Dec 072018
 

Dog Aid, a charity which trains assistance dogs for the disabled have many clients who struggle with undoing the dog harness fastener. They have tried ‘push to click and squeeze to release’ and Velcro and both are difficult for some users. Does anyone know of a suitable actuated fastener or any other ideas? Comment below!

Nov 282018
 

Hi all!

Two tasty ones for you today. I was at the OT show last week and we ran a ‘Challenge Remap’ activity. The results have been…challenging.

Most of the referrals generated are winging their way to the nearest panel as we speak. However, we’ve got two cases still in the office where the local panel have said they can’t help. I know how much you all like an impossible challenge, so I thought we’d put them up here before admitting defeat.

The first is for a lady in North London who wants to keep knitting after her stroke. She can use one of her arms, but her vision isn’t great and (if I remember correctly) her fine motor skills in her good hand may not be the best either.

The second is for a gentleman in Surrey who can’t use either of his arms and wants to be able to toilet independently – including pulling trousers up and down.

Do give us a shout if you fancy either of these and we’ll put you in touch. Thanks all!

Sophie

Nov 232018
 

Any suggestions that could be done by non-Remap people would be helpful.  At the moment we don’t have a group close to Cardiff although we are working on it.  If anyone in that area can help – great!

Georgina writes:

I am writing on behalf of a client. I am a student occupational therapist in Cardiff Community Services.

My client is having problems with their stair lift. She is under 5ft and the foot rest is too low for her. She is unable to rest her feet flat on the foot rest which is also affecting her sitting position in the chair. She feels unsafe when using the stair lift and would like the foot rest to be padded out or raised if possible. I have attended a joint visit with the stair lift providers and they are unable to modify the stair lift any further or provide another more suitable chair lift.

Thank you for any help or advise.

Kind Regards

Georgina Wardle

Georgina.wardle@cardiff.gov.uk

Nov 162018
 

Ashley of Essex North writes:

I wonder if you could ask the Remap community if anybody has had experience of this sort of head brace. Or indeed made one.  I have been helping a Client for a few years now who can’t wear a collar and this would appear to be just what she wants but I have my doubts.

Nov 122018
 

One of our Instagram followers asks:

Anybody got any experience with prosthetics for tool-use?

I have two students with hypermobility that means using a tenon saw is ~70-80% chance of dislocating a thumb.

I am thinking of some sort of brace, similar to those used for carpel tunnel syndrome, but with the metal bar extended somehow, with some sort of bracket to transfer the forces to their forearms.

The two pictures here are as far as I have gotten.

Problem: this feels like a job for 3d printing, but I lack access to a printer.

Is it possible I am reinventing the wheel – does such a device already exist? (Feel free to share this with anybody that might help)

Thanks all!

 

Nov 082018
 

Bob McKay, South Wales Remap, would like advice on CAD packages please.  Free if possible!

There are obviously many CAD packages on the market at many different prices but I suspect there is a “basic” package free or for a modest outlay which would suit the amateur.

The magazine Model Engineering Workshop (www.model-engineering.co.uk) are enabling a 6 month free trial of the “Alibre 3D CAD” package but as their package is expensive when the trial is finished, the introduction may be rather frustrating.   (Details of the offer are in the November issue of the magazine). On the other hand, it an opportunity for members to play with CAD at no cost.

 

Regards

Bob

rfcmckay@outlook.com

Nov 082018
 

Charles Adams of the Shropshire panel needs help with the following please:

 

I am at a standstill with a case and wonder if the Remap community could help.

This lady is in her late 40s and suffers from Crohn’s disease and this has resulted in the surgical removal of large amounts of tissue from her buttocks.

She can stand and walk to a limited degree, but to avoid pain she must lie on her right side (pain prevents her from lying on her left side) and this is without variety, is uncomfortable and limits her social interaction.

Together with her OT, we have discussed some type of kneeling support/chair, but the available types require support from the buttocks and this would not be tolerable.

The lady has an ileostomy bag that would limit her ability to be supported on her front and also has a condition that prevents underarm support.

Any and all ideas are sought to help this lady.

All best,

Charles Adams

charadam@btconnect.com

Nov 062018
 

Had an interesting request from an OT today. The scenario is a client with epilepsy who also has a learning disability and an impaired level of mobility (poor balance/stability). The requirement is a sensor at the bottom of the stairs and another at entrance to the bedroom so the parents are alerted when he is moving about upstairs (or about to go upstairs) so they can supervise – but that only alerts when the client is moving as opposed to anyone else. This implies a proximity system based on something the client wears and would trigger the sensor within (say) a few feet.

Ideas I’ve been mulling over are:

A simple infra red transmitter that pulses every few seconds to conserve battery life. This might work (perhaps in the form of a device clipped to clothing) but the IR could bounce around and trigger the sensor from a greater distance, or if focused (or obscured by the client), could miss the sensor altogether.

A 433mhz band transmitter of the type used for simple remote control switch applications. But not sure the range could be attenuated to the point it would only work at a few feet.

Passive RFID tag – the range of operation is way too short. i.e. the tag has got to be very close to the sensor as there is no internal power.

Active RFID tag/active reader – the readers tend to be very expensive and the range will end up too great.

Any other ideas welcome!

Ian.

Oct 222018
 

A lady has contacted Remap for help to make the action of her piano easier. Is this something anyone has experience of? She has already consulted a piano tuner who advised it cannot be adjusted. I quote from her email:

“I am a pianist and have been diagnosed with focal dystonia in my right hand. My piano has a very stiff key action, which is greatly exacerbating the problem because I can barely hit the keys with the fingers on my right hand. The hand surgeon who diagnosed the disability suggested a different piano with softer key action that I can actually play. I cannot afford to buy a new piano as I am not currently working, but wondered if there was any way Remap may be able to help find a solution.  Music is my life and it is very distressing battling this condition with an instrument that it so difficult for me to play.”

Any advice you can give would be appreciated.

Robert Monk

Remap Berkshire Case Officer

Berks.CaseOfficer@remapgroups.org.uk

Oct 112018
 

John Hill (NE Wales Remap) asks:

I have a new client who cannot grip the cords to control a window blind. The blinds have not yet been bought. I’m hoping that someone in Remap could give me some advice as to what sort of blinds (fitted in a conservatory) would be best suited or know of any devices available to help him grip the cords? Motorised blinds will be too expensive. His gripping ability is expected to improve slowly with time.

Many thanks,

John Hill

hillsconnect@yahoo.co.uk