Buckinghamshire South - REMAP - Custom made equipment for disabled people

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Motorised Neck Brace for client with MND

The client needs to lean their head forwards in order to swallow. However, they have very weakened neck muscles, due to MND, and their head falls forward uncontrollably. The client is then unable to bring it back up without help from her carers.

This motorised brace has given the client the independence to move their head up and down as required, by squeezing a switch between their knees.

Voice Amplifier

This project uses a hyper-directional microphone, connected to a small amplifier and loudspeaker, to help the client, who has very quiet speech, be understood whilst in bed. If this helps the client dictate into her mobile phone that will be a great bonus.

Oven Door Opener

The client has quite weak hands and arms, and found it virtually impossible to open the oven door; she always needed the help of her husband.

Like most oven doors there is an initial force that must be overcome to open the door. Once this point is reached the force to continue opening the door is considerably lower.

This device enables the client to use the oven whenever she wishes.

wheelchair accessible cot

The client, a wheelchair user, wanted to be able to put his young child in her cot on his own.

Parkinsons chair support

When sitting at a table the client gradually leans over to the left. So something was needed to sit on a range of different chairs to stop this happening.

The solution also needed to fold down so it could be taken into restaurants, without looking too conspicuous.

Xbox Controller for client with tetraplegia

The available modified controllers on the commercial market were not suitable so we had to custom-make the item.

Due to limited dexterity it was impossible for this client to hold an Xbox controller let alone operate the numerous small buttons and joy sticks; a way to give him access to all of these controls had to be found.

Card Craft Cutting Board

The client was using a scalpel to cut card, whilst holding a ruler as the straight edge to cut against. The client’s lack of strength made it difficult for them to hold the ruler in a fixed position against the card. This was exacerbated when trying to apply pressure to the scalpel in order to cut through the card.

The client also wished to place stickers and other decorations in regular patterns and straight alignment. Their issues with dexterity made this a challenge. The consequences were damaged cards, significant waste and the requirement of much more time to achieve a given result. There was also a significant risk of them cutting themselves.

Washing Machine Door Handle Aid

An elderly but independent lady lived alone and had arthritis in her hands. She could not open her washing machine door by herself and relied upon her neighbour visiting her twice a week to open the door for her.

Door locks, handles and latches for assessing accessibility

 

Stroke patients discharged from hospital often suffer from reduced manual dexterity and find it difficult to operate the locks and security devices fitted to their doors when they get home. To help assess whether patients might face such problems, occupational therapists at Amersham Hospital asked Remap to construct a working model of a door, complete with a range of full-sized locks, latches, handles and a door chain. As a result, OTs can now seek pre-discharge assistance from Remap engineers, who can provide individual adaptations before or coinciding with the patient’s return home. The door can also be used in rehabilitation, allowing patients to practice using locks and handles.

 

Leg lifter for independent access to stairlift

   

Rosemary from Amersham suffered a stroke and was unable to lift her right leg onto a stairlift footplate or to hold it there while the stairlift was in motion. We designed a leg lifting device with a cushioned bar that rests across her left thigh and another that goes under her right thigh. Rosemary moves a lever to the left to raise the bar on the right, lifting her right leg using the bar on the left as a fulcrum; this action also moves a curved bar across her right shin. Pushing the lever forward moves the shin bar to gently bend the right knee, bringing her right foot onto the footplate and allowing her to keep it in position by flexing her left ankle to adjust the fulcrum. Rosemary can now use the stairlift on her own, giving her independent upstairs access.

 

Spraycan holder for arthritis sufferer

A client has rheumatoid arthritis in her hands, affecting her finger functioning and grip. She also suffers with angina and so needs to use a Nitromin spray, but cannot operate the rather small aerosol can due to her arthritis. We built a spraycan holder that is big enough for her to grip in one hand while operating the spray using the palm of her other hand. She can now apply the spray with ease, whenever required.

Pan stabiliser for cooking with one hand

Following a succession of strokes, father-of-two Andy lost the use of his right arm. Determined to cook for his family one handed, he was initially unable to prevent pans from sliding dangerously all over the cooker. We fashioned a horizontal frame to prevent sliding, attached to two perpendicular “goalpost” style restraints to stop pans rotating during stirring.

 

Saddle seat to facilitate posture

Saddle seat to facilitate posturePoor posture control made sitting at a dining table very difficult for this man, resulting in digestion problems. In a similar case, the responsible occupational therapist had found that a saddle seat with customised support had proved beneficial, but there is no commercial source for such equipment.

A personalised seat was manufactured to a design and dimensions specified in conjunction with the occupational therapist.

The client is now able to eat at a table.

Multi-positional art easel

Multi-positional art easelA professional artist (wheelchair user) needed an easel that would position a five foot by four foot canvas at any plane or angle. She also needed a support for her hand holding the brush.

The project was undertaken in three stages. Firstly the existing easel was modified so that the client would be positioned closer to the canvas. An arm support was then constructed and mounted on the wheelchair frame. Finally, a prototype was made and tested to cover the positional and safety aspects. The finished design consisted of a new base, canvas support arm and the canvas support clamps that the client’s husband could position as required.

The client can now continue with her profession as an artist.

Throwing frame for Derek

Derek Derek's throwing seatDerek lost his legs in 2007 when the Landrover he was travelling in in Afghanistan was blown up by an anti-tank mine. But 15 months later, he was picked as one of six members of the British armed forces to develop their sporting potential at a training camp in California. Derek was chosen not only for his sporting potential but for his strong mental attitude.

In 2011, Remap were asked by Battle Back to make a throwing frame for Derek to assist him in throwing the discus. The project was taken on by the South Bucks panel. Working with Derek’s trainer, Alison O’Riordan, the panel designed a frame to comply with the rules and at the same time maximise his throwing potential. A key feature was footplates so that Derek’s prosthetic legs could be anchored. The frame was made of aluminium for strength and lightness, weight being important for Derek because he was by now regularly competing abroad, and needed to be able to transport the frame easily.

The frame has worked very well for Derek, who is delighted with it and its impact on the distance he can throw. In June 2012, he competed in the European Games in Holland, and, using his Remap frame, won the gold medal. Since this project for Derek, Remap has tackled many more sports projects, especially for throwers of discus, javelin, shot and clubs, with great success.

Note that the design of frame shown here no longer complies with IPC regulations. Standard frames that do comply are available through Sport England and other similar bodies.

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