Julia
Julia’s Horizon Stander supports her 24-hour Postural Management Programme
Julia is a young woman with Cerebral Palsy Spastic Quadriplegia who enjoys interaction with her peers and getting involved in activities. She has a very supportive family and school staff. Although non-verbal, she is able to communicate “yes” and “no” reliably.....and she has a very cheeky personality!
Clinical Background
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Julia had outgrown her previous stander
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Gross Motor Function Classification Scale Level V
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Chailey Level 2 supine lying and box sitting
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Learning to drive a power chair (with head array)
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Julia had not been using her stander over the summer – she had developed mild plantar flexion and knee flexion contractures
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Julia has very limited head and trunk control
Goals for Standing
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Allow weight-bearing opportunities
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Provide a change of position from her manual wheelchair
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Provide a prolonged stretch to hip flexors, knee flexors, and plantar flexors
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Complement existing 24 hour postural management programme
Considerations for equipment
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Only one teacher aide available to transfer Julia into the stander, need to be able to hoist into frame
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Needs to be easily transportable around home and school (unable to be stored in classroom)
Approach
A supine stander was considered able to meet these needs. The Leckey Horizon stander was trialled...and Julia LOVED it!!
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Outcome
The Leckey Horizon stander met Julia’s needs because:
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She can be easily hoisted onto the frame in a supine position
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The straps are user friendly meaning one person can manage the transfer
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The power tilt mechanism is predictable for Julia, adding to her comfort and security
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The kneeblocks and footplates are easily adjustable – they allowed for Julia’s initial contractures, but can be adjusted as the contractures resolve
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Easily manoeuvrable around home and school environments
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Child friendly looking stander, which does not look clinical!
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