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Rehabilitation Practice and Science

Translated Title

為肢障兒童量身訂做坐椅嵌入型坐姿支撐支架

Abstract

For children with severely physical disability, carefully devised sitting aid is necessary. Since each child has his own problems, the solution should be individualized. The supporting seat usually cannot be obtained from the standardized wheelchair and their accessories. We, therefore, decided to develop a customized chair insert-type sitting support orthosis.The fabrication technique is based on vacuum consolidation. The child was prone on a wedge. A bead bag (Versa Form) covered dorsally from head to thigh. A negative mold was obtained by vaccum consolidation technique, and the resulting impression was recorded by using AquaplastTM. Then we obtained a rough orthosis, the surface defects and position inadequacies were remedied by putty or manual correction. If the mold was satisfactory, it will be covered with another piece of AquaplastTM to create the final sitting support orthosis. Due to the hot and moist weather in Kaohsiung city, the orthosis was covered with strips of PlastazoneR as cushion. Finally, we also used “U” strap for chest support for those children who were not able to maintain an upright position against gravity for expanded periods of time. Other accessories, such as pelvic belt, lumbar rod, were added depend on the requirements of dildren. There are several advantages of using this orthosis, such as the clinician can make it in their own treatment facilities and this orthosis can be supplied rapidly. It is also easily portable, and can be put on a variety of seating bases. However, the orthosis is sensitive to heat and can only be applied to the child whose height from head to knee is below 100cm, the width of buttock is below 60cm and the body weight is under 30kg.

Language

Traditional Chinese

First Page

27

Last Page

32

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