Mar 082018

 Jack Rae (Carlsie & district panel) writes:

I have a tetraplegic client who, not only has no use of limbs, but also requires a tracheostomy ventilator system.  He has full facial control, speech, and a reasonable degree of head control.

 My client drives his powered recreational chair (a Boma 7) by using his chin to operate a joystick mounted on a stalk fixed to the chair frame.  The main problems with this arrangement are :  as he traverses rough ground his head rocks out of phase with chair movement so producing undesirable drive commands, he occasionally gets his chin into a position where he cannot correctly control the joystick and the effort required to perform chin movements is quite tiring over time.

 I have suggested a magnetic tongue stud working in conjunction with a series of mouth or head mounted magnetic sensors but my client is not in favour with this option.

 I would appreciate experiences or variety of ideas from panels with respect to using alternative control systems.   



Feb 262018

Just in case anyone is interested in helping Chris with this project in Zimbabwe



My name is Chris Prescott and I am a retired Paediatric ENT surgeon. I spent most of my working life at the Red Cross War Memorial Children’s Hospital in Cape Town. Since my retirement I have spent time trying to encourage the development of ENT and Hearing services in Zimbabwe – where I was brought up – and the other countries in Central Africa, assisting the few local colleagues struggling to cope in these countries.

What is the problem?

For most of the people in these countries who can scratch together an income of perhaps a dollar, or maybe more, a day, hearing aids when they are needed are totally, unaffordably expensive and even when we can provide them with a second hand donated hearing aid they cannot afford the batteries needed to keep them working. A solar powered charger for hearing aid batteries may be the answer for these but that is another development project.

What is the suggested solution?

The old fashioned body worn hearing aids are nowadays no longer seen but now that almost everyone seems to be wearing – wherever they go – a device with cords in both ears, would probably be acceptable – particularly if you were the only child in school allowed to wear one – a status symbol rather than a sign of disability!!

With this in mind and working with an enterprising inventor – Will Williams of Arclight Medical in Liverpool who has produced a solar powered combination otoscope (for looking into ears) and ophthalmoscope (for looking into eyes) – we have come up with the concept of a miniature solar powered hearing aid.

 A solar panel charges the battery incorporated into a PCB for the amplification circuit attached to the back of the panel with an input pickup microphone and output to earphones to both ears. A miniature USB port with charging circuit could usefully also be incorporated into the design for use when a power boost is needed. Whether or not an on/off switch is required will have to be considered. The circuitry would have to be waterproof sealed.

What about the amplification needed?

In these countries the two commonest causes for hearing loss are middle ear disease and various causes – including ageing – for inner ear hearing loss.

Middle ear disease tends to cause what we call a conductive deafness because of damage to the sound conduction pathway through the middle ear and this is typically a “flat” hearing loss of between 30-50 decibels as depicted on an audiogram. In other words the loss is much the same over all the tested frequencies between 125 – 8,000Hz. To boost their hearing they would need simple amplification of the same magnitude across these frequencies – probably suitable for an analogue design with a gain of about 30 decibels.

Ageing – and other causes for what we call sensori-neural deafness because the damage is to the inner ear (sense organ) or neural pathway into the auditory centre in the brain – tends to produce what we call a “sloping” hearing loss with the hearing better in the low frequencies but falling off in the higher frequencies. To boost their hearing they would need amplification that increases from low to high frequencies – needing a digital design with a gain of about 30 decibels in the lower frequencies rising to about 50 decibels in the higher frequencies.

In other words what is needed are two pre-programmed models – one for “flat” amplification and one for “sloping” amplification. Of these the priority is probably for the “flat” amplification because this is what most of the children with hearing problems require.

However, although we have got to the stage of producing a 3D printed mock-up of the concept, neither of us has the knowledge or the skills to take the design, production of prototypes and testing any further and this is what is now needed.

Are you able and if so would you be willing to help?

If so then please contact me, Chris Prescott

My e-mail address is;

I will be in the UK until 5th March and while here my phone number is




Feb 152018

Ashley (Remap Essex North)would like to know if anyone knows where: I can obtain child proof buckles for 40mm webbing. Or has anybody modified a buckle to be childproof. I have a client who can easily undo her side release buckle. Lockable ones are available in 100s at considerable cost but they need a key not sure that is a good idea. It is for a shower chair  I have a solution but replacing the two buckles with something childproof would be much easier.



Jan 252018

Dressing Aids Electric dressing aid Jack needed help putting on coats and shirts The gentleman has a spinal injury and is unable to put on his shirt or jacket without assistance

North Wales need help with the following please:

I have  looked into Remapedia and found 4 dressing situations that may help one of our OTs and engineer but don’t really solve the problem. (see attachments above, some pictures not very clear)

A young gentleman who has no movement or power at all in his arms and hands wants to be able to put his own shirt on to go to work every day rather than have care staff do this for him.

Something has been made as a prototype but hasn’t worked – it was a coat hanger with pegs on a rise and fall mechanism, as you can imagine with no movement once one arm drops into the lowered position, the shirt is then tightened as it would your own thus changing the position available for the other and of course he can’t alter his position to facilitate this.

Our Engineer and OT have tried a few things but wonder if anyone has come across a similar problem and resolved it but not archived it ?

Any ideas would be greatly appreciated..>; Peter Chambers <

Jan 222018

John Fuller from Shropshire Remap asks for help with the following please:

We have a request to supply an adaptation to enable a client to have a quick connect/disconnect between an Invacare “FOX” powered chair and a Britax “B-Agile” baby buggy.

The buggy has a triangular undercarriage so the attachment requires the rear wheels of the buggy to be lifted off the ground when in use.

The client has limited use of left hand and the wheelchair power controls are on the right.

Additionally when the buggy is detached it is required as a conventional buggy for the Father’s use.

I have looked at the excellent adaptation by South Bucks back in 2012 but cannot see how it would adapt to this particular chair/buggy combination.

Any ideas/suggestions would be greatly appreciated


John Fuller

Jan 182018

Heather Angilley  writes:

I’m a children’s physio and I support various overseas  centres for disabled children and volunteer with a charity that send redundant NHS equipment all over the world (

I was in Sri Lanka in April following up a consignment of the equipment and providing training,  when I came across 39 attendant push wheelchairs and one self propelling that do not have brakes. Clearly these are therefore unable to be used. I have tried since April to find someone to help but without success.

I then thought of you and wondered if you could help?

I attach a couple of photos that I took at the time.

There are brake handles mounted on the push handles and a cable but nowhere on the wheel hub to connect it.

A rim brake would seem most sensible. Attempts to find a local solution have also failed!

Are you able to help?

Many thanks




Nov 152017

Please can anyone help with the following request from our Merseyside panel who do not the expertise required in this case.

The client is a boy,  aged 13 who has a urinary problem which until recently has been controlled using a wet sensor fitted in his trousers which sounds an alarm when he needs to urinate. As he wears this in school he now finds this embarrassing each time the  alarm sounds and he then, due to a speech difficulty, has to put his hand up to indicate he needs to go. His mother, now living in our area, originally dealt with the Leeds panel several years ago and they then fitted the alarm system which she thinks could now be modified to actually speak to request permission to go to the toilet . Could you please progress this through Leeds and all other panels to see if there is a solution. The mother has given me her telephone no which is available from Central Office and if someone can offer assistance they should contact her direct for a better understanding of the current situation and her requirements. I would appreciate it if you would keep me informed of any developments.

Tony Fennell, Merseyside





Oct 232017

John Garnish of the Bournemouth panel is asking for help with the following please:


One of our OTs has come up with a problem to which I can see no practical solution.

The client is a 20-yr old man who is severely autistic but has no physical disability and is able to move around freely.  He shreds items of everyday use, in particular the inside lining of Motability vehicles.  He has damaged a number of vehicles which is an expense that his family cannot maintain.

Thank you for your help


(Case Coordinator – Bournemouth & District REMAP Panel)


Oct 192017

Brian Holder of the Bristol panel  has been attempting to set up a security camera for a client.

The client has very limited motor function and spends most of the day in his electric wheelchair.

He has a chair mounted switch which allows him to open the door. We are trying to provide a simple camera system

To enable sight of the visitor at the door. The camera is wired to his wi-fi router and viewed on his Samsung phone via an app

(P2Pwificam) This works but the client is only able to use the phone via the Galaxy voice app. This causes 2 problems.

1)     With P2Pwificam open, the Galaxy voice app no longer responds

so the client cannot control the app or exit from it.

2)     The P2Pwificam app requires a tap on the screen to enable the

live picture. The client is unable to achieve the tap.

We are looking for assistance to make this work for the client, possibly by use of more suitable apps.


Brian Holder



Oct 162017

Any suggestions we can pass on would be welcome. I have explained we can’t help in Germany and Mark lives in Canada.






My sister in law has MS cannot move arms or legs …head movement ok ….wheel chair bound, is there a kindle style book that can be voice controlled and some kind of stand to hold book at correct height etc so she can read? and turn pages etc by voice. My sister in law lives in Germany with her english husband.