Take a look at firefly GOTO seat

Firefly

Jay

Enabling Jay to participate in classroom activities in his Everyday Activity Seat

Jay is a four year old boy, born prematurely at 35 weeks with hydrocephaly (excess fluid around his brain) and had a shunt (drain) inserted.  Jay has no specific diagnosis, but has global developmental problems including partial sight, impaired hearing, low muscle tone, a smaller than usual head, epilepsy, and sensory problems. In seating, it is Jay’s low muscle tone and sensory problems which cause the greatest need.

Clinical Background

Jay is low toned (hypotonic) and his joints are loose (hyper-mobile). As a result, he finds supporting himself against gravity difficult, but he can prop himself for very short periods. He is also able to roll from his back to his tummy (supine to prone). Jay has good head control, but is not yet sitting independently. When seated on a therapy bench, Jay hunches over into a flexed position, which places him at risk of spine curvature (kyphosis) in the future.
 
Due to his limited vision and hearing as well as low tone, Jay does not like to be challenged and his motivation is limited. He has a tendency to rock back and forth, and will take up whatever physical support he is given.  
 
Jay’s abilities can be classified as level 2 on the Chailey Box Sitting Scale and level V on the Gross Motor Function Classification System (GMFCS).

Goals for Sitting

Provide optimal support to encourage upright sitting
Provide lateral femoral support to prevent falling outward (abduction) of legs
Provide a secure, stable seat for safety during rocking movements
Provide tilt-in-space to change posture when fatigued
Provide high-lo mechanism for management in classroom

Approach

Jay was assessed in the Everyday Seat (size 1) in October 2012. He had no restrictions in his hip or hamstring range of movement.  The Everyday Seat was adjusted to his individual body dimensions accordingly. The four-point pelvic harness was used to provide the desired pelvic stability, and Jay required a harness and tray to provide additional anterior support. 

Outcome

Jay required a different harness (narrow style) which provided better support at his shoulders. Jay’s therapist considered that the seat maintained him in a good position, with pelvic stability, neutral hip alignment (no abduction), and with an upright trunk and head. Jay’s head position was especially important as it allowed good “chin tuck” for feeding (the slight downward tilt of the head which keeps the air and food channels aligned to prevent choking). 
 
The hi-low mechanism allowed Jay to access different areas of his classroom in his seat, and assisted the school staff with moving and handling procedures.
 
In addition, the tray allowed Jay to participate in arts and crafts activities in class, and as the photograph shows, the wheeled base allowed Jay to participate in Physical Education classes to the best of his abilities.

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The Buying Process

Some products require an assessment to ensure they are clinically suitable for the individual. For further information and pricing please complete the enquiry form, call us on UK 0800 318 265 or ROI 1800 626 020 or contact your nearest dealer.

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UK 0800 318 265
IRE 1800 626 020
info@leckey.com

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