks https://www.rickhansen.com/schools-communities/school-program Learning Objectives Emergencies ● Shelter-in-Place 1. Roles ● Lockdown 2. Equipment ● Earthquake 3. Accessibility ○ ShakeOutBC ○ Emergencies ○ 3rd Thursday of October ● Evacuation ○ Areas of Refuge ○ Liaise with fire department (cited by ShakeOut BC) Thank you! Resources ● Fraser Valley Child Development Centre https://www.fvcdc.org/ Questions? ● College of Physical Therapists of British Columbia (CPTBC) https://cptbc.org/ ● College of Occupational Therapists of British Columbia (COTBC) https://cotbc.org/ Your Helping Teacher can connect you with ● Let’s Play BC http://www.letsplaybc.ca/ the therapist(s) assigned to your school! ● BC Mobility Opportunities Society (BCMOS) http://www.bcmos.org/ ● Tetra Society of North America https://www.tetrasociety.org/ ● Rick Hansen Foundation-School Program fvcdc.org https://www.rickhansen.com/schools-communities/school-program ● The Centre for Excellence in Universal Design http://universaldesign.ie/ ● CAST- Universal Design for Learning Youtube channel: http://www.cast.org/our-work/about-udl.html#.XtFGMDpKjIU Fraser Valley Child Development Centre ● ShakeOut BC https://www.shakeoutbc.ca/ 8
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