Technical Aid to the Disabled (TAD)

TADNSW is a charity organisation that has the authority to fundraise. TAD uses volunteers dedicated to the design, construction and provision of aids for people with disabilities. Members of TAD provide a resource pool comprising a range of design, engineering, rehabilitation, computer, therapy and other professional and technical skills. Aids custom-designed by TAD volunteers are described in the TAD Journal.

Locked Bag 2008
Wentworthville, New South Wales 2145
Australia
Telephone: 011-61-2-9912-3400.
Fax: 011-61-2-9890-1911.
Web: http://www.tadnsw.org.au.
Email: tad@tadnsw.org.au.

Products manufactured by Technical Aid to the Disabled (TAD) (listed alphabetically)

  1. ABDUCTION BLOCKS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted abduction blocks for an individual with multiple sclerosis and hemiplegia to use to exercise. The progression of MS and after having a stroke this individual was no longer able to continue living on her own. However, she is determined to keep exercising and retain as much strength and mobility as she can. When attempting to walk after the stroke using support railings, she found that her right leg would cross in front of her left leg, causing her to trip. After a custom design evaluation an abduction device worn on one leg to correct her gait was suggested. This adapted abduction device was created using a simple medium-density foam block covered in vinyl with a wide Velcro fastening. Two smaller knee blocks which the individual can use in bed to promote hip abduction and discourage muscle shortening were also created. TITLE: Simple but effective. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 14-15. PAGES: 3 with cover.

  2. ACCESS PLATFORM AND RAIL Picture of ACCESS PLATFORM AND RAIL

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted access platform and rail for a child with cerebral palsy to allow her to access an interactive white board at her learning program. A young student with cerebral palsy participates in a learning program that is projected onto an interactive whiteboard. The children are then encouraged to choose answers on the whiteboard. Due to her cerebral palsy, the young girl's muscles are tight and tense making fine and gross motor takes more difficult for her to complete. She finds it difficult to reach up to the board from the platform which the other children use because she needs to take smaller steps up and to have handrails for support. The girl's occupational therapist contacted the TAD group to see if a stand with support rails could be made to provide smaller steps for the child to reach the board. A TAD volunteer created a rail using metal frames by bending steel tube and welding on the cross braces, on which he mounted plywood decking. He made sure that the platform would remain stable when in the rest position by fitting an axle to the front, which ensured all four feet were firmly contacting the floor. When the stand is no longer required, the open end is lifted, and the stand can be easily wheeled away from the whiteboard. The rail was given a fresh coat of red paint and the decking painted white, which are the girl’s favorite colors. Additionally, the volunteer applied non-slip strips to the step and deck so the girl can feel secure as she jumps up to answer questions. Now the girl can take part in her lessons alongside her classmates. TITLE: Rhiannon hits new heights. JOURNAL: TAD Journal. REF: Volume 32, Number 2, August 2012: p. 6. PAGES: 2 with cover.

  3. ACCESS STAIRS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted set of stairs to access a bed for a child with cerebral palsy, developmental delay, and vision and hearing impairment. The child required a raised bed with side railings to keep her safe at night, but it had to be easily accessible without caregivers having to bend over when caring for the child. The bed is 880 millimeters above the floor and has fixed railings on three sides; the railing on the fourth side slides up and down. A set of stairs was created to allow the child to develop as much mobility as possible when accessing the bed. These stairs consisted of two sections: a set of three steps, and a platform 600 millimeters above the floor level with which the child could use to access the bed. These stairs have worked well; however, the child is now 12 years old and has outgrown the original adapted steps. In addition, the original stairs were designed to be used on a carpeted floor and the family now resides in a home with tiled floors—making the stairs less stable. Using dimensions specified by the child’s physical therapist a new set of stairs was created similar to the original; both sections have height-adjustable handrails and an intermediate safety panel so that the child cannot slip under the handrails. The steps have closed risers to prevent the child from catching her feet as she goes up. There are non-slip strips on all the surfaces and black strips at the edges of the steps to make them easier for the child to see. While, the side panels on the old platform did not go all the way down to the floor, paneles on the new stairs the panels extend to the floor, making these section steadier and more rigid. Additionally, this version of the stairs is joined together and reinforced by a 19 by 19 millimeter pine, which is screwed into place, adding to the overall strength. The steel tube uprights that support the handrails run all the way to the bottom of both sections, and are covered by rubber stoppers to create legs, which rest firmly on the tiled form. Moreover, the handrails are slightly wider than the previous stairs handrails. The stairs serve as a way for the child to reach her bed, and the provid access to the family’s trampoline to facilitate the child's participation in recreation and exercise. TITLE: Growing up with TADNSW. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 9-10. PAGES: 3 with cover.

  4. ACCESS STEPS FOR BATHTUB

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a teenage girl with short stature to independently enter and exit a bathtub. A stainless steel rail was installed along the side of the tub that extended five millimeters out from it. A three-step ladder was made of stainless steel tubing that clips to the rail for stability. The ladder also slides along the rail if needed. A trough of plastic downspout pipe clips over the tub to protect the tub edge from the ladder. Stair treads for the ladder were made of waterproof plywood coated with polyurethane and painted with non-slip tread deck paint. Crutch caps were fitted to the ends of the ladder which rest against the bath. DIMENSIONS: The tub rail was made of 25 mm thick stainless steel. The stainless steel got the ladder was 19 mm in diameter. TITLE: Bathroom Access. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 8-9. PAGES: 3 (including cover).

  5. ACCESSIBLE SHELVES FOR FREEZER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with upper extremity weakness to access the shelves of an upright freezer. The freezer enabled the user to shop for food less frequently by storing large amounts; however, the user was unable to lift items from the back of fixed shelves or reach the back of the higher ones, limiting his ability to utilize the freezer capacity. The need was for shelves that slide out individually on rollers. Replacement shelves were created by heating and bending Lexan to form the base, back, sides, and a small front lip for the shelves. The back and sides were held together with rivets. The shelves were fitted with steel rails that roll on standard teflon-coated drawer runners mounted inside the freezer. The shelves were reinforced with strips of aluminum angle pop-riveted to the underside to prevent bowing under the weight of stored frozen food which would create the danger of the shelves coming off the runners. Washers on the mountings accounted for shrinkage due to freezing. The shelves were frozen prior to being placed on the runners for proper fitting. TITLE: Freezer Shelves. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.15-16. PAGES (including cover): 3 2003.

  6. ACTIVITY CENTER FOR ENTERTAINMENT AND STIMULATION

    --- CUSTOM ADAPTATION --- PURPOSE: To provide entertainment and stimulation for an aeronautical engineer with poor concentration and hemiplegia as a result of a stroke. The board consists of a wooden base with genuine aeronautical parts, gleaned from the reject bin at Quantas Airlines, fixed to it. Placed at an angle, the board provides manipulatives to take apart and put together for relevant, recognizable stimulation and entertainment. TITLE: Fiddle Board. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 16-17. PAGES (including cover): 3 2001.

  7. ADAPTED BATTERY-POWERED TRICYCLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with multiple disabilities, including cerebral palsy and lung disease, with a means of independent mobility. In consultation with the child’s therapists, a battery-powered Wind Rider tricycle was purchased and custom-modified to the child’s needs. First the existing foot switch was replaced with a hand switch. A control was also added that enables family members to regulate the maximum speed of the bike and limit the rate of acceleration. The socket for the hand switch was added in front of the cycle’s tank rather than on the control board, enabling the hand switch to be disconnected and replaced with a button switch on a cable if needed. The seat was also modified by cutting a slot in the existing seat and mounting a swing seat with a pelvic support belt and a chest support strap. Foot support blocks with medium foot cups were mounted to the existing footplates. The hand switch was mounted on the right handlebar in the reverse position, enabling the user to operate the cycle by pushing the lever rather than squeezing it. The final adaptation was to add a cage behind the seat for an oxygen bottle. DIMENSIONS: The foot support blocks were mounted at 170 millimeters below the seat plate. TITLE: All in the Family. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 12-14. Number of pages: 4 (including cover).

  8. ADAPTED CLASSROOM CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide safe classroom seating with sufficient postural support for a young adult with Down syndrome. An existing Namco Seat Rite School chair was adapted by adding 20 millimeter steel tubing shaped as an inverted U to the top of the backrest to increase the back height. The chair was stabilized to prevent tipping backward by adding a second set of rear legs at the same angle as the existing legs and bracing them by connecting the pairs with metal strips. Also added to the chair was a chest support strap made of outdoor furniture fabric and equipped with Velcro fasteners. Webbing was used to make pelvic and crotch straps which were equipped with buckle closures. DIMENSIONS: The chest strap was 80 millimeters wide and the pelvic and crotch straps were 50 millimeters wide. TITLE: Support Chairs. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 10. Number of pages: 2 (including cover).

  9. ADAPTED CLASSROOM CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with neurological disabilities to participate in the classroom. This chair began with the standard classroom chair. Side supports were created from metal plates and fixed to a bracket underneath the seat. Covered rectangular foam wedges were later fitted inside the supports to hold the child in position and prevent the child's knees from splaying outward. Glides were also placed on the legs of the chair to make it easier to move on carpeted floors. TITLE: School Desk and Chair. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.16. PAGES (including cover): 2 2001.

  10. ADAPTED CRIB

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spinal cord injury to care for her infant as independently as possible. A standard wooden crib with drop sides was adapted. First, extensions were added to the legs to provide clearance for the wheelchair to roll under the crib. The extensions were secured with screws so that thee can be removed if necessary. Next the front drop side was removed and cut in half to provide two center opening gates. After the front corner posts were reinforced with steel brackets, the outside of the gates were attached to each front corner post using swinging bar door hinges, enabling the gates to remain in the open position as needed and to be self-closing after an initial push. The gates are held in place at the center bottom by spring-loaded catches with circular hooks, which slam closed and open by pushing in with a finger and lifting. The gates are also held together at the top with a sliding door bolt. With the gates open, the crib also serves as an accessible surface on which the mother can play with her child. TITLE: Cot Raising. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 14-15. PAGES: 2 (including cover).

  11. ADAPTED DINING CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide seating with sufficient postural support to enable a young adult with Down syndrome to eat at a dining table. An existing dining room chair was adapted for this purpose by adding seat inserts. The padded back and seat inserts were built from 12-millimeter plywood and covered with fabric-covered foam. The seat insert was attached to the chair seat using screws and the back insert was attached with webbing straps, two around the back of the chair and one under the seat. The straps were secured with adjustable buckles. A chest support strap and a pelvic strap made of webbing were added to the seat insert to provide appropriate positioning. DIMENSIONS: The foam was 50 millimeters thick, the straps for the back insert were 25 millimeters wide, and the support straps were 50 millimeters wide. TITLE: Support Chairs. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 10. Number of pages: 2 (including cover).

  12. ADAPTED HEADSET Picture of ADAPTED HEADSET

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted headset for an adult with juvenile rheumatoid arthritis and spinal fusion. This individual has limited mobility, can only lift her arms to her chest, and cannot bend her neck. She mostly relies on Dragon Naturally Speaking voice recognition software since she can only type for a short time without pain; however, she is unable to put on or take off the microphone headset by herself. Designers observed that she was able to manipulate sticks well so an adaptation was created using two pieces of dowel, tapered at both ends with a rubber stopper about three centimeters from the ends. These fit snuggly into lugs, which are fitted onto the headset with a stopper preventing the stick from slipping out of the lug. She can then ask her caregiver to place the headset on, and when she is finished, she can manipulate the sticks into the lugs and remove the headset herself. TITLE: Adapted spoon and headset. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: p. 12. PAGES: 2 with cover.

  13. ADAPTED PLAY FRAME

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To custom adapt the height of a play frame for a child with multiple disabilities including cerebral palsy, epilepsy, visual impairment, and developmental delay. The child’s current play frame provides her with stimulation and entertainment. The play frame consists of a square fabric base on which the child lies, and two hooped rods with padded covers which anchor in pockets on opposite corners of the square and cross in the middle. The child had outgrown the frame and toys were dangling in her face. Volunteers evaluated the play frame hooped rods and determined that they were made of fiberglass. New, longer fiberglass rods were acquired and the existing rod covers were lengthened to take the new rods length into account. The new rods were inserted into the repaired pockets and the play frame is still easily folded up for storage or travel. TITLE: Jaya Plays Again. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 14. PAGES: 2 (including cover).

  14. ADAPTED POTTY CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with global developmental delays to use the toilet unaided. An existing Goanna potty chair was adapted to fit over the toilets in a school setting. Four lengths of 30-millimeter tubing with rubber stoppers in the bottom were fitted over the chair's existing legs. The extensions have two separate height settings. To enable the child to use the seat independently, a set of two wide steps were built. The framework was made of 19-millimeter stainless steel tubing. Each side was made of two pieces of tubing, with the longer pieces curved at the top to form handles. Crosspieces prvide bracing. Fiberglass was used to form the step surfaces to resist moisture and create a non-slip surface. The upper step, which functions as a platform is fixed to the frame. The lower step is retractable on slides formed by welding two pieces of tubing together to form a U-channel and then welding the front and back of the slides to the legs. DIMENSIONS (HxWxD): The upper step is 360 x 500 x 370 millimeters with a 40 millimeter overhang at the rear. The lower step is 160 millimeters from the floor. TITLE: Using the Toilet Unaided. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p. 11. PAGES (including cover): 2 2001.

  15. ADAPTED SCHOOL DESK Picture of ADAPTED SCHOOL DESK

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with neurological disabilities to participate in the classroom. This adaptation was based on a standard student desk with a torso cutout. The existing cutout was enlarged and the existing desk was sanded and revarnished. TITLE: School Desk and Chair. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.16. PAGES (including cover): 2 2001.

  16. ADAPTED SEWING MACHINE CONTROLLER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to operate a sewing machine. A plywood box was built to house the sewing machine foot pedal. Built into the box was a hinged flap and an inflatable blood pressure cuff attached to a plastic tube. The existing spring on the foot pedal was replaced by a weaker spring that is just strong enough to allow the pedal to return to the off position. When the user blows into the tube, she inflates the blood pressure cuff which presses on the hinged flap which, in turn, depresses the pedal. Once the machine is at the desired speed, the user blocks the air tube with her tongue to keep the machine at the desired speed. To stop the machine, she simply removes her tongue. TITLE: Painting and Sewing Aids. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p. 8-10. PAGES: 4 (including cover).

  17. ADAPTED SPOON Picture of ADAPTED SPOON

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted spoon for an adult with juvenile rheumatoid arthritis and spinal fusion. This individual has limited mobility, can only lift her arms to her chest, and cannot bend her neck. As a result, she has been limited in the types of foods she can eat since she could only use a fork. A temporary solution of taping a dessert spoon and a teaspoon together worked well but was unhygienic, and the tape would come undone over time. A permanent solution was created using a teaspoon of comfortable size and with a handle that would not “twirl.” The head of the dessert spoon was bent to an 85 degree angle and the surface roughened on both spoon handles. The two handles were then glued together using Araldite. Once the glue had set, a two-part epoxy putty was mixed and kneaded, and then molded around the spoon handles. This glue and putty are long-lasting and withstand hot water and the dishwasher. This model is being used to create more “jazzy deco” spoons for use when the individual goes out to eat. TITLE: Adapted spoon and headset. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: p. 12. PAGES: 2 with cover.

  18. ADAPTED SQUIRREL STANDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with cerebral palsy and a chronic lung disease to stand. This stander has a plywood base and radiata pine uprights and a fabric back. The base is adjustable so the frame tilts up to 10 degrees backward. The standard is equipped with a wooden tay with a small lip and Velcro strips in the center to hold toys in place. The tray can be attached as needed at any height using Cowdrey shelf brackets. The fabric back is made of Brezeway, fabric used for outdoor furniture, for strength, ventilation, and softness. A torso strap and a strap to stabilize each leg are also made of Breezeway doubled over and fastened with Velcro in the back of the frame. TITLE: Brianna Stands Tall. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.15. PAGES (including cover): 2 2001.

  19. ADAPTED WING CHUN TRAINING DUMMY Picture of ADAPTED WING CHUN TRAINING DUMMY

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted martial arts training dummy for an individual with cerebral palsy. A young man with cerebral palsy has an affinity for martial arts, learning all about Taekwondo from a young age but the Chinese martial art of Wing Chun really captured his imagination. Wing Chun is a form of self-defense and promotes awareness of the body. Students are encouraged to practice with a wooden training dummy to improve their form. As a result of his cerebral palsy the young man had limited use of his legs and used a walking frame for support to stand and a wheelchair for mobility. He needed a training dummy which could be accessed from both his wheelchair and standing frame. It also needed to fit into a corner of his bedroom. TAD volunteer Owen Glover began with making models of the dummy with straws and PVC to see how it could work. The volunteer originally thought of making the main body of the dummy from wood but as it was too expensive so he used a PVC pipe cut in half. The arms of the dummy had to be able to move up and down depending on whether the young man was using his walking frame or wheelchair. To allow for this, the volunteer added a counterweight and used a Teflon track to decrease the friction and make it easier to slide. The young man's mother was also involved in the creative process as she made punching pads from leather and foam. The dummy was easy to transport and dismantle so it was not in a fixed location. TITLE: Martial Arts Training Dummy. JOURNAL: TAD Journal. REF: Volume 32, Number 3, December 2012: p. 9-10. PAGES: 3 with cover.

  20. ADAPTIVE CRICKET BAT Picture of ADAPTIVE CRICKET BAT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted cricket bat for motorized wheelchair users to use in to play an adaptive cricket game. This adaptation of the game was developed by the Recreation Service at Northcott in Austrailia. A physiotherapist at Northcott contacted TADNSW to find out if it would be possible to create a cricket bat for individuals who use a wheelchair and have no upper body strength. The bat needed to be adapted and useable to attach to all the various types of motorized wheelchairs available. A traditional clamping or bolt method was impractical. A yoga mat was glued to an MDF board to protect the wheelchairs and then slots were created in the MDF board and double-sided Velcro was used to hang the board off the wheelchair arm rests. For further stability, tie downs were placed through the slots strapping the device to the chair a preferable method to bolting the device onto the chair. The cricket bat was then mounted on a rail and onto a medium-density fiberboard (MDF) board enabling the bat to slide through roughly one meter so it can be used by left- and right-handed batsmen. The bat is able to tilt giving the batsman many more stroke options, and when the bat is fully forward, the batsman is able to see the bat without much head movement or no matter where the head is positioned. The bat was tested with a commercially available bowling machine, and modifications were made to enable a wheelchair user to run their chair up a customized ramp, allowing the force of the wheelchair to tip the trigger switch and launch the ball. Designers continue to fine tune this component, widening and lengthening the ramp to give the wheelchairs better access. The bat itself is twice the width of a regular cricket bat with a similar shape. JOURNAL: TAD Journal. REF: Volume 32, Number 1, April 2012: p. 6-7. PAGES: 3 with cover.

  21. ADAPTOR FOR POOL LIFT

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spinal cord injury to transfer to a pool. An existing pool lift required an adaptor in order to use a spreader from an indoor lift. The spreader supports the transfer sling used to lower the individual into the pool. The adaptor was made from stainless steel wire and two thimbles purchased from a ship's chandlery. The wire was looped around the thimbles and long-handled tongs were used to crimp a metal loop around each pair of wires. TITLE: Helpful Adaptations. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 18. PAGES: 2 (including cover).

  22. ADJUSTABLE CHAIR AND TABLE Picture of ADJUSTABLE CHAIR AND TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a small child with neurological disabilities to have a stable play area. Made of white pine plywood and coated in clear polyurethane, the table is height adjustable and has a torso cutout, enabling the child to move closer to the table and support himself/herself with his/her elbows while performing tasks with the hands. The chair is also made of white pine plywood coated with clear polyurethane and features a backrest, seat to floor height adjustability, and height-adjustable armrests. Height adjustments for the chair and table are done with wingnuts. DIMENSIONS: The table is 600 millimeters wide x 500 millimeters deep and the height adjusts from 245 to 395 millimeters. The cutout is 200 millimeters wide and 100 millimeters deep at its maximum. The chair is 282 millimeters wide x 270 millimeters deep with a back height of 235 millimeters. The seat to floor height adjusts from 13 to 235 millimeters and the armrest height adjusts from 94 to 144 millimeters. TITLE: Quiet Place for Christian. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.18. PAGES (including cover): 2 2001.

  23. ADJUSTABLE RAILS AND BACKREST FOR TOILET

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with a variety of disabilities to use a toilet. The rails were made from discarded hospital bedheads and mounted to the existing metal wall clamps. The backrest was made from the pad of a telephone table and mounted to a piece of wood connected to two wooden clamps that fit over the rails. A T-nut on either side enables the backrest to slide backward and forward along the rails for adjustment to meet individual needs. A chest strap provides additional support if needed. TITLE: Toilet Backrest. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p. 17. PAGES (including cover): 2 2003.

  24. ADJUSTABLE SUN LAMP STAND

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with rheumatoid arthritis to access and position a sun lamp used to treat her arthritis. A stand was made from a wheeled table base with a hole drilled in the center. A piece of metal pipe is inserted in the opening. A holder for the lamp was made from two pieces of plywood bolted together with a gap between them. The metal arms of the lamp's existing base fit into the gap, holding it securely, but allowing it to be removed as needed. The holder can be moved up and down the stand by turning an easy-grip wooden peg and the lamp can also be moved horizontally. The pipe can also be removed from the stand for storage. TITLE: Independence at Home. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 8-9. PAGES: 3 (including cover).

  25. ADJUSTABLE TABLE AND CHAIR FOR CHILD

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adaptation of the Rawson Adjustable Chair and Table for a child with spinal muscular atrophy type II. Made to dimensions to suit each individual client, the Rawson provides seating for children who need to maintain an upright and stable posture. The seat, armrest and table height can be adjusted in 25 millimeter increments so the child can have the optimum position for play, eating and learning activities over several years. For example, the set can be adjusted so the child always has their feet flat on the floor. This can minimize the effort required to keep them selves upright, making it easier to focus on the activity at hand. This child has started to develop a scoliosis, so her therapist has also added thoracic fins to the back of her seat to assist her to sit upright. The child uses the Rawson set during the day and when friends come over. It provides a good space for drawing and painting and allows for other children to sit on the on the floor with her to be on the same level, and if sitting in chairs it can be adjusted up a bit. TITLE: Jessica Moves Ahead. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 4-5. PAGES: 3 (including cover).

  26. A-FRAME LADDER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted A-frame ladder for a child with microcephaly, developmental delay, cerebral palsy, and low muscle strength to use for strengthening exercises and promote standing and other mobility. The frame’s ladder rungs are made from 25 millimeter dowel and the four sides are made of pine and angled off at the top to avoid a sharp edge, The frame is painted a cheerful yellow. Each set of the two sides is hinged at the top and is locked open when in use by an aluminum strut which hooks over a bolt on the opposite side. When folded up in the normal way the whole unit is compact and easy to store. TITLE: Exercise Ladder. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 4-5. PAGES: 3 with cover.

  27. ANCHORED JOYSTICK AND BUTTON COMPUTER CONTROL INPUT INTERFACE

    ----CUSTOM ADAPTATION ---- PURPOSE: To provide a child with cerebral palsey with a stable interface to control a computer. A commercially available joystick and large button is used in place of a mouse and keyboard to control a computer. A metal plate and screwed stud is attached to the bottom of the base of the joystick. A hole is drilled in the child's desk, and the stud is screwed into a second plate on the underside of the desk. A nut holds the assembly in place while the joystick is in use. The button is anchored to the desk using Velcro strips glued to the desk and the button. TITLE: Nicky's Joystick. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 9. PAGES: 1.

  28. ARMREST TO ASSIST WITH STANDING

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with arthritis to rise to a standing position from a seat without armrests. This device was designed to be portable for use with a variety of armless chairs and church pews. The frame with a U-shaped base was made of 20 millimeter steel tubing and steel tubing armrests were attached to the base. The front arms or prongs of the base have wide flat strips that provide a stable surface for the user as she pushes on the armrests to stand. A seat and back for the device were sewn of Breezeway fabric and attached to the frame with Velcro to premit removal for washing. DIMENSIONS (WxD): The base is 475 x 300 millimeters and the flat stability strips are 50 millimeters wide. The armrests are 240 millimeters high. COLOR: The tubing was painted with blue epoxy enamel. TITLE: Portable Armrest. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p.9. PAGES (including cover): 2 2003.

  29. AWNING AID Picture of AWNING AID

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with limited strength to raise and lower awnings on the windows of a home. The western windows of the home were fitted with two-meter wide canvas awnings with steel fittings. The block-and-tackle system for raising and lowering the awnings was created using three-strand nylon anchor rope and stainless steel pulleys, all purchased from a boat shop. The lower pulley is fastened securely to an eyelet mounted on the brick wall of the house. A cleat is bolted to the wall at shoulder height where the end of the rope can be tied. The system enables the user to pull the awnings up and down. TITLE: Help with Awnings. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 9. PAGES: 2 (including cover).

  30. BABY CARRIER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with a muscular disability resulting in limited strength to carry her infant. Lightweight plywood was used to build a carrying box sized so the base fit on the steps of the individual's home. The box is equipped with small rear wheels on the base, a long U-shaped handle made of copper tubing, and straps to hold the baby in the proper position. With the baby secured in the box at the bottom of the steps, the user steps up one step and rolls the carrier up to the step on which she is standing. The process is repeated for each step. Coming down the stairs, the user tilts the box onto the rear wheels, slides it over the edge of the step, and slides it down to the next step. COLOR: White. TITLE: Baby Carrier. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 9. PAGES: 2 (including cover).

  31. BALLOON PACKET WINDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with cognitive disabilities to package balloons. This device tightly winds packets of balloons for placement is show bags, give-aways, etc. The device has spindles which hold the bag and a wooden board with a spring underneath which holds the packets against the spindle. On the prototype model, the spindles were turned by hand using wooden rollers on each side. A later model, however, will replace the rollers with a treadle. The spindles will be linked to the same shaft to ensure they turn at the same rate to wind the bags tight. TITLE: Making Work Easy. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 12-13. PAGES (including cover): 3 2001.

  32. BASKET FOR WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with mobility disabilities to shop and carry items. Designed for use on a variety of wheelchairs, the adaptation consists of a commercially-available plastic-coated wire basket that fits against the back of the chair between the rear wheels. The basket is secured to the chair with octopus straps to enable removal when not in use but keeping the basket from swinging when on the chair. TITLE: In the Basket. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 17. PAGES (including cover): 2 2001.

  33. BASSINET MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized bassinet modification for an individual with spinal cord injury and wheelchair user. The individual had bought a bought a bassinet with a wooden support frame which had cross members on all four sides just above the castors. These cross members meant that she wasn’t able to get her wheelchair very close to the bassinet. It wasn’t possible to completely remove the cross member on one side, as this would compromise the structure of the frame. One of the bassinet’s cross member inwards by about 100 millimeters. This small modification allows the individual to get closer to the bassinet when she is lifting her son in and out, and reduces the distance that she has to bend. This is particularly important as her son turned out to be a quite a large baby, and she was already experiencing some problems with her hands from lifting him. TITLE: Wheeling the baby. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 4-5. PAGES: 3 with cover.

  34. BATH BENCH Picture of BATH BENCH

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bath bench for a young woman with cerebral palsy. The young 15-year-old girl's family moved into a house that did not have a walk-in shower but rather a large spa bath, which made access very difficult for her. Maintaining her privacy and independence while showering or bathing was very important to her. A TAD volunteer assessed the bathing area and created a custom design that used a bath bench. The bench that straddled both the inside and outside of the bath allowing the young woman to sit on the bench and swing her legs up and over the side of the bath. From there, she could use the shower in the seated position. A stainless steel frame was made to match the dimensions of the bath and bathroom. The surface of the seat is low friction making transfers from each side of the bath easier. The bench legs were trimmed to size and plastic chair tips were added to protect the floor and the bath from scrapes. This adaptation allowed the young woman to use the shower by herself. TITLE: Custom Made Bath Bench. JOURNAL: TAD Journal. REF: Volume 33, Number 1, 2013: p. 7. PAGES: 2 with cover.

  35. BATH SEAT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide proper positioning for a child with multiple disabilities, including cerebral palsy and lung disease while bathing. This "Fogarty" style seat has a molded plastic seat mounted in a frame made of plastic pipe. It is equipped with a pelvic belt and a T-bar to hold the child in place. TITLE: All in the Family. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 12-14. Number of pages: 4 (including cover).

  36. BATH STEPS FOR CHILD WITH ANGELMAN SYNDROME

    --- CUSTOM ADAPTATION --- PURPOSE: To provide customized bath steps for a child with Angelman Syndrome. To assist the child’s mother with reducing lifting and relieving back strain from assisting her daughter in getting into the bath, a step-stool with a rail on one side was designed. A 19-millimeter piece of steel tubing was used for the frame, and was painted with white enamel. The stool has a 720-millimeter high hand rail on one side, and no rail on the other side. No railing on one side allows the child to swing her legs around and into the bath freely. The retractable lower step is 40 millimeters wide, mounted on standard drawer runners, with a pad bolt to prevent it from retracting while in use. The drawer runners were shortened so the stool can be stored in a small space between the bath and vanity. Safety Walk strips were fastened to the two steps and the legs were fitted with rubber tips. The child can now climb up the steps and into the bath rather than being lifted. TITLE: Putting Margauz to Bed. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 12-13. PAGES: 3. (including cover).

  37. BATHING FRAME Picture of BATHING FRAME

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bathing frame for a child with hyptonia, epilepsy, and paralysis. A parent with a child with disability was having difficulty lifting her child out of the bath and was having back problems as a result. The child was very difficult to lift out of the bath as his limbs are very floppy and he cannot hold his own head. A new bath support design was based on an original bath created for another person, making the frame construction simpler. The new design included a standard 50 millimeter waste outlet. A mold of the new bath support was made with general purpose fiberglass construction. A gel coat approximately 0.45 millimeters thick was laid into the mold. The lay-up was made of three layers of Chopped Strand Mat (CSM) and laid with a general purpose resin resulting in a strong but light bath. A stand was made and the combined unit was tested for safety. The first bath support became a demonstration model and further supports were made of painted steel or stainless steel. JOURNAL: TAD Journal. REF: Volume 32, Number 1, April 2012: p. 13. PAGES: 2 with cover.

  38. BED ACCESS STAIRS

    --- CUSTOM ADAPTATION --- PURPOSE: To provide safe access to a custom-built bed for a child with cerebral palsy, developmental disabilities, and vision and hearing impairments at a comfortable height for care givers. The Custom-built Child’s Bed (see also separate entry) is a standard-sized twin bed with a high wooden storage base designed to keep the child safe while providing a comfortable height for caregivers. To provide access to the bed for the child, a set of access stairs was built in two parts. The first section consists of three steps and the second section is a platform providing access to the bed. The two sections are clipped together with suitcase catches. Both sections have height-adjustable handrails with an intermediate safety panel to ensure that the child cannot slip beneath the handrails. The stairs have closed risers to prevent the child from catching her feet and each step is covered in white non-slip strips; a contrasting black edge aids in visibility. The platform and stairs are made of nine-millimeter plywood and the platform and handrail supports are made of steel tube. Once the stair section is unclipped from the platform, it can be tipped on small wheels attached to the back for transport. DIMENSIONS: The initial height of the handrails is 570 millimeters and they can be adjusted another 200 millimeters. TITLE: Playing and Growing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 8-9. Number of pages: 3 (including cover).

  39. BED ENCLOSURE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with developmental disabilities with a safe sleeping environment and keep her from climbing out. The slatted base of the bed sat below the edge of te side rails. Runners were fitted to the inside of the side rails and the slatted base was raised to sit on the runners. The enclosure has independent support legs and can be unscrewed and removed if necessary. The enclosure has a wooden frame with two latched gates on each side. Sturdy, tranluscent white Textiline fabric was fitted on the inside of the frame. Because the framework is outside the fabric, the child cannot use it to climb. TITLE: No more Climbing. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 14-15. Number of pages: 3 (including cover). 2006.

  40. BED EXTENSION

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a bed extension for a hospital-style bed for a tall individual with acquired brain injury. A 150-millimeter extension with two metal bars was made that bolted into the existing holes at the top end of the bed base. A headboard, padded and covered with vinyl, was fixed at right angles to the bars. Straps with Velcro strips were used to fix the lower section of the mattress in position. This adaptation reduced the how often the individual’s position had to be monitored, provided greater comfort, and assisted in improving his swallowing. TITLE: Correct positioning. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: pp. 10-11 PAGES: 3. (including cover).

  41. BED LIFTER Picture of BED LIFTER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable the existing bed of a young teen with cerebral palsy to be raised and lowered vertically to provide comfortable access for caregivers. The bed was an antique mahogany four-poster bed, which the young man liked, but which was of fixed height, making it difficult for caregivers to attend to his needs. A lifter was designed and built that would independently elevate the mattress and its base. The device was designed to fit beneath the bed and to lift the mattress upward without endways movement. The lifting unit is a four-link mechanism with a control rod powered by a Linak electric actuator, a commercial product used with beds and personal lifts. The link mechanism works as a parallelogram, keeping the bed horizontal while raising it vertically. This allows the action to occur within the confines of the original bed structure. Square and rectangular hollow section steel was used for the lifter’s frame which was mounted on casters so it can be rolled out if necessary. The pivot points of the mechanism have ball joints mounted on ball bearings. The actuator is operated by a handset with push button control and the bed can be stopped at any point of travel up or down. DIMENSIONS: The device can lift the mattress base up to 320 millimeters. COLOR: The frame was painted to match the woodwork of the bed. TITLE: Robert’s Bed Lifter. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 14-15. Number of pages: 3 (including cover).

  42. BED MODIFICATION FOR CHILD WITH ANGELMAN SYNDROME

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized bed for a child with Angelman Syndrome. An evaluation of a standard IKEA bed already being used by the child resulted in the idea to turn the footboard into a gate. The customization had two parts: 1) the removal of the footboard and 2) the construction of an end gate. After removing the footboard, the end of the bed frame was strengthened with 19- millimeter plywood. The disassembled footboard was rebuilt to make a rigid end gate. The fittings were removed and glued to a long piece on each side. For a neat finish, a continuous length of piano hinge was used to attach the gate to the frame. An attractive brass door handle was fitted to the outside of the gate. The handle was designed for a 1 3/8-inch-thick door, whereas the gate is only 0.75-inch thick. The gate door was padded to the appropriate thickness using a piece of plywood on the inside. The child’s mother can open the gate from the outside but the child cannot open the gate from the inside. The bed was further adapted when 9-millimeter plywood was used to create a 12-centimeter-high hollow wooden box with a cutout handle. The box is used to help the child climb onto the low mattress inside the bed. The new design helps the mother avoid further back strain from lifting and prevents the child from wandering outside of her bed when awake. TITLE: Putting Margauz to Bed. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 12-13. PAGES: 3. (including cover).

  43. BED RAIL PADDING

    --- CUSTOM ADAPTATION --- PURPOSE: To prevent an individual who has Huntington’s disease from injuring herself on the rails of her hospital bed. Made of wood, the rails posed a danger to the individual as she thrashes in her sleep and because she got her arms and legs trapped between the rails. The rails were removed and covered with two layers of foam rubber tubing. The rails were then covered with velour fabric by sliding the rails into pockets on the fabric panels. The rails were then reattached to the bed and the bottom of each panel was secured to the bed base by screwing steel self-tapping screws through a wide hem added to the panels for that purpose. DIMENSIONS: The screws were 25 x 3 millimeters. TITLE: Bed Rail Padding. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 20. Number of pages: 2 (including cover).

  44. BED RAILS Picture of BED RAILS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted bed railings to protect a child with cerebral palsy, developmental delay, and vision impairment from hurting herself by climbing out of bed. The parents had purchased a bunk bed set that had a potential for modification with a solid frame and clean sides making it easy to add attachments. Matching the style of the bed, three new rails were added with the fourth side fixed to the wall. Extensions were made for the head and foot of the bed to the existing railed pieces to raise them to 500 millimeters above the mattress. For the third side, a new set of rails, divided into three sections were made. One section at the lower end is fixed, and the other two are hinged to form a gate using strong steel parliament hinges. Consideration was given to prevent small fingers from getting pinched in the locking mechanism (silent and out of reach of the child’s hands). TITLE: Bunking down. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: p. 11. PAGES: 2 with cover.

  45. BED RAISER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable caregivers to assist individuals in and out of bed without bending. A boxed frame of plywood and chipboard was nade to elevate a wood-frame bed. The lengthwise edges were recessed toward the center of the bed enabling the caregiver to to get as close to the bed as possible. Detachable sidepieces slot into the bed frame to prevent the individual from falling out of bed. The sidepieces fit at the end of the bed when not in use. DIMENSIONS: The unit raises the bed 320 millimeters and the long edges are recessed 220 millimeters. TITLE: Bed-raising Experience. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.14. PAGES (including cover): 2 2001.

  46. BED SURROUND

    --- CUSTOM ADAPTATION --- PURPOSE: To prevent a child with intellectual, communication, mobility, and vision disabilities from leaving the bed unattended during the night. An enclosure for the bed was built using eight plywood panels covered in fabric-covered foam. Each panel is equipped with two metal handles on the back to enable the child's parents to remove one or more when assisting the child in and out of bed or when changing sheets. Three panels fit down each side and the bed has a U-shaped panel at the head and a flat panel at the foot which has straps made of seatbelt fabric that attach around the cutout in the footboard with Velcro. The top two side panels fit between the mattress and the existing rails and hook to the bottom rails with L-shaped clips. The bottom panels hook directly into the bed frame. TITLE: Night Safety. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 15-17. PAGES: 4. (including cover).

  47. BED SURROUND

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized adaptation to a hospital bed frame for a young adult with a rare genetic disorder. A standard hospital bed with collapsible tubular steel rails was not ideal as the consumer was in danger of injuring himself due to involuntary movements. Placing the bed flush to the floor was not ideal for caregivers because it placed them at risk for back injury. A frame and net system was designed to attach to the existing hospital bed. Four metal posts are mounted in the bed’s existing side attachment tubes, with the net surround firmly attached inside the frame and well clear of the posts so that the consumer cannot hurt himself on them. The net surround is made of outdoor furniture mesh and has four panels; two fixed ones at either end of the bed which are supported from the posts and two at either side which drop down to access the bed. The access panels are attached to the fixed end panels with zippers, plus additional Velcro strips for extra security. TITLE: A safe bed for Will. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 16-17. PAGES: 3. (including cover).

  48. BED SURROUNDS Picture of BED SURROUNDS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bed enclosure for a child with global developmental delay and autism. The child outgrew her crib and her parents fitted her new bed with bedrails to prevent her from getting out; however, the child still managed to get out in the night despite being unable to crawl or walk. Concerned about the child’s safety, the family contacted TADNSW for assistance in creating bed surrounds for the bed to help keep the child safe. Three factors went into the design: (1) the child’s safety, (2) the ease of the caregivers or parents to change the sheets on the bed, and (3) the ability of one of the parents to be able to lie next to the child. A parliament hinge was used to allow the side panels to fold back flush to the head and foot of the bed. In the middle of the panels, on each side, a drop in section was created to fill the extra space and secure the entire enclosure. These pieces are one meter in length and lightweight enough to be lifted by an adult. A similar enclosure was created for the child’s grandparent’s house for when she stays with them. The nature of the enclosure allows for its components to be taken off and folded back so that a bed can be used for other visitors. TITLE: Sweet Dreams. JOURNAL: TAD Journal. REF: Volume 31, Number 4, Spring 2011: p. 11. PAGES: 2 with cover.

  49. BEDRAIL ADAPTATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with multiple sclerosis to raise and lower side rais on a home hospital-style bed independently. The rails were mounted toward the head of the bed and folded toward the foot of the bed, making it impossible for the user to raise or lower them while in bed. The rails were reversed and re-mounted toward the foot of the bed, enabling them to be opened from the top by the user. TITLE: Bathroom Assistance. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 12-13. PAGES: 3 (including cover).

  50. BEDSIDE COMPUTER MONITOR MAGNIFIER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a screen magnifier to make a computer monitor more easily viewable from the bedside for a person with quadriplegia. A permanent mount was created and added on to an existing computer stand and bedside table, enabling the individual to move the magnifier in and out to get the correct degree of magnification or flip it out of the way when closer to the screen while in a wheelchair. TITLE: Bedside Facilities. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 12-13. Pages: 3. (including cover).

  51. BEDSIDE COMPUTER STAND

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spinal cord injury to utilize a computer from a bed. The base of the stand is a standard overbed table on a wheeled base. A box of varnished plywood on a caster base was added to the table. The box was equipped with a central shelf, creating three surfaces on which to store computer equipment and other items. The original table surface was attached to the side of the box and is height adjustable using a trinut. The surface also rotates so that it can be placed at the appropriate angle for keyboard use, reading, eating, or other activities. The weight of the items on the stand acts as a counterbalance to the tray. A D-shaped handle was attached to the stand to enable the user to move it for proper positioning. TITLE: Bedside Computer Stand. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 10-11. PAGES: 3 (including cover).

  52. BEDSIDE COMPUTER STAND AND MONITOR POSITIONING SYSTEM

    --- CUSTOM ADAPTATION --- PURPOSE: To position a computer screen to be easily seen from a bed, hold the monitor and printer, and store other computer-related equipment such as cables and CDs) for an individual with quadriplegia. Laminated MDF was used to make a stand, which has a base with locking castors, a range of drawers for storage at the bottom and shelves above them, one with larger space to hold the monitor. There is also a pull-out shelf above the drawers for a keyboard and can be used when in a wheelchair. TITLE: Bedside Facilities. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 12-13. Pages: 3. (including cover).

  53. BEDSIDE TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide custom adaptation to bedside table for an individual with rheumatoid arthritis. A plywood box was constructed and screwed into an existing table top. The inside of the box forms a lower shelf, and the top forms the upper one. Inside the box, a shelf mounted on drawer runners was added. The shelf has a small hook-style handle in the center for easy, out of the way use. A small gap all the back of the box accommodates cords for various equipment. A larger hole in the middle allowed an intercom to be inserted. TITLE: Staying at home. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: pp. 14-15 PAGES: 3. (including cover).

  54. BICYCLE MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child who has cerebral palsy to use a toy ride-on tractor. The child was able to pedal the tractor with guidance from a family member, but needed assistance with keeping his feet on the pedals and additional seated support. The existing seat on the tractor was replaced with a molded Sebel seat, raised from the seat platform to enable the child to comfortably reach the pedals. The seat was equipped with a pelvic seat belt with an easy-to-operate buckle. The column for the steering wheel was extended to accommodate the higher seat. Large foot cups with straps were added to the pedals and a wooden push handle was bolted to the back of the tractor. DIMENSIONS: The steering column was extended by 100 millimeters. TITLE: Freedom Wheels. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 7. Number of pages: 2 (including cover).

  55. BICYCLE STEERING BRACKET

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with a foreshortened arm without a hand to steer a bicycle. Made from a piece of sheet steel, the bracket prevents the user’s arm from sliding off the handlebar. The sheet steel was cut to size and curved, and wetsuit fabric was glued to both sides. The bracket was attached to the handlebar with two screws. TITLE: One-handed Tennis. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p. 14-15. PAGES: 3 (including cover).

  56. BINGO DISKS WITH LARGE NUMBERS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with low vision to call bingo games. The numbers on the existing bingo number disks were too small to be read by an individual with low vision. A set of disks were cut from thick plywood using a jigsaw. The disk were painted and large numbers were placed on the disks using Letraset. A bar was placed at the bottom of numbers that could be confused with other numbers that look the same from the top and the bottom. The disks were then sealed with matte varnish to keep the numbers from peeling off. Circles of vinyl were glued to the back of each disk to make it easier for the user to differentiate the front and the back and to keep the disks from sliding on the number board. DIMENSIONS: The disks are 10 millimeters thick. COLOR: The disks are yellow and the numbers are black. TITLE: Better Bingo. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p. 16. PAGES (including cover): 2 2001.

  57. BIRD CAGE WALK Picture of BIRD CAGE WALK

    ---- CUSTOM ADAPTATION ---- PURPOSE: To enable an individual who uses a wheelchair to transport a bird cage and related supplies. This wooden cart, or trolley, has a flat top shelf above a cupboard with handled doors, a push hadle at one end, and four casters with tires, rwo of which lock. The top shelf accommodates the bird cage and the cupboard provides storage for bird food, newspapers, and additional supplies. A clear lacquer finish enables easy cleaning. DIMENSIONS (WxLxH): 500 x 780 x 680 millimeters. The casters are 100 millimeters in diameter and the push handle is 900 millimeters from the floor. COLOR: Natural wood. TITLE: Bird Cage Walk. JOURNAL: TAD Journal. REF: Vol 22, no 2, Winter 2002: p 12-13. PAGES (including cover) 3 2002.

  58. BLOCK TO RAISE ARM CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with rheumatoid arthritis to use an arm chair. This project involved building a wooden frame to elevate the chair while not causing the user's legs to dangle or interfering with the built-in footrest. The frame has a land set into the inside for the chair legs to rest on. The rim of the frame holds the chair securely in place and ensures that the chair cannot fall off the frame when the user moves. DIMENSIONS: 90 millimeters high with the lands set 15 millimeters into the frame. COLOR: Walnut to matrch the user's decor. TITLE: Margaret Keeps Moving. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 12-13. PAGES (including cover): 3 2001.

  59. BOWLING SUPPORT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide an individual with balance disabilities support while bowling. This support has a plywood base to which are bolted two upright lengths of steel water pipe.Two bends connect at the top to create an inverted U, which serves as a handgrip. The support is designed to be light enough to be moved as needed. DIMENSIONS: The base is 100 x 50 centimeters and the handgrip is 86 centimeters high. The upright pipes are 33.7 millimeters in diameter. TITLE: Bowling Along. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p. 19. PAGES (including cover): 2 2001.

  60. BRACKET TO HOLD POWER PACKS FOR WHEELCHAIRS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a controller for a power assist for a manual wheelchair to be attached to wheelchair push handles. The power assist units are suspended under the wheelchair seat and the controllers are attached to the wheelchair push handles with the included full-circle Bakelite clamp for access by caregivers.When the clamp did not fit over the rubber handgrips, a split metal clamp was designed. The top lock was macined of aluminum and threaded for bolts. The bottom was made of bent mild steel. The two parts are held together by wingnuts which can be released without tools to enable the staff to remove them for transfer to another chair. TITLE: Wheelchair Control Unit. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.9. PAGES (including cover): 2 2003.

  61. BUNK BED FEEDER MOUNT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted feeder mount for a Kangaroo Pump feeder to a bunk bed for a child with Edwards Syndrome. There was no room for the feeder to be placed at the head of the bed; therefore, it was suggested that the child’s sleeping position be reversed. Despite the change in sleeping position the feeder could not be fixed directly onto the rails as they were too close together. A new bracket was added which holds the feeder just out from the rails. TITLE: Protecting Savannah at Night. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 8-9. PAGES: 3 (including cover).

  62. BUNK BED LADDER MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized bunk bed ladder for a child with Edwards Syndrome. To protect the child from injury the bottom three rungs of the bunk bed ladder needed to be screened off by putting mesh on the inside. However, this would make the child’s sister unable to use the ladder rungs safely to climb into the top bunk. A new rung unit was created which completely covers the bottom three existing rungs. The new rung unit has mesh fabric on the inside, and a new set of rungs set out from the edge of the bed where the child with Edwards Syndrome cannot reach them. This unit slots over the existing third rung and can be easily lifted in or out as needed providing protection for the child and access safe access to the top bunk for her sister. TITLE: Protecting Savannah at Night. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 8-9. PAGES: 3 (including cover).

  63. BUNK BED RAILS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create customized bunk bed rails for a child with Edwards Syndrome. A side rail for the bunk was created using a steel tube frame padded with foam and covered in strong white mesh fabric and held in place by canoe clips. The rail is mounted on two brackets which fit over the frame of the bunk base, and can be easily lifted in and out of the bed. This adaptation is strong enough to avoid damage to the frame and safe for the child should she bang against it she will not hurt herself. TITLE: Protecting Savannah at Night. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 8-9. PAGES: 3 (including cover).

  64. CADDY FOR SEWING AND KNITTING Picture of CADDY FOR SEWING AND KNITTING

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized free-standing caddy for sewing and knitting supplies for elderly individuals with heart problems and osteoarthritis. This individual had previously used a fabric storage bag fitted onto her favorite chair for her supplies. Her mobility needs changed and she obtained a new recliner-type chair and the bag no longer worked with this chair. A free-standing caddy was suggested to solve this problem. A wooden caddy with two posts and bars across the top and bottom and wide feet on the bottom for stability was created and the wood stained to match the user’s other furniture. The individual’s granddaughter made a new, more advanced bag for her, with multiple pockets and a cushion on the top for sewing pins. The stand fits neatly next to the recliner and does not create a trip hazard when the user sits on or gets up from the chair. TITLE: Sewing Caddy. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: p. 10. PAGES: 2 with cover.

  65. CAMERA HOLDER Picture of CAMERA HOLDER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with quadriplegia to hold and operate a digital camera. Made of steel, this mount is equipped with two foam-covered handles, one above the other. The user places the top handle in his/her palm and the bottom handle holds the hand in position, supports the back of the wrist, and can be rested on a stable surface as needed. The handles are attached to a frame that screws into the tripod mount on the bottom of the digital camera. The frame is adjustable to enable the camera to be moved from side to side or rotated vertically. The frame is also equipped with a large lever that links to the shutter via a small pivot and depresses it using a round-headed bolt. The action is magnified to enable the user to perform the two-part button depression. This has a spring-loaded retract to keep it taut and provide some feel for the movement. A similar lever operates the rocker switch that activates the camera's zoom function. The frame is padded with rubber to prevent damage to the camera, and it can be removed to enable the camera to be used without it. TITLE: Camera Holder. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 20-21. PAGES: 3 (including cover).

  66. CANE HOLDER FOR WALKING FRAMES Picture of CANE HOLDER FOR WALKING FRAMES

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted walker modification that allows an individual with balance, mobility and walking disabilities to easily carry and store a walking stick or cane to their walker. An elderly gentleman uses his walker with seat for extra support and the chair portion when he needs to rest. When shopping in some of the more crowded shops at the mall, the gentleman realized that being able to park his walker outside the store and use his cane for shorter distances would be ideal. A TAD volunteer created an attachment for the walker that held his cane when the walker was in use. The attachment consists of PVC pipe (just wide enough to fit the walking stick) and is attached to the walker frame using bolts and/or clamps. TITLE: New Walking Stick Holder for Walking Frames. JOURNAL: TAD Journal. REF: Volume 32, Number 2, August 2012: p. 9. PAGES: 2 with cover.

  67. CANE TIP FOR SAND

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who has had a stroke to walk in on the beach with a cane. The user found walking on the beach difficult because the cane tip sank into the sand. The solution was to use a cane tip of the type used by lawn bowlers. This tip consists of a standard rubber cane tip fixed to a wide circle of plastic, enabling the tip to stay on top of the sand. TITLE: Beach Advice. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 7. Number of pages: 2 (including cover).

  68. CAREGIVER CALL SIGNAL

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with severe phyical disabilities to summon a caregiver. This device was created using a doorbell chime with a remote control. The chime unit is carried by the caregiver and the remote is used by the individual summoning assistance. Because the individual did not have enough finger strength to press the button on the remote, a socket with a long cord was attached to the remote and connected to a large, soft button that was accessible to the user. TITLE: Easels, Calling Systems and More. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 16-17. PAGES: 3 (including cover).

  69. CARRIERS FOR CRUTCHES AND TRIPOD

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adapted crutches and tripod carriers for an adult with spastic paraplegia and oral dyspraxia. The crutch holder accessory available from the wheelchair manufacturer was too small for the tripod and would be difficult to import from the United States. The custom adapted design began by taking an aluminum base panel and bolting it to the anti-tip legs on the back of the chair. To make the holders for the crutches and the tripod, plastic pipe caps were purchased from a hardware store, and bolted onto the base panel. The crutches rest in the small cap and are secured by Velcro-fastening straps around the left wheelchair handle. The tripod rests in the larger cap and is secured at the right handle. The user is able to swivel around to access both the crutches and tripod quite easily, and carry these items on group outings without difficulty. TITLE: Carrying a Tripod. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 14. PAGES: 2 (including cover).

  70. CARRYING AIDS FOR WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to keep essential items at hand while in his wheelchair. Three carrying aids were made and attached the left arm of the wheelchair. The first was a carrying pouch for a cell phone. Made of metal, the pouch is lined with vinyl to protect the phone from damage. The second was a small, flat metal tray to carry the remote control for operating the front door. Also added to the arm was a pocket made of vinyl to carry the hadset for the user's home phone. TITLE: Keeping Up Connections. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 14-15. PAGES: 3 (including cover).

  71. CD ROM LOADING TOOL

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with cerebral palsy to load and unload a CD-ROM disc from a computer. A suction cup was fixed to one end of a section of plastic tubing. Using the tube as a handle, the user presses the suction cup onto the CD while it is still in its case. Lifts the disk from the case, and guides it into the CD-ROM drive of the computer. Once the disk is in the drive, the user gently presses down on the CD while pulling up on the tube handle to remove the tool. Reversing the process enables the user to return the disk to its case. TITLE: Computer Tools. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 14-15. Number of pages: 3 (including cover).

  72. CELL PHONE AND MINI KEYBOARD EXTENSION HOLDER Picture of CELL PHONE AND MINI KEYBOARD EXTENSION HOLDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of only one arm to dial a cell phone and type on its mini keyboard extension. A holder in the shape of the phone and its extension was cut out of plywood, with an additional strip of wood at the sides and bottom to hold the phone in place. A strap with a pull-tight Velcro fastener was attached to the holder. The strap wraps around the user's arm and when the arm rests on a table or other surface, the phone and keyboard are steady for use. TITLE: Dialing In. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 15. PAGES (including cover): 2 2002.

  73. CHAILLEY CART Picture of CHAILLEY CART

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized mobility cart for children with mobility disabilities such as spina bifida and hydrocephalus. This child is paralyzed from the waist down, and the only way she could move independently was to drag herself on her stomach across the ground. The Chailley Cart is designed as a mobility device for young children who cannot walk but have good upper body strength. The cart is made primarily of plywood. It has a winged back support and an extended, upholstered base with a lap belt. The child propels the cart by pushing it directly on the side wheels; It also has front and rear castors to prevent overturning and to facilitate steering. The cart can be used by children who are too young for a wheelchair, allowing them to develop skills in steering and to build muscle strength. TITLE: Gaining movement. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: p. 14. PAGES: 2 with cover.

  74. CHAIR AND LADDER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide practice in moving from sitting to standing. A plywood stool was mounted to a plywood base. In front of the stool, also on the base, is mounted a plywood ladder with hardwood rungs. The ladder is braced with barckets attached to the ladder and the base on the side away from the user. The user grasps the rungs of the ladder to pull himself to a standing position. DIMENSIONS: The ladder is 850 millimeters (mm) high. The rungs are 70 mm apart. TITLE: Happy Seating. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 9-12. PAGES: 5. (including cover).

  75. CHAIR BASE PLATE Picture of CHAIR BASE PLATE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted chair base plate for a child with multiple disabilities. The child is unable to sit on a chair without support and when she is at school,. she is either in her wheelchair or in a wood chair with a lap strap. Although the lap strap holds the child securely, the child can still rock her chair back and forth with a significant risk of toppling over. The child’s occupational therapist recommended that a base plate be fitted to the bottom of the chair. TITLE: Simple but effective. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: p. 9. PAGES: 2 with cover.

  76. CHAIR BRAKE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with a motor neuron disability to transfer safely to and from a wheeled office chair with the aid of a caregiver. The office chair has a swivel seat and a standard five-leg star base with casters. During transfers the seat could swivel or the chair move. To stop the chair from moving, a standard spring-loaded doorstop with a metal pin and a rubber stopper on the end was bolted to a leg on each side of the base. The caregiver can push down on the pin with a foot to anchor the chair and push the attached tabs to release it. To stop the seat from swivelling a thick metal post was bolted to the seat plate; two metal fingers were mounted to the bottom of the post, parallel to the floor. When the caregiver pushes the fingers through 90 degrees with a foot, the fingers extend down on either side of one the chair legs, locking the seat to the leg and keeping the seat in place. TITLE: Chair Brake. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.18. PAGES (including cover): 2 2003.

  77. CHAIR INSERT Picture of CHAIR INSERT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted chair insert for a child with global developmental delay and epilepsy. The child had outgrown his previous insert and a new version was required. The new insert has a plywood back set at a 10-degree recline, a plywood base and footrest, height-adjustable thoracic fins, and cushions made from fabric-covered, 25-millimeter foam. There are also a range of harness mounting points, and the child uses the chair with a waist harness in a position specified by his therapist. The insert is attached to a dining chair using two 25-millimeter buckled straps, one under the seat and one at the back. A castored base was added to the dining chair with lockable castors on the rear. This means the chair and insert unit is easy to move in and out from the table and to other places in the house as needed. TITLE: Eating with the family. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 6-7. PAGES: 3 with cover.

  78. CHAIR RAISERS

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with multiple disabilities with access to an elevated cut-out table. The cruciform-shaped risers were made of 9-millimeter plywood and have vertical housings at each corner. The housings accommodate the full depth of the chair legs, but pine inserts were also made which can be dropped into the housing to further elevate the chair for taller children. DIMENSIONS: The vertical housings are 180 millimeters high. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 16-17. Number of pages: 3 (including cover). 2006.

  79. CHAIR SUPPORT FOR RECLINER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide support for an individual with Parkinson's disease who leans to the right when fatigued. A Henley Twin Electic Recliner was custom-made to the user's measurements. Once the chair was complete, it was modified by adding thoracic fins to maintain the body in an upright position. The fins were mounted on brackets spaced 300 millimeters apart on a steel tube frame. The right-hand bracket, the side on which the user primarily needed support, could be moved up and down for height sdjustment and sideways for width adjustment. When the optimum position was determined, the bracket was screwed in position. The frame for the fins was secured by 50 millimeter Velcro straps around the back of the chair. The straps were threaded through buttonhole-style slots in the fabric on the back of the chair. A spare piece of fabric was used to make a cover for the top of the chair, partially hiding the metal frame. TITLE: Chair Support. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 18-19. PAGES: 3 (including cover).

  80. CHAIR WHICH PROVIDES SUPPORT Picture of CHAIR WHICH PROVIDES SUPPORT

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child to play in a sandbox. A large plastic bucket in which pickles were delivered to a fast food restaurant was washed numerous times to remove the pickle odor and was then cut to form a seat with a high back and sides. The front half was cut away in the shape of a "W," with the front indentations supporting and positioning the child's legs. The cut edges were covered with rubber padding and the seat was fixed to a circular wooden base for stability. A foam pad was placed in the bottom of the chair for comfort. A handle was added for ease of carrying. TITLE: Pickle Bucket Makes an Ideal Chair. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.17. PAGES (including cover): 2 2001.

  81. CHAIR WITH DOUBLE SEAT

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with neurological disabilities to sit upright. Because of severe pain, the only comfortable position for the individual is with his legs completely curled up. A chair with essentially with a two-layer seat was developed. The upper section supports the user's buttocks and the lower section supports the legs in a curled position. The seat layers are mounted on a base made of one-inch square tubular steel. Castors at one end allow the chair to be tilted and transported while remaining stable during transfers. The upper and lower seats are made of padded plywood mounted on a metal frame, and the upper seat has a mesh fabric back. A padded box behind the lower seat provides support for the user's feet. Each seat needs to be positioned precisely to achieve comfort and reduce the risk of pressure ulcers. To accomplish proper positioning, an electro-linear actuator drives the upper seat up and down the main post. Another electric motor and chain drive move the front of the lower seat up and down. Hinges at the other end of the lower seat enable the angle to be altered to increase or decrease the degree of support and bending of the user's legs. POWER: Uses a rechargeable 12-volt battery. TITLE: Double Seat. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 14-15. PAGES: 3 (including cover).

  82. CHAIR WITH GLIDES

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual who has had a stroke to move under a dining table after sitting on a chair. A glide was attached to the bottom of each leg of a standard dining room chair. This enabled the chair to slide more easily on the carpet while keeping the chair stable when the user sat down on it. TITLE: Post Stroke Assistance. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 10-11. PAGES: 3 (including cover).

  83. CHANGE TABLE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted changing table for a mother with cerebral palsy. This individual wanted a changing table that she could use from a kneeling position and located a base that was the right height to be adapted. A table top was created from chip-board, with a 75 millimeter-high pine frame around the sides to keep the mattress in position. Two of the four sides are hinged so they can drop down 180 degrees, making it easier for the user to slide the baby onto the table. When in the raised position, the sides are held in place by magnetic catches, which are easier for the individual to use than pad bolts. A wooden shelf was added underneath the table top, which the individual finds very handy for storing baby paraphernalia. The final touch was a small strap which attaches with Velcro, which the individual can use to keep the baby in position while she is changing her. TITLE: Keeping balance. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 8-10. PAGES: 4 with cover.

  84. CHANGE TABLE PLUS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted change table for a child with developmental delays. The child’s parent requested a table which would cover most of the bath, but would still be easy and light enough to remove and store. The first thought was to build a table with a Melamine top mounted on folding legs, which could be removed when the bath was to be used for bathing. In the end, the simplest solution proved to work beautifully was a sheet of 9 millimeter MDF with rounded corners and a cutout for the grab handle rail, painted white, which sits securely inside the rim of the bath. The parent found it fitted well and was very light and has no problems sliding out the board and leaning it against a wall when anybody in the family wants a bath. TITLE: Change table plus. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: p. 14. PAGES: 2 with cover.

  85. CHILD'S BATH CHAIR WITH FRONT SUPPORT

    ----CUSTOM ADAPTATION ---- PURPOSE: To provide a child with developmental disabilities and a tracheotomy with support on all sides to prevent falls in the bath. The frame of the chair is constructed of heavy-duty PVC tubing joined with solvent bonding cement. The standard bath chair has parallel horizontal tubing sections as its base with a mesh seat stretched between them. Parallel vertical supports rise from the center of the base legs and U-shaped tubing sections padded with neoprene are attached to the vertical supports to form the back and front supports. DIMENSIONS: The back support is 23 centimeters (cm) high and the front support is 17 cm high. TITLE: Jarryd's Bath Chair. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 117. PAGES: 1.

  86. CHILD'S BED WITH 3-PIECE HINGED SAFETY RAILS

    ----CUSTOM ADAPTATION ---- PURPOSE: To protect and restrain small children while they sleep in a comfortable environment which allows them free movement and visibility of their surroundings. The bed, which is designed to be placed with one side against a wall, has a fabric-enclosed foam pad mounted on the side that is placed against the wall and high head- and baseboards. On the side opposite the wall, there are three interconnected sections of slats that can be opened from the outside with the forward section opening toward the headboard and the two rear sections opening toward the baseboard. Opening all three sections provides full access to the bed to facilitate changing the sheets or making up the bed. The bed frame and slats are made of wood with steel bars added to the top crosspiece of the slats for reinforcement. TITLE: Toilet Step and Rail. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 8-9. PAGES: 2.

  87. CHILD'S STANDING FRAME FOR SHOWER

    ----CUSTOM ADAPTATION ---- PURPOSE: To enable a child with spina bifida to stand in the shower. The standing frame is square-shaped with one end open. The child supports herself on the sides or the closed end of the frame. The frame is constructed of one-inch PVC tubing with rubber suction cups on the bottom of each of the four legs. There is additional bracing across the top of the closed side. DIMENSIONS: The frame's approximate height is 65 centimeters (cm). TITLE: Sara Walks! JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 14-15. PAGES: 2.

  88. CLASSROOM CHAIR FOOTSTOOL

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with neurological disabilities to participate in the classroom. This footstool has a plywood platform containing holes in one of the long edges through which the legs of the chair can be inserted. This holds the chair and the footstool together, reduces the chance of knocking the stool over, and keeps the chair and the stool in optimal position. The stool legs can be cut down in the future for continued use as the child grows. TITLE: School Desk and Chair. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.16. PAGES (including cover): 2 2001.

  89. CLOCK PUZZLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide entertainment and stimulation for an aeronautical engineer with poor concentration and hemiplegia as a result of a stroke. This wooden puzzle is a clock face cut into a jigsaw puzzle. Putting it together in the correct numerical order assists the user in learning to think about time and numbers and to relearn time telling skills. TITLE: Fiddle Board. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 16-17. PAGES (including cover): 3 2001.

  90. COMMODE FOOTSTOOL Picture of COMMODE FOOTSTOOL

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized commode chair for a youth with cerebral palsy and developmental delay to use the bathroom. Since this individual is 14 years old, his parents did not want to purchase a commode chair only to replace it in a few years when he grows taller. The most suitable commode was too big as his legs would not reach the footplate. The child’s therapist requested a waterproof platform that would sit on the footplate and provide a stable rest for the feet. A low-priced plywood coffee table, which had a smooth top and curved sides with the correct dimensions was chosen since it would be easy to waterproof and clean. Due to how the table was created the customizer knew the glue in the ply must be waterproof and ideal for this project. The table legs were cut off to the required length and the platform was painted with an epoxy marine paint and fitted with non-slip strips on top. So that the platform can be removed later without compromising the commode, aluminum angle brackets were added to the inside of the legs and then Velcro strips on the bottom that attach to the corresponding Velcro strips on the footplates. TITLE: Simple but effective. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: p. 9. PAGES: 2 with cover.

  91. COMMUNICATION AID

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a young woman with cerebral palsy and devwlopmental delays with a means of communicating. A small clock-style communicator that could be attached to the user's wheelchair was created. The device has a ferrous metal face, which accepts magnetic pictures, and an aluminum back. The scanning communicator is equipped with LED indicators which are controlled by a micro-controller which is programmed to move the LED light around the face and a timer set a slow speed. The user can control the light activation at her own pace using a switch on her shoulder. A piece of wood turned on a lathe forms a round frame for the device. To enable the device to be attached to and removed from the user's wheelchair as needed, a pipe was attached to the end of a flexible metal cord which goes under the wheelchair tray and drops into a bracket attached to the wheelchair frame, creating a mount. TITLE: Communication Aid. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 11. Number of pages: 2 (including cover). 2006.

  92. COMPUTER CHAIR Picture of COMPUTER CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide mobile seating at a computer for an obese individual with mobility and other disabilities. The chair is mad of 35 millimeter square steel tube with gusseted legs and four casters. The chair also features angled back uprights and curved back cross bars to provide optimum support. At the front of each arm are soclets for mounting a keyboard and mouse tray. The seat, armrests, and backrest have plywood bases with foam padding.The backrest pads are split in two and attached to the cross bars. The upholstery is vinyl automotive upholstery. DIMENSIONS (WxD): The seat is 680 x 440 millimeters. TITLE: Scooter Handling. JOURNAL: TAD Journal. REF: Vol. 22, No. 2, Winter 2002: p. 18. PAGES (including cover): 2 2002.

  93. COMPUTER DESK MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spinal cord injury to use his computer from his wheelchair. A purchased self-assembly desk was modified to accommodate a powered wheelchair. Two 100-millimeter-high panels were added to the bottom sides of the desk to increase the height and enable the user to get his feet under the desk. A plywood panel was added across the back to strengthen it and the shelf below the desk top was removed. A U-shaped notch was cut in the keyboard surface to accommodate the wheelchair controls and enable the user to get close enough to the desk to reach the computer components. A minitor stand was built and added to place the monitor at optimum viewing height. A horizontal CPU was placed next to the monitor and the printer was placed on a shelf above the monitor and CPU. TITLE: Accessible Computer Desk. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 16. PAGES: 2 (including cover).

  94. COMPUTER DESK MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spinal cord injury to use a computer desk. With the purchase of a new wheelchair, the individual found that his existing desk was too high for comfortable use. Since the desk legs were mounted on square wooden blocks,the optimal height was determined and 50 millimeters was cut off the bottom of each block. TITLE: Helpful Adaptations. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 18. PAGES: 2 (including cover).

  95. COMPUTER WORK STATION FOR QUADRIPLEGIC

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to operate a computer. This desk was deigned to accommodate an individual with C5 quadriplegia whose wheelchair seating necessitated his sitting with his legs outstretched. A desktop was suspended from a ceiling beam to eliminate legs that would interfere with the wheelchair. A track ball mouse was mounted on a flexible stand fitted to a clamp on the desk, which held it both vertically and rigid so it could be operated with a mouthstick. A small keyboard is also mounted vertically next to the track ball for mouthstick access. A microphone mounted nearby enables voice operation of the computer. TITLE: Mouth Operated Technology. JOURNAL: TAD Journal. REF: Vol 21 no 1, Autumn 2001: p 11. PAGES (including cover): 2 2001.

  96. COT MODIFICATIONS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted cot modifications for a mother with cerebral palsy. This individual has balance disabilities related to her cerebral palsy and required a cot that she could lift the baby in and out from while in a kneeling position. The individual had an older-style steel cot with sides that slide down for access, but when the side was in the lowest position it was still above mattress height, and she could not reach over it to pick up the baby. It wasn’t possible to convert one side into gates, as has been done with other more modern cots, due to the design of the cot. Therefore an entire new side was made for the cot which is 200 millimeters shallower than the original, which means the side is now flush with the mattress in the lower position. The new side was made to be identical to the originals. The top and bottom rails are made from 20millimeter steel tube, and the vertical bars from 6 millimeter steel tube which was bent to fit and then tack-welded into place. The final touch was to spray-paint the entire unit with white enamel so it matches the rest of the cot. TITLE: Keeping balance. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 8-10. PAGES: 4 with cover.

  97. CRUTCH CARRIER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized crutch carrier for a scooter used by person with post-polio syndrome. This device is created by cutting two 30 centimeter lengths of PVC tubing that are large enough in diameter to accommodate the lower part of the crutches while holding them firmly in position. Two tube clips are used to hold each piece of tubing in place, and are screwed through into the frame of the scooter seat back. TITLE: Carrying Crutches. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 9. Pages: 2. (including cover).

  98. CUSTOM ADAPTED COT Picture of CUSTOM ADAPTED COT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted cot/crib for a mother with muscular dystrophy who has difficulty bending and lifting. An adaptation was needed to a cot that is low enough for the mother to access from her wheelchair but tall enough for her chair to slide under and to access easily while standing. First the cot was raised onto timber pillars to lift it higher. A sliding door was cut in half to create two doors which open out at 180 degree angles. The double doors allow the mother easy access to the cot’s interior and reduce the need to stoop so much when standing. Additionally, when she is in her chair, the wide angles mean that she has plenty of space to turn her chair around and not be obstructed by the open doors. For added safety and security, a lock was created on top of the doors making the cot childproof as the child got a little older. The hinges are pinch proof so that the child cannot catch his fingers, and the cot modifications compiled with the Australia and New Zealand Standards. TITLE: Part of the Furniture. JOURNAL: TAD Journal. REF: Volume 31, Number 4, Spring 2011: p. 5. PAGES: 2 with cover.

  99. CUSTOM ADAPTED CRUTCH HOLDER Picture of CUSTOM ADAPTED CRUTCH HOLDER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted crutch holder for an adult with cerebral palsy. This individual works as a disability advocate and often spends most of her eight-hour work day at her desk. She was leaning her crutches against her desk just inside her office door; however, this was causing a safety issue since the crutches partially blocked the entrance and at times they would fall down and would be difficult for this individual to pick up. Based on a wooden crutch holder this individual had at school, a crutch holder using 10 millimeter rigid plastic was created. The first design used a simple L-shaped arm, but a short return to the long side was added to reduce the chance of the crutches slipping out. This was glued to the adjustable clamp and mounted within easy reach on the far corner of the desk so the crutches would not block the doorway. TITLE: Office modifications. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: p. 16. PAGES: 2 with cover.

  100. CUSTOM ADAPTED FOOTSTOOL Picture of CUSTOM ADAPTED FOOTSTOOL

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted footstool for an adult with cerebral palsy. This individual worked as a disability advocate and often spends most of her eight-hour work day at her desk. She had difficulty with her feet resting on the floor while sitting and would experience swelling and muscle spasms, particularly when she was tired. Commercially available footstools were ill suited. The custom adapted stool was created using lightweight plywood to construct a box-shaped footstool with an angled top with a 10 degree tilt. The footstool is 700 millimeters across and wider than standard footstools to accommodate the involuntary movements of the user’s legs. Six strips of anti-slip fabric were put on the base of the footstool to stop it from slipping on the carpet; another strip was placed along the top the footstool to prevent the user’s feet from sliding off. Small handles were placed on each side for easy moving. TITLE: Office modifications. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: p. 16. PAGES: 2 with cover.

  101. CUSTOM ADAPTED PRAM Picture of CUSTOM ADAPTED PRAM

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted pram (stroller) for a mother with arm amputation below the right elbow and back problems. The mother found it difficult and painful to push her baby’s pram as she had to stoop over to reach the handles due to her arm amputation. The mother’s physiotherapist became increasingly concerned by the arching and twisting that the mother's back experienced while pushing the pram. To stop the twisting, a design a handle extension for the stroller was created so that mother’s body would face the pram squarely as she pushed and would stop her from twisting. Measurements were taken between the pram handle and the mother’s arm when she was standing a comfortable distance away with her body straight. The metal handle was cut to size, and the top of the handle was bent toward the center of the stroller so that the mother was both able to push the stroller forward and hook her arm around the curve to pull the it back. Padding was wrapped around the top of the handle for extra comfort. The handle extension was clamped to the stroller's handle with screws and bolted to ensure the safety of the child when the stroller is being pushed outside. TITLE: Taking a Walk. JOURNAL: TAD Journal. REF: Volume 31, Number 4, Spring 2011: p. 6-7. PAGES: 3 with cover.

  102. CUSTOM BATH SEAT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bath seat for an individual with multiple sclerosis. After falling in the shower, this individual determined she needed some way of stabilizing herself when using her over-bath shower. Various devices suggested by her physical therapist provided to be unsuitable for the older-style bath that has a narrow lip on the wall side. A customized bath seat, which the individual could transfer on and off independently and was removable so other family members could use the shower normally was designed. The custom bath seat has a frame made of square steel tube, with four legs that all sit inside the bath. The legs have rubber stoppers, which reduces the risk of slipping and also protects the bath. The seat rests across the bath, with a 50 millimeter beveled-edge cut out on the open side to facilitate transfers, and a low handle made from round steel tube on the wall side. The seat itself is made from translucent white acrylic, which provides a slippery surface for the individual to slide across is hard-wearing and will maintain a good appearance. The bolts that attach the seat to the frame are inset so that the seat surface remains completely smooth. TITLE: Bath seat. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 8. PAGES: 2 with cover.

  103. CUSTOM CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To accommodate a child's disabilities to improve upper body range of motion and overall independence. The chair was built to the style of a supplied model. Features include a slightly reclined back, side panels, a drop-away pommel at the front of the seat plate, provision for fitting a pelvic positioning belt, and a footplate with footcups. TITLE: Successful Projects in Brief: Chair for Boy in Special School. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.19 PAGES (including cover): 2 2003.

  104. CUSTOM DINING CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with short stature to sit comfortably while dining. A custom-designed wooden chair was built. The seat height is the standard 45 centimeters from the floor; however, the seat depth is shallower than is standard to enable her to sit comfortably and be supported by the chair back. The chair has a lacquered finish and an upholstered seat. A small matching wooden stool was also built, which the individual can use to step up to get on to the chair and then use as a footrest while eating. The stool is designed to fit between the chair legs. TITLE: Sitting Comfortably. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 17-18. PAGES: 3 (including cover).

  105. CUSTOM FOOTPLATES

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted footplates for an electric wheelchair used by an individual with reduced mobility and strength. When this individual sits in her chair with the footplates at a comfortable height for her, they rubbed on the wheels, particularly when she was turning. Additionally, this individual did not have enough strength in her feet to push the footplates up out of the way when she wanted to get out of the chair. Sometimes a care giver could assist her but there were other times where that was not always possible to find someone to assist her in using the bathroom. To solve the issue of the footplates rubbing the wheels a 30 by 30 wedge was cut out of each of the footplates so they would not hit the wheels. To address the second issue, a right-angled steel bracket was attached so that it protrudes 30 millimeters near the bottom of a commercially available gripper stick. The individual can hook this bracket under the footplates to pull them up. To keep the stick within easy reach for the user, tool clips were attached to the wheelchair, but after two or three weeks of constant use, the clips broke. Another approach wrapping Velcro strips around the left side back edge of the seat and putting corresponding strips around the gripper stick to attach it solved this issue. The individual can easily reach behind her and pull off the stick when she needs it. TITLE: Footplate problems. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 10. PAGES: 2 with cover.

  106. CUSTOM SWING Picture of CUSTOM SWING

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted swing for a child with muscular dystrophy (MD). The child wanted to play on the swing set in his backyard, but he had difficulty maintaining his posture and staying upright and balanced. After an initial evaluation, two TAD volunteers created a design for a swing that would suit the child and fit the families’ swing set. The design incorporated a tilt in swing seat that allowed gravity to support the child’s upper body when he was swinging. The seat also had a belt that goes around the child’s waist to stop him sliding off. The swing frame was made from welded stainless steel tubing with a sewn seat cover and straps. The adapted swing allowed the child to spend time with his family in the backyard and enjoy swinging. TITLE: Jaxon Goes For a Swing. JOURNAL: TAD Journal. REF: Volume 33, Number 1, 2013: p. 19. PAGES: 2 with cover.

  107. CUSTOM-BUILT CHILD'S BED

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a safe bed for a child with cerebral palsy, developmental disabilities, and vision and hearing impairments at a comfortable height for care givers. The standard-sized twin bed has a raised base and heavy-duty pine posts that support fixed rails on three sides. The rails on the fourth side slide up and down, with the weight taken on counterbalanced springs similar to those on a window sash. The rail is held in the raised position with bolts and a covered catch at the bottom of sliding section that the child cannot undo. When the rail is down, the child can get in or out of bed or be tended to by care givers. The base is made of heavy-duty construction plywood with holes drilled for ventilation to the mattress. The mattress is removable to enable it to be turned as needed. The base also features built-in storage. DEIMENSIONS: The mattress top is 880 millimeters above the floor and the support rails extend 800 millimeters above the mattress. The pine posts for the rails are 100 x 100 millimeters. TITLE: Playing and Growing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 8-9. Number of pages: 3 (including cover).

  108. CUSTOM-DESIGNED SHOWER CHAIR Picture of CUSTOM-DESIGNED SHOWER CHAIR

    ---- CUSTOM ADAPTATION ---- PURPOSE: To enable caregiver -assisted showering of an adult with severe multiple disabilities. This individual is unable to sit independently and cannot use a conventional shower chair due to scoliosis and hip positioning issues. The chair was built with the narrowest possible width to accommodate maneuvering in narrow areas of the home. This chair has a 22 millimeter zinc-dipped, powder-coated steel tube frame with triangular struts for added durability and stability. Caster wheels provide mobility. The seat was made from a full ring padded toilet seat and is angled 25 degrees from horizontal. The back is angled at 35 degrees from horizontal and consists of three padded crosspieces with small gaps in between for drainage. DIMENSIONS: The front edge of the seat is 660 millimeters above the floor. TITLE: Shower Chair. JOURNAL: TAD Journal. REF: Vol 22, no 2, Winter 2002: p 14. PAGES (including cover) 2 2002.

  109. CUSTOMIZED CUP Picture of CUSTOMIZED CUP

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized cup for a young adult with developmental delay, cerebral palsy, and vision impairment. After experimentation, a physical therapist determined the length of a cup from which the user could drink safely. A Doidy cup, which is used to teach babies how to drink from a rim rather than a spout, was adapted to allow the user to easily hold the cup. New handles were created that are 3 centimeters away from the cup rather than the current 1 centimeter, and 2 centimeters in diameter. Based on a cardboard template, a successful holder was created from scrap pieces of white PVC that were heated and molded to shape. The handles are solid acrylic tube that were cut to shape and polished smooth. However, the PVC broke at the 90 degree bends, and the final design uses stainless steel plate but still uses the acrylic handles. TITLE: Customized cup. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 5-6. PAGES: 3 with cover.

  110. CUSTOMIZED DOUBLE SIZED BED

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized bed for children with multiple disabilities. The customized bed was created for twin boys who have multiple disabilities including cerebral palsy, epilepsy, developmental delays, and vision and hearing disabilities. Caregivers wanted the two boys to be able to have shared sleeping arrangements due to the therapeutic benefits seen as a result of the boys' emotional bond. Additionally, the customized bed was to be placed in a family room rather than in a bedroom so the boys could have interaction with the rest of the family and visitors. The bed was requested to be at a height that would offer the least amount of back strain to caregivers. The bed is made from Pacific maple and has solid panels at each end, with flat, square edges to accommodate the mounting of mobiles. It has lightweight drop sides with railings made from dowel, as the boys are not independently mobile. These railings provide containment for their positioning devices. In order for the sides to be quickly and easily lowered in case of emergency, a track system was made without latches but will not come undone if pushed sideways. The track has an inward curve so that the caregiver can push the side slightly inwards when it reaches the top of its travel to lock it in place. To release the side, the caregiver lifts up slightly and pulls it forward. There are dowel posts mounted off the corner posts at the bed head to a height of 1500 millimeters off the ground. These dowel post are equipped with support hooks to hang the boys’ feeding systems. A lipped shelf behind the head of the bed holds suction and other required equipment. The bed has 75-millimeter braked castors with rubber tires on all four legs, thus allowing caregivers to easily move the bed out from the wall for access to the other side. TITLE: Sleeping Together. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 8-9. PAGES: 3. (including cover).

  111. CUSTOMIZED FOUR-WHEEL BIKE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide mobility for a child with Ullrich congenital muscular dystrophy. Although the child has a wheelchair, it proved difficult to maneuver in the house and did not provide any lower extremity exercise. It was discovered that a four-wheeled bike without pedals worked well for him, allowing him to propel the bike with his feet. However, commercially-available models were not strong enough for daily mobility use, so a custom model was built. The forks and handlebars were recycled from an existing unused bike. The remainder of the frame was made from 19-millimeter steel tubing. The frame includes a high-riser bar at the back with a height-adjustable thoracic support with lightly padded support fins. The height-adjustable seat is a standard wide seat for and exercise bike. TITLE: Mobility Bike. The handlebars, which are also height adjustable, were cut to size and rotate a full 360 degrees. The front forks were mounted at a slight angle, enabling them to self-center from turns up to 90 degrees. The bike is equipped with four standard lawnmower wheels. However, as the bearings were stiff, they were replaced with new ones made of Delrin, a lightweight, low-friction, water-resistant engineering plastic. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 6-7. PAGES: 3 (including cover).

  112. CUSTOMIZED HEADPOINTER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with cerebral palsy to use a headwand to operate a computer without interfering with her hearing aid. Her existing commercially-available headpointer was made of rigid plastic and could not be modified. A metal headpointer was attached to a soft leather flyer's helmet which protected the hearing aid. Perforated inserts were added to the helmet over the ears, enabling the user to use the headpointer and the hearing aid simultaneously. TITLE: Customised Headpointer. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p. 10. PAGES (including cover): 2 2003.

  113. CUSTOMIZED PLATFORMS FOR SCHOOL ENVIRONMENT FOR INDIVIDUALS WITH DWARFISM

    --- CUSTOM ADAPTATION --- PURPOSE: To provide customized platforms for various classroom environments for individuals with short stature. Platforms were needed for at least three different classroom environments and needed to be light and easy to move around the classroom. The platforms were mass-produced by cutting tubing to make two of each design, with the hand rails and legs in one U-shaped piece in most cases. The platform bases were made from plywood, painted white, and anti-slip strips were added. The platforms for home economics and the library steps have wheels at the front which are mounted forward of the legs. The wheels are clear of the ground when the platform is in use, but touch the ground when the platform is lifted at the other end so it can be moved like a wheelbarrow. TITLE: Starting High School. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 14-15. PAGES: 3. (including cover).

  114. CUSTOMIZED SHOWER SEAT Picture of CUSTOMIZED SHOWER SEAT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized shower chair for an individual with campomelic dwarfism and intellectual disabilities. This individual required a caregiver to bathe her but without getting water in her ears. Previous methods and adaptations were not useful as they required the assistance of another individual and/or they were hard on the care giver’s back. This customized adaptation is modified version the “Matilda” bath seat design which rests on a bath stand. This design has a flat seat and a hinged seat back, which are both covered with outdoor furniture fabric. The seat back on a standard “Matilda” is adjustable between 60 to 40 degrees from vertical, but it was made to adjust between 80 to 20 degrees using a customized deckchair-style prop. This allows the individual to lean back for hair washing. The seat back has a separate upper section that supports the individual’s head when the seat is more upright, but that section can be removed when the user is tilted back to make the hair washing easier. There are also armrests to assist with the individual staying in position and give her something to hold onto when she is returning to a sitting position; there is also a pelvic belt and crotch strap for added safety and security. The unit was sprayed bright pink, the individual’s favorite color. TITLE: Customized shower seat. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: pp. 8-9. PAGES: 3 with cover.

  115. CUSTOMIZED TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized table with a top level for a laptop computer and a lower slide-out lockable tray for a keyboard for persons with visual impairments, diabetes, and mobility disabilities who use a manual wheelchair. The table top and tray are made from plywood with pine surrounds, and the legs are solid maple. The legs have lockable casters so the table can be easily moved and stored when not in use. The tray slides back and forth in slots on either side, and is held in place with knurled knobs. Additionally, there is a lip at the front edge of the tray and behind the keyboard to keep the keyboard in place. TITLE: Using a Laptop. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 4-5. PAGES: 3 (including cover).

  116. CUT-OUT TABLE AND FOOT SUPPORT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with multiple disabilities with a work and play surface. Using an existing round table as a base, a removable square tabletop with a cut out in the center of each side was designed to be clamped on. Made of 18-millimeter (mm) thick MDF, the corners of the top were rounded and wooden cleats were fitted under each of the four sides. The cleats are turned and locked with T-bolts to secure the square top to the table. A platform of 9-millimeter plywood was built to provide foot support. Each corner has a cut out to accommodate the table legs. To create a non-slip surface, a layer of beach sand was sprinkled between each layer of varnish. DIMENSIONS: The table top is 120 mm square and the corners are rounded to a radius of 150 mm. The cut outs are 270 mm wide x 150 mm deep. The foot support is 700 mm square x 100 mm high. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 16-17. Number of pages: 3 (including cover). 2006.

  117. CUTTING BOARD FOR GRAPHIC ARTS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with scleroderma to cut mats, foam board, fabric, and other materials used in graphic arts. The board consists of a plastic cutting mat mounted on a wooden board with a spring-loaded metal strip across the top and down the left side. The user slides the material to be cut under the strips and tightens them using an attached tri-nut. This holds the material in place and enables the user to cut it without danger of cutting her fingers. TITLE: Cutting Board. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 9. PAGES: 2 (including cover).

  118. CYCLE RACK

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who uses a hand-propelled cycle wheelchair to transport it to cycling trails. A solution was developed that enables the individual to load the cycle, one end at a time, from his wheelchair onto a rack attached to a hitch on the back of his car. A short tubular bracket was attached transversely to the frame of the cycle at the center of gravity. A carrier pin was mounted to project horizontally from the hitch bracket; the pin engages with the tubular bracket on the cycle. To load the cycle, the user lifts the front wheel and slipd the tubular bracket on the cycle over the carrier pin as far as it will travel. He then goes to the opposite end of the cycle and lifts it to a level position, at which point he can slide the tube fully home on the supporting pin. This engages a horizontal rod on the cycle in a locating bracket on the hitch mount to prevent the cycle from rotating on the pin. A locking clamp secures the cycle in place. TITLE: Cycle Rack. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 13. PAGES: 2 (including cover).

  119. DESK AND TELEVISION CABINET

    ----CUSTOM ADAPTATION ---- PURPOSE: To prevent children and adults with cognitive disabilities and poor impulse control from throwing the desk and television. Made of laminate for durability and ease of maintenance, this wall-mounted corner desk features a return on one side and a television cabinet bolted to the corner section. Wide support legs extend to the floor at either end and in the center. Loxson bolts anchor the desk to the wall and the cabinet to the desk. The cabinet is divided into two sections by a shelf; the top section is equipped with a clear unbreakable polycarbonate door with a Tot-Lok closure that can only be opened with a magnet. This protects the television from damage while leaving it clearly visible. This section can also be used for a computer monitor. The bottom section of the cabinet is open storage for a VCR, enabling the individual to play videotapes independently. DIMENSIONS: The desk extends 750 millimeters along one wall and has a 900 millimeter return. The unit is 600 millimeters wide x 720 millimeters high. TITLE: Desk and TV Cabinet. JOURNAL: TAD Journal. REF: Vol 22, no 3, Spring 2002: p 16-17. PAGES (including cover) 3 2002.

  120. DEVICE FOR REMOVING STAPLES Picture of DEVICE FOR REMOVING STAPLES

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of one hand to remove staples. A steel tube with a curved piece of steel at one end sits between the user's thumb and index finger, with projecting rods further down. When the user curls his/her fingers around the rods and pulls them up, two steel jaws at the bottom of the tube are activated to slide under the staple and pull it out of the paper as the edges of the tube descend to hold the paper in place. TITLE: Office Assistance. JOURNAL: TAD Journal. REF: Vol 22 no 1, Autumn 2002: p 12-13. PAGES (including cover): 3 2002.

  121. DEVICE TO ACCESS SWIMMING POOL

    --- CUSTOM ADAPTATION --- PURPOSE: To provide swimming pool access for a person with intellectual and physical disabilities. A 24-volt solar-charged pool hoist from Australian manufacturer Wymo was chosen for this adaptation. However, when lowered into the pool using the hoist, the user needed to be supported while she was removed from the sling. She also needed support during the reverse process of putting the sling back on when she was being taken out. A “landing bay” was made in the pool for the individual to sit in while the sling is being removed or attached. It consists of a plastic chair mounted on a frame made of tubular stainless steel, which is bolted to the ground beside the pool wall and goes over the side into the pool. TITLE: Floating like a queen. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 10-11. PAGES: 3. (including cover).

  122. DEVICE TO ASSIST IN REACHING STOVE KNOB

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with mobility and upper extremity disabilities to safey access the knobs located on a panel above and behind the burners of a stove. A device was created using a piece of standard PVC pipe with a stopper at one end and a thread at the other end which fits precisely over the splines on the stove knobs. To make the thread, a piece of brass was machined on a lathe to match the knob profile. Twenty-four splines to match the knob were then machined into the brass device. The brass piece was then heated and pushed into the PVC tube, which melted the thread into the tube. The device enables the user to reach across the stove, lock the thread firmly on the desired knob, and turn it. TITLE: Reaching Stove Knobs. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p. 20. PAGES (including cover): 2 2003.

  123. DEVICE TO ATTACH PRAM (CHILD'S STROLLER) TO WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To design and build a removable device which would lock a pram (child's stroller) into position at the front of a wheelchair for a person with paraplegia. Several ideas were considered but the final solution involved lifting the back wheels of the pram off the ground and putting the weight on the front pram castors and the front wheelchair castors. Lightweight 16-millimeter square steel tubing was used to build a frame which clamps in place on both wheelchair and pram and can be removed easily. As the individual leans forward to hook the fame in place, she needs to hold her chair with one hand, so the frame had to be light enough and easily installed with one hand. Consequently, a T-shaped handle was included so the user could position the device without difficulty. As the pram was being used by both the individual and a person without disabilities, the arms which hooked onto the wheelchair had to be retractable so they would not protrude from the pram when it was detached from the wheelchair. A hinge was designed which enabled the arms to be pushed up out of the way. All hooks were padded to prevent scratching the wheelchair or pram. TITLE: Pushing a pram. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 6-7. PAGES: 3. (including cover).

  124. DEVICE TO ENABLE AN INDIVIDUAL TO FEED HIMSELF

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with neurological disabilities to eat independently. This chair has an armrest for the user's right arm made from U-shaped PVC half-pipe.The armrest is attached to an outer sleeve that moves up and down a central steel post attached to the chair platform. A cast-iron window weight acts as a counter weight to render the user's arm weightless. A foot pedal connected to a system of pulleys and levers underneath the chair platform raises the user's arm from the table to his mouth. The armrest turns through a 20-degree arc as it approaches the user's mouth, eliminating the need for bending forward. To achieve the arc, a spiral groove was cut into the outer sleeve, and a steel stud with a post was fixed to the central post. When the outer tube reaches the correct height, the stud slots into the spiral and the outer tube turns over the armrest toward the user's mouth. The user can hold a spoon using a wooden handle in which the spoon is inserted, enabling the user to more easily grasp and turn it. DIMENSIONS: The U-shaped PVC half-pipe is 90 millimeters (mm) in diameter. The arm travel is 250 mm. The steel stud is 6 mm and the steel post with the stud is 12 mm. TITLE: Well Fed. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 11. PAGES (including cover): 2 2001.

  125. DEVICE TO FLUSH TOILET

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized toilet flushing device for use by person with osteoarthritis. The adapted mechanism is designed to operate the two flush buttons easily. A mainly stainless steel frame, with three supports holds the frame in place just above the two flush buttons. The three supports are a commercial suction cup which fastens to the tiled wall behind the toilet, and two vertical legs made of small-diameter pipe, that sit on the porcelain of the cistern. Two horizontal levers are mounted onto the frame, and below each lever is a small vertical extension located above each flush button. Each lever is fitted with a rubber grip, similar to bicycle handlebars. The device can be used to easily push the right lever down to operate the full flush button, and the left lever for the half-flush button. TITLE: Bathroom Assistance. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, pp. 8-9. Pages: 3. (including cover).

  126. DEVICE TO FLUSH TOILET

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a teenage girl with short stature to independently flush a toilet with a push-button flush mechanism. A long lever was fashioned that enables the user to operate both the full- and half-flush buttons. The device consists of a horizontal stainless steel rod housed in a stainless steel casing. At one end, the rod is fitted with a long, flat handle which the user is able to push. The other end of the rod is bent into a vertical position and the point, which is covered with a rubber cap, depresses the flush button when the user operates the lever. The device was mounted by screwing it into a wooden block attached to the wall that keeps the unit in position. TITLE: Bathroom Access. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 8-9. PAGES: 3 (including cover).

  127. DEVICE TO MEASURE PINCER GRIP

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a therapist to measure the pincer grip of individuals with quadriplegia in order to devise a way to increase muscle tension. The device consists of a very sensitive force transducer, which can measure the skightest of grips, connected to a digital display. The device was made using a small commercial load cell attached to a six millimeter aluminum strip. When the cell was squeezed against the strip, it provided a reading of force in grams on a connected digital display, The unit was attached to a wooden base with a hinged lid to cover it. TITLE: Research Assistance. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 6. PAGES: 2 (including cover).

  128. DEVICE TO OPERATE SPRAY CANS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with arthritis to operate spray cans. This device slips over the top of the can and is secured with an aluminum band and tightened with a wing nut. A handle is attached to one side of the band, and a separate trigger mechanism is atrtached at 90 degrees to the handle. The trigger mechanism requires minimal pressure to release the spray. To TITLE: Kill Them Flies. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 17. PAGES (including cover): 2 2001.

  129. DEVICE TO TILT WHEELCHAIR BACKWARDS Picture of DEVICE TO TILT WHEELCHAIR BACKWARDS

    --- CUSTOM ADAPTATION --- PURPOSE: To tilt the wheelchair backwards during hair washing and perming. Once the sink water discharge point was lowered by a plumber, a platform was constructed to tilt the wheelchair backwards. The hinged platform was made of steel angle and 12 millimeter plywood and is raised and lowered using a standard scissor car jack. A belt of the type used to secure wheelchairs for vehicle transport is bolted to the higher end of the platform. A removable ramp at the lower end provides wheelchair access. TITLE: Good Hair Day. JOURNAL: TAD Journal. REF: Vol 22 no 1, Autumn 2002: p 14-15. PAGES (including cover): 3 2002.

  130. DIALYSIS MACHINE ALARM

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with renal failure and a hearing disability to recognize and respond to an alarm when overnight dialysis treatment is disrupted. An individual with renal failure who is hard of hearing needed to be able to recognize and respond to an alarm if treatment was disrupted due to accidental disconnection of tubing or blocking of tubing. The audible alarm on the machine was of a frequency that the user could not hear. Four metal blocks were used to raise the machine above the surface on which it was sitting, providing access to the alarm speaker. A metal box containing a microphone and a two-stage amplifier was placed beneath the machine near the speaker and fixed in place with Velcro strips. The microphone picks up the sound of the alarm. The amplifier works a relay that locks closed to power a motor in a plastic box the size of a computermouse attached to the main box by a wire. An extra piece of metal screwed to the shaft of the motor causes it to run out of balance, which in turn causes the plastic box to vibrate.The user tapes the box to his or her body and the vibration awakens the user when the alarm sounds.TITLE: Dialysis Machine Alarm. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p.12. PAGES (including cover): 2 2003.

  131. DIGITAL CAMERA MOUNT AND CONTROL DEVICE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide an individual with cerebral palsy a customized, digital camera mount, and control device. The patron was unable to avoid moving the camera when she operated the shutter, so her shots were blurred. The first solution was to isolate the triggering mechanism from the camera; but today’s digital cameras lack the remote triggering capacity that film cameras have. A “camera remote shutter release” was the solution. A release mechanism consisting of solenoid which activates the trigger level that presses down the shutter button is now operated from a remote control box with three switches that are easy for the patron to use. One switch half depresses the trigger to set the focus, the second Wheelchair photography releases the focus setting, and the third operates the shutter. The remote mechanism is powered by rechargeable batteries. Additionally, a stand for the camera was made so that the patron doesn’t have to hold it. The camera was mounted on an aluminum head bracket using the camera’s tripod attachment. The head bracket is bolted to the mounting frame, which in turn is attached to the wheelchair using a customized bracket. The frame is designed so that it can be transferred to another wheelchair. Should the patron get a new wheelchair, all that would be needed is a new bracket to attach the frame to the new chair. The frame can also be easily removed from the chair when it is not being used. Moreover, the head bracket can be swiveled or tilted using a handle on one side, so that the patron can take pictures at different angles. Finally, the patron wanted to be able to take pictures of her self, so the bracket was designed to swivel a full 180 degrees. The solenoid is enclosed in a small jiffy box and is mounted on the outside of the head bracket. The jiffy box also houses the connector for the remote control box. A mirror was rigged so that the patron can see what she is photographing when the digital camera screen is not directly in front of her. TITLE: Wheelchair photography. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 4-5. PAGES: 3. (including cover).

  132. DINING CHAIR SECURING SYSTEM

    ----CUSTOM ADAPTATION ---- PURPOSE: To prevent chairs around a dining table from being moved by a child with developmental disabilities. The system involves three straps, two at each end of the rectangular table and one in the center. The end straps are bolted to the table legs at either side and run across the table and through the side arms of each chair. The middle strap runs across the surface of the table and around the other side of the chairs. Unbuckling one side strap and the center strap frees the chairs on one side of the table while continuing to secure the chairs on the other side. The straps are made of 25 millimeter polyester webbing with plastic buckle clips. TITLE: Securing Kitchen Drawers. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 10-11. PAGES: 2.

  133. DINING CHAIR WITH TORSO SUPPORT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide support while eating for an individual with Parkinson's disease who leans to the right when fatigued. The dining chair was created from a standard office chair with a high back and a central metal back post. Because the chair was intended only for use over short periods, a single thoracic fin was added to adapt the chair, rather than the usual pair of fins. A plywood mounting plate was fixed to the right armrest and the back of the seat with metal brackets. The fin was fitted with two 5/16-inch threaded studs projecting sideways which fit through the mounting plate and were secured by wing nuts. To allow height adjustment of the fin, its mounting plate was attached to the plywood mounting plate by screws through a set of holes in a vertical line to permit incremental sdjustments. To limit the swivel of the chair to 90 degrees, the hub around the center column was used to mount a wooden base fitted with two 90-degree stops. A timber striker was bolted in place on the under side of the seat and extended sufficiently to reach the stops on the base plate. To lock the seat at each 90-degree stop, a spring-loaded aluminum latch was installed at each location. A lever installed at the side of the base was connected to the latches by fine stainless steel wire. When the lever was moved to a stop, both latches released so the seat could be moved to the required position; when the lever was released, the seat locked in position. The five-legged wheeled base of the chair also needed to be fixed to the floor to prevent movement when the seat was turned. The chair was placed on a mat and the base was fitted with four press-down door stops that could be foot operated to keep the chair in position. TITLE: Chair Support. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 18-19. PAGES: 3 (including cover).

  134. DRESSING STOOL

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who has had both a stroke and a hip replacement to put on a shoe and an ankle foot orthosis (AFO) independently. A footstool was built of nine-millimeter plywood with an upright piece attached to a base piece at a 90-degree angle and both pieces attached to legs at approximately a 30-degree angle. The back piece was equipped with a stop that outlines the shape of the user’s shoe. A strap holds the shoe in position. The user places the shoe, with the AFO inserted, against the back of the stool under the strap. The user lifts his leg into position and slides his foot into the shoe and orthosis. TITLE: Dressing Stool. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 19. Number of pages: 3 (including cover).

  135. DRINK HOLDER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with severe phyical disabilities to carry beverages. A chrome-plated curtain rod was used to make a vertical tube system that fits into brackets installed on a wheelchair. A horizontal crossbar supports a plastic container which, in turn, holds a cup or glass that the user can access with a straw. TITLE: Easels, Calling Systems and More. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 16-17. PAGES: 3 (including cover).

  136. EASEL Picture of EASEL

    --- CUSTOM ADAPTATION --- PURPOSE: To create an easel to enable an individual with quadriplegia to engage in creative painting. Made of plywood, the easel consists of a base that sits on a table and a board that is hinged to the front of the base, and a wheel on to which the painting is mounted. The wheel allows the painting to be rotated on the board. The two-piece base consists of a fixed piece at the bottom and a sliding piece above, with Teflon disks in between to ensure the top piece moves easily. With the lower base at the edge of the table, the upper piece can be moved toward the user, bringing the painting surface closer. The base sections are secured by aluminum angles on each side that can be adjusted by a wing nut. Two steel bars attached to the rear of the lower piece add weight for stability when the upper piece is extended. The hinged board is held upright by a strut attached to it. The strut rests on a serrated bar attached to the top base section, enabling the board to be adjusted in angle from 45 degrees to vertical. The wheel on the board rotates, enabling the user to bring the section of the painting in progress as low as possible without remounting. Once properly positioned, the wheel is held in place by a peg. The vertical position of the wheel can also be adjusted.by repositioning the pivot, which is held in place by a wing nut. Repositioning the wheel enables the user to have the easel at the right height relative to her wheelchair regardless of table height. The painting is held in place by grooved mounting blocks made of layers of plywood glued in opposite directions. A pattern of captive nuts on the wheel enable any size painting to be mounted. TITLE: Painting and Sewing Aids. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p.8-10. PAGES: 4 (including cover).

  137. EASEL FOR WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with severe phyical disabilities to paint. The easel has a crossbar that restson the arms of a wheelchair with an arm in the center that points away from the user; a clamp at the end of the arm holds the vertical mount for the easel, which extends between the user's legs. The vertical mount supports a vertical rail equipped with two horizontal carriers that hold the painting in place. Another arm, mounted on the left, is equipped with a persepex tray that holds a pallette and brushes. TITLE: Easels, Calling Systems and More. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 16-17. PAGES: 3 (including cover).

  138. EASIER PAINTING Picture of EASIER PAINTING

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted easel and head mount for artists with cerebral palsy who have limited hand/grasping function. A new head mount was created after evaluating the consumer using the inner mechanism from a welder’s helmet, which has a tensioner in the back to ensure an exact fit. A small brass plate was riveted to the front, taking care to preserve the frame’s cloth surround so that the individual’s forehead was protected. Onto the plate, a shaft made of aluminum tube was mounted and two aluminum clamps with brass tightening screws hold the paint brush in position on the shaft, keeping it completely firm and preventing it from twisting. The individual’s paint brushes were adapted to fit easily into the clamps. A brush stand was created to easily store these brushes. The easel was created from plywood and pine and designed to sit on a table so the individual could easily get his wheelchair in underneath it. The easel has a deckchair-type mechanism at the back which gives four different angles, a lip at the front to rest the painting on, and a clamp in the center which holds the painting in place. The clamp locks in place using a tri-nut, and can be moved up and down in a central channel to cater for different sizes of painting. TITLE: Easier Painting. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: pp. 4-5. PAGES: 3 with cover.

  139. ELBOW SUPPORT FOR WHEELCHAIR

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted elbow support for a wheelchair user with hemiparesis following stroke. Following a stroke this individual experienced muscle weakness in her left arm which also affected her sitting balance. When sitting in her Sunrise Breezy wheelchair, her left arm would slip off the narrow armrest and she would fall sideways. Working with her occupational therapist, a commercial project was tried as a solution but proved to wide for the patron’s grip. Working on a sketch of a padded elbow cup to fit on top of the existing armrest a TADNSW volunteer refined the design so the patron’s elbow could extend further out laterally than it would on the existing armrest. The design is made from two L shapes formed from 1.6 millimeter aluminum alloy sheet, joined by a 20 by 20 millimeter aluminum angle. The new cup is level with the chair’s armrest and acts as an extension of it. The upper L forms the side and base of the new cup, and the second L is bolted to the underside of the existing tubular armrest. The upper L is covered with a 3 millimeter-thick neoprene wetsuit material for comfort. After using the cup, the patron asked for further modifications. The patron requested that the support be further forward—getting the position just right for her to be comfortable. Additionally, she requested softer padding, so an extra strip of neoprene was added to the back corner of the cup. TITLE: Wheelchair arm support. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 5. PAGES: 2 with cover.

  140. ELECTRIC BLANKET CONTROL Picture of ELECTRIC BLANKET CONTROL

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to control the temperature of an electric blanket. This project was designed to enable the user to regulate the temperature of the blanket within a narrow predetermined range. A commercially-available electric blanket was purchased and a commercial thermostat was added to the blanket's existing controls. The thermostat sits in a separate plastic box with a dial control for the temperature. Using the original transformer box, two of the original blanket settings, high and low, were retained. The thermostat was connected to a stainless steel sensor housed in a pocket under the blanket. The sensor reflects the heat of the blanket. PVC tube covers the wire connecting the sensor to the thermostat. TITLE: Electric Blanket Regulator. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 14-15. PAGES (including cover): 3 2002.

  141. ELEVATED CRIB

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with a spinal cord injury to care for her baby. A standard wooden crib with a drop front was purchased and adapted. First the legs were exended using matching wood to provide the necessary wheelchair clearance. The drop front was then removed and cut in half to form two gates. Once the front corner posts were reinforced with steel brackets, the gates were attached with swinging bar hinges. The gates stay open until they self-close after an initial push. The gates secure with slide barrel bolts at the top and bottom. For additional safety, a third bolt was added inside the cot at the base of the mattress. TITLE: Raised Cot, Mark 2. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 12-13. PAGES: 3 (including cover).

  142. ELEVATING CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with muscular dystrophy to rise from a chair independently. The user required a chair that would raise him almost to a standing position and enable him to wiggle off the seat while adjusting the height as needed. A commercially-available swiveling, reclining armchair was purchased and mounted on a castored steel base equipped with a motor, gearbox, and power screw. A square metal tube frame was added to the base to support the chair, retaining a slight backward tilt for comfort and stability by keeping the user's weight over the wheelbase. The lift mechanism operates with the chair mounted on rollers that run up inclined tracks mounted on either side of the chair. The track supports run through the armrests in order to retain as much of the armrests as possible. Range of travel is controlled by limit switches at either end. The lift is operated by a joystick mounted at the front of the right armrest. The chair can also be operated via a remote plugged into the control. Brakes were fitted to the front castors for stability during transfers. Handles were added to the armrests to assist with transfers. POWER: Uses a 12-volt motorcycle battery with a built-in charger. TITLE: Elevating Chair. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 13-14. PAGES: 3 (including cover).

  143. ENLARGED SYMBOLS ON CALCULATOR

    --- DO IT YOURSELF --- PURPOSE: To enable an individual with low vision to read the key legends on a talking calculator. The user, who has macular degeneration, desired to read the legends on calculator keys in addition to having the audible feedback from the calculator. The existing numbers were painted over in black and new larger numbers were painted on in white. The new numbers were then covered in clear varnish to inhibit wearing off. TITLE: Calculator Keys. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p.18. PAGES (including cover): 2 2003.

  144. EXERCISE BIKE MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with multiple sclerosis to use an exercise bike. The individual purchased a commercially-available exercise bike that enabled him to slide from his wheelchair directly on to the unit's seat. With frequent use, the cycle wore out and required adaptation, strengthening, and repair. Adaptations included upgrading the bearings, increasing resistance to provide greater exercise, and adapting the pedals to keep the user's feet from slipping off. The frame was welded as needed and the four simple fixed bearings were removed and replaced with a pivot arrangement using four pillow blocks with ball bearings. To increase the resistance, the air was bled from the under-seat cylinder and a coiled spring, which can be removed if not needed, was fitted between the main frame and the pedals. Metal guards were fitted to the pedals to prevent the rider's feet from slipping forward. A piece of steel was fastened to the bottoms of the pedals to counterbalance the weight of the guards and prevent the pedals from flipping over. TITLE: Riding On. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 8-9. PAGES: 3 (including cover).

  145. EXERCISE GLOVE

    --- CUSTOM ADAPTATION --- PURPOSE: Provide a custom adaptation of an exercise glove for an individual with grasping difficulties due to right hemiplegic stroke. A special glove is created which uses Velcro to attach an open-fingered gym glove to the handlebar of exercise equipment. Velcro is sewed onto the palm of each glove, with a loose section at the end. When the individual uses the exercise machines, she sticks three adhesive Velcro dots to the handle and wraps her hand around them. The loose end section increases the amount of contact between the two pieces of Velcro for a firmer grip. TITLE: Getting a grip. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: p. 8 PAGES: 2. (including cover).

  146. EXERCISE SYSTEM

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted exercise system for an individual who has hemiplegia following stroke. For individuals who have had a stroke and now have reduced strength on one side can strengthen and re-stabilize should protraction through practiced movements using an exercise system. The system assists the individual retraining the brain to create new pathways damaged from the stroke. The traditional method of practicing shoulder protraction was not ideal for this patron. An adaption of an exercise system, which could monitor how many repetitions performed by patients and then provide motivation for the patron was suggested. TADNSW observed the current system and provided a newly designed version. The adaption consists of a box with two “sides,” the patient side at the front and the therapist side at the back. It also has a flat switch that is attached with a Velcro strap to the back of the patient’s chair, and detects whether the patient’s back is still in contact with the chair. The patient side of the box was kept deliberately simple, to minimize confusion for the stroke patients. It contains the flap, a two-digit display showing the number of hits required, a yellow light which shows that the person’s back is in the correct position, and a green light which shows when it is time to make the next movement. On the therapist side there are controls which the therapist uses to set the number of hits required. Also on the therapist side is a control to set the delay time before the patient can make the next movement, which operates the green light on the patient side. The delay can range between 0-10 seconds. The system only records a hit and counts down if both the back light and the green light are on. This is controlled by a microprocessor, which records the hit on the flap and checks to see if the back switch is closed. It’s also possible to use the device without the back panel, if patients find this too hard or too complicated. The therapist just unplugs the back panel from the therapist side of the box and the system operates as if the back switch is permanently on. As a final touch, a set of toy penguins is mounted on top of the box. When the patient’s countdown reaches zero, the penguins jump up the stairs and then slide down the ramp. This provides amusement to both the patients and staff, as well as alerting the staff when the patient has finished. This can be replaced with any other rewards toy with the same jack size, according to the preference of the therapist or the user. Also on the therapist side of the box are facilities for charging the system’s battery. It has rechargeable batteries that take three hours to charge and last for 10-12 hours. An unexpected benefit is that the system can also be used to practice sitting balance, by getting patients to bend at the waist to reach the flap while using their legs to balance. Looking at the numbers and lights during exercise can provide practice in concentration and field of vision. TITLE: Stroke of success. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 6-7. PAGES: 3 with cover.

  147. EXTRA-LONG REACHER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spinal cord injury to reach items at the foot of the bed. The handle was cut off an existing reacher with U-shaped gripping jaws. A piece of aluminum tubing was added to extend the length of the reacher and a wire extension was soldered to the wire that activates the jaws when the trigger is squeezed. TITLE: Bedside Computer Stand. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 10-11. PAGES: 3 (including cover).

  148. EXTRA-STRONG BED

    ----CUSTOM ADAPTATION ---- PURPOSE: To prevent children and adults with cognitive disabilities and poor impulse control from throwing the bed. The bed frame was made of heavy square steel tubing and has six legs. A plywood platform was cut to fit and bolted to the frame. Loktite was put into the threads to make it dificult to unbolt the platform from the frame. The platform edges were smoothed and the platform was sealed with clear varnish. The bed was then bolted to the home's concrete slab floor using Loxins, making it secure and reducing the risk of damage or injury caused by the bed being thrown. DIMENSIONS: The legs raise the bed 15 millimeters from the floor. TITLE: Extra-strong Bed. JOURNAL: TAD Journal. REF: Vol 22, no 3, Spring 2002: p 18. PAGES (including cover) 2 2002.

  149. EYEDROP DISPENSER Picture of EYEDROP DISPENSER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with arthritis and other upper extremity disabilities to administer eye drops. Two pieces of PVC tubing were cut to fit the user's hands and joined with hinges. Between the hinges, a slot was fitted to grip the eye drop container and two knobs touched the sides of the container. When pumped, the knobs squeeze the container and deliver the medication. The device also aids in removing the top of the container. The container is placed in the slot and the unit held against the user's body with one hand. A small aluminum lever slides over the tab on the lid. Turning the lever with the palm of the hand removes the top without touching the spout. TITLE: Eyedrop Dispenser. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 16. PAGES (including cover): 2 2002.

  150. FISHING ROD HOLDER AND ACCESSORIES

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adaptation of a fishing rod holder and fishing accessories for an individual with brain injury and limited arm mobility. Since the individual could only use his right arm, adaptations needed to include tying the hook onto a fishing line—an activity that normally requires two hands. First, a device was located and converted to one-hand use. The device was then mounted onto at an angle onto a piece of plywood, and then flexible polyurethane guides were added at each end for holding the hook in position and tensioning the line. Instead of mounting the device to the fishing rod, the plywood stand sits on a tray that forms part of the rod holder, where it is easy for the user to access. This allows the user to tie the hooks at home before he goes out, and then remove the stand from the tray to provide more space when he is out fishing. Second, a holder was created for the rod considering the users new wheelchair and the type of overhead rods (designed for one-handed fishing) being used that can be prone to tangling. A frame was constructed which would be mounted on the base of the user’s new wheelchair. The frame is an upright post made of square steel tube and two horizontal bars at lap height. Onto these were mounted three short tubes to carry three rods. Above the three holders is the tray, which can be used to cut up bait and add it to the hook. The tray has a lip on all sides to stop things from falling off, and hooks attached which hold knife, scissors, and other tools. The rod holders needed to be stable, easy to operate one-handed, and able to accommodate four slightly different rods. The rod holders were constructed with an outer metal tube and an inner PVC tube, which fits closely to the shape of the rods’ main shafts. A slot was cut in both tubes, so that when the rod is wedged into the PVC, the piece that clamps the reel to the rod fits into the slot to prevent the rod from twisting. TITLE: Fishing Again. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 6-7. PAGES: 3 (including cover).

  151. FISHING ROD HOLDER FOR WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to fish. A purchased rod mount was used to make a lightweight rod holder which clamps to the footplate strut of a wheelchair. The holder is made from 19 millimeter chrome-plated steel curtain rods. A horizontal arm passes from the footplate strut on the right side, a vertical arm to the appropriate height, and then a smaller horizontal arm coming toward the user's body. The connection between the arms are machined from 25 millimeter square rod. The central one can be pivoted so the user can set the rod at the best position. TITLE: Wheelchair Fishing and Photography. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p.14-15. PAGES (including cover): 3 2001.

  152. FLOOR SITTER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with multiple disabilities with floor-level seating and positioning. The legs were cut off commercial plastic children's chairs and the edges smoothed. Four wooden holding blocks were glued to the underside of the chair and the chair was mounted to a hoop pine plywood base by screwing through the base into the holding blocks. An adjustable pelvic belt was fitted to the chair, using stainless steel bolts to attach it to the base. A slot was cut in the chair and a looped crotch strap was threaded through and bolted to the rear of the chair. DIMENSIONS: The base is 550 x 450 millimeters. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 16-17. Number of pages: 3 (including cover). 2006.

  153. FLOW GUIDE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a man with motor neuron disease to urinate in privacy. Designed for use with a commode chair, this device consists of a vertical length of 50-millimeter PVC pipe with a PVC elbow at the top. A flexible, waterproof gooseneck made of Locline (used for applying coolant when machining metals), extends from the back of the PVC elbow. At the bottom of the gooseneck is a stainless steel tube which fits into a corresponding tube attached to the bottom front of the commode chair. The pipe and the gooseneck sit between the user’s legs and the elbow fits over his penis, enabling him to direct the flow of urine into the commode. TITLE: Phone Holder. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 17. Number of pages: 2 (including cover).

  154. FOLDING DRESSING STICK

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with upper extremity disabilities to perform dressing tasks. The dressing stick is made of lightweight aluminum bar with a brass center pivot to allow the device to fold in half. A piece of aluminum at one end was formed to make two hooks, one for pushing and one for pulling. DIMENSIONS: 450 millimeters long when open and 280 millimeters long when folded. TITLE: Best Dressed. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p.13. PAGES (including cover): 2 2001.

  155. FOLDING HANDLE FOR GATOR VEHICLE Picture of FOLDING HANDLE FOR GATOR VEHICLE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted folding handle for a John Deere Gator farm vehicle for an individual with paraplegia. An individual with paraplegia as a result of a spinal cord injury continues to work on his family’s farm and uses a Gator, an off-road vehicle, to get around the farm. The Gator allows this individual to perform tasks around the farm that would otherwise be very difficult, if not impossible, in his wheelchair. However, this individual’s therapist noticed that he was over-stretching and reaching awkwardly when transferring from the wheelchair into the Gator and was concerned for the potential of muscle or joint damage over time. TAD volunteers created a custom adapted handle that attaches to the roof bar of the Gator and could be folded and locked to the roof while driving. Making the handle secure was the top priority since the Gator travels over rough terrain (not dislodge while driving) but staying sturdy in position for when the individual transfers to and from his wheelchair from the Gator. Rather than bolting the handle through the roof strut it was decided that clamping it on and including two grub screws would reduce the risk of rotation and allow for easier adjustment in the future. A compression spring provides the tension to hold the lever handle in the required positions defined by two ball bearings, fitted into holes bored into the side of the handle lever, which rotates against a housing plate. When the balls align with the positioning holes drilled into the plate, the force of the compression spring holds the lever in place. The adaption allows other people to drive the Gator without hitting their heads on the handle while providing a practical solution for the upper body stress of transferring to and from the Gator from a wheelchair. TITLE: A better handle on farm work. JOURNAL: TAD Journal. REF: Volume 31, Number 3, Winter 2011: pp. 4-5. PAGES: 3 with cover.

  156. FOOT SUPPORT FOR WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with a fused knee to have leg support in a wheelchair without creating pressure beyond the ankle. This device replicates a home footstool with the length reduced so only the ankle comes in contact with it. The unit attaches to the existing front rigging of the wheelchair and can be removed when not in use. TITLE: Wheeling Easy. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 16. PAGES (including cover): 2 2001.

  157. FOOT-OPERATED RHYTHM DEVICE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide recreation and lower extremity therapy for seniors and individuals with coordination and mobility disabilities. The device enables the user to tap a rhythm with his/her foot along with music. A base, angled to support a raised foot, was cut from plywood. Another piece of plywood was cut into the shape of a foot and metal shoe protectors, commonly used to protect the toe and heel of shoes, were fastened to the underside of the plywood foot in the toe and heel positions. A pivot was formed by cutting a broom handle in half lengthwise. The tapper is secured to the user’s foot with Velcro. TITLE: Activities for Seniors. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p. 15-16. PAGES: 3 (including cover).

  158. FOREARM CRUTCHES

    --- CUSTOM ADAPTATION --- PURPOSE: To provide heavy-duty forearm crutches for an active individual with a lower leg amputation. The user was not able to find crutches that were strong enough and still provided the appropriate handgrip. The solution was for her hysband to custom-build crutches using the base purchased in Australia, custom-made arm cuffs, and handgrips purchased from Holland. When the pin holding the arm cuffs in place began to wear, the arm cuffs loosened. Over time the user also developed the need for slightly shorter crutches. The crutches were shortened at the top, a new fitting to hold the pin was put in place, and the fittings for the arm cuffs were repaired so the pin sat firmly. TITLE: Crutch Repairs. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 18-19. PAGES: 3 (including cover).

  159. FRAME FOR BATH INSERT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation of a frame for bath insert for a child with cerebral palsy. A Sunburst bath insert was purchased and a frame to mount this over the existing bath was built. A wooden model to test the fit and comfort of the proposed frame was created. Once fine-tuned, it was built by a local supplier with square stainless steel tube, which would not corrode when it gets wet. The frame fits snugly to the top of the existing bath, and has adjustable bolts to lock it to the side of the bath as to be easily installed or removed as needed. The legs of the frame and the ends of the bolts all have rubber caps to prevent damage to the bath. The frame required precise fitting into the top flanges of the Sunburst bath, which is secured to the frame with small bolts and wing nuts so it too would be simple to install and remove. The Sunburst is filled using a flexible shower hose from the bath taps, and an overflow was added so the water level in the insert would not rise too high. TITLE: Bathing Noah. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 13-14. PAGES: 3 (including cover).

  160. FREESTANDING SHOWER SUPPORT RAILING

    --- CUSTOM ADAPTATION --- PURPOSE: To provide shower support for people with mobility and balance disabilities who do not or cannot have rails installed in the bathroom for the toilet or shower. Freestanding rails are adapted for use in the shower to provide support and an overall feeling of safety. Freestanding rails used as a toilet rail system are adapted by using 25 millimeter (mm) stainless steel tubing to add new rails at 1065 mm above the floor. Non-slip foam tubing is glued to the upper rails, and the original stoppers on the bottom of the legs are replaced with non-slip ones. TITLE: Safe Showering. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 4. PAGES: 2 (including cover).

  161. FRIDGE LOCK

    --- CUSTOM ADAPTATION --- PURPOSE: To provide customized childproof refrigerator lock for a child with autism that can be easily opened by an adult, but not allow for the child to accidentally lock himself inside the refrigerator. The final design includes two purpose-made pad bolts mounted in metal boxes on top of the refrigerator and freezer doors. The bolts are spring-loaded to make them extend and engage in a slot in a plate which is mounted between the bolts on the top of the fridge cabinet and protrudes out over the top of the doors. Either bolt can be slid open using a small lever in a slot, against the action of the spring. Safety concerns of accidental lock in are addressed by the refrigerator doors being unable to close fully unless they are locked by operating the slide bolts. It is easy to see if one of the doors is pushed-to but not shut properly. The doors cannot lock shut automatically and the locks can only be operated from the outside of the fridge. TITLE: Locking the Fridge. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 18. PAGES: 2. (including cover).

  162. GAME BOARD

    --- CUSTOM ADAPTATION --- PURPOSE: To provide recreation and therapy for seniors and individuals with coordination and mobility disabilities. The board is designed for a game called Draughts and can be adapted for use playing Noughts and Crosses. A base was cut from three millimeter craft board and another piece the same size was cut for the top. Sixty-four ten millimeter holes were cut in the top piece. The board was finished in a checkerboard pattern, alternating black and varnished natural wood squares. Twenty-four round draughts (playing pieces) were cut from plywood, with 12 painted black and 12 varnished natural wood. The playing pieces fit securely in the holes in the playing surface, preventing them from being knocked off the board by individuals with limited dexterity. TITLE: Activities for Seniors. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 15-16. PAGES: 3 (including cover).

  163. GAMES RAMP

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adapted game ramp to play pool for a young adult with cerebral palsy. Due to the cerebral palsy the young adult was unable to control his arm movements and sufficiently use a cue. A ramp was created using a 9 millimeter piece of plywood. The design included a small landing at the top of the ramp for setting the ball, shallow sides to guide the ball in a straight line, and smooth contact points and the edge cushioned so not to damage the felt and woodwork on the table. The angle of the ramp is adjustable by simply moving the support forward or backwards in one of four slots on the base. Instead of a landing, a hole large enough for the ball to sit was created. The ramp is attractive, smoothly sanded and finished with clear varnish. TITLE: Playing Pool. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 12. PAGES: 2 (including cover).

  164. GATE LATCH

    --- CUSTOM ADAPTATION --- PURPOSE: To lock the entry gate to a yard in position to provide support for an individual with post-polio syndrome as she negotiated the entry steps. A brace was made to hold the gate open at a 45-degree angle. The brace consists of a metal stay bar attached to a ring fitted into the side brick wall at one end and a short piece bent at a right anfle at the other end. The bent piece fits into a slot drilled into the back of the gate's top bar to lock the gate in position. When no longer needed, the bent piece lifts out to restore normal usage. TITLE: Stepping Up. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 14-15. PAGES: 3 (including cover).

  165. GRASPING AID FOR PADDLE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with only an index finger and a thumb on her right hand to paddle a dragon boat. The aid has gone through several iterations, Initiallythe design consisted of a T-shaped piece of wetsuit fabric. The bar of the T wrapped around the wrist and was secured with Velcro. The leg of the T wrapped over the hand and the paddle and then was secured to the wristband, also with Velcro. However, when the material became wet, it stretched and came off. The next step was to add darts to fit the wrap more closely to the hand and to add stabilizing material to the edges. Next, the T shape was discarded and a tightly darted piece of wetsuit fabric is attached with Velcro to a wrist band of firmer, non-stretch fabric. The wetsuit fabric covers the area of the missing fingers, but leaves the index finger and thumb free. TITLE: Paddling for Health. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 10-11. PAGES: 3 (including cover).

  166. GUIDE FOR INSERTING MAGAZINES INTO ENVELOPES

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with cognitive disabilities to insert magazines in envelopes. This Guide features a metal plate with raised sides that enable the user to align the magazine with the envelope and slide it in. The Guide clamps to a bench or counter and is reversible for right- or left-handed use. TITLE: Making Work Easy. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 12-13. PAGES (including cover): 3 2001.

  167. GUIDE WIRE FOR GARDEN

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with lower extremity amputation to safely work in a small garden. The individual had a lower extremity amputation and uses a cane, walker, scooter, or wheelchair for mobility; however none of these devices proved suitable for use in gardening. The wheelchair and scooter were too high, and when concentrating on a task, the individual would often move away from a cane or walker and then have difficulty going back to it. A guide wire system was created to enable the user to support and steady herself while leaving one hand free for carrying and not interfering with access to the garden beds. A hole was drilled in the upper end of a galvanized iron pipe standing in one corner of the garden a welded eye bolt, undercoated and painted to inhibit rust, was fitted in the hole. To anchor the support at the other end, a dynabolt was inserted in the brick wall of the house and a second eye bolt was attached. A light clothesline cord was strung securely between the two points. DIMENSIONS: The hole in the iron pipe was drilled 180 centimeters above the ground. TITLE: Garden Guide. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p. 16-17. PAGES (including cover): 3 2003.

  168. GUITAR MODIFICATION Picture of GUITAR MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adaptation for a guitar for an individual with left side hemiplegia in arm and leg due to stroke. An individual was a self-taught and lover of playing the guitar experienced a stroke that resulted in a left side hemiplegia in his arm and leg making the muscles on this side of his body weak. He had to learn how to walk again which he does with a cane. This also meant, he was no longer able to play the guitar because of the weakness in his left shoulder and arm muscles. Knowing that that he missed playing the guitar, Stuart’s family presented him with a lap slide guitar which they thought might be easier for him to play. The young man’s therapist at Westmead Rehabilitation Hospital referred him to TAD and an occupational therapist. The volunteer built a guide rail to attach onto the guitar’s neck but it was also completely removable. This was to act as a guide for the slide so that it would not slip off the strings when the young man played the guitar. The volunteer colored the adaptation to match the guitar so that it maintained the aesthetic. The volunteer also built a wooden saddle support to hold the slide so that the young man didn’t have to put it on his finger. He attached the saddle to a broom handle which the young man could control. A neoprene glove was obtained so that the young man could get a good grip of the handle. The names are of the chords are marked on the guide rail so the young man can see what chords he is playing. Finally, a non-slip material was provided to place on the young man’s lap so that the guitar would not slide off. He is now on the road to learning the guitar and making music again! TITLE: Stuart’s Slide Guitar. JOURNAL: TAD Journal. REF: Volume 32, Number 3, December 2012: p. 11. PAGES: 2 with cover.

  169. HAIR WASHING VISOR

    --- CUSTOM ADAPTATION --- PURPOSE: To keep shampoo out of they eyes of a child with intellectual disabilities who has difficulty understanding instructions to close her eyes or hold a wash cloth over them. A full-circle visor was made of clear plastic. A hole in the center fits over the child's and elastic lace around the opening ensures a secure fit. Hat wire was sewn into the outside edge of the plastic to keep the brim stiff. TITLE: Happy Hair Wash. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 6-7. Number of pages: 3 (including cover). 2006.

  170. HAND RAILS FOR TREADMILL

    ----CUSTOM ADAPTATION ---- PURPOSE: To provide support for a child with spina bifida during execise on a treadmill with handrails that are too high for the child. Two commercially available adjustable handrails are mounted on wooden blocks by resting them in round notches cut out of the blocks. The rails are held in place by brass straps, and the foot of each rail is encased in rubber to prevent slippage. The two mounted rails are placed on either side of the treadmill. The blocks are clamped to the sideposts of the treadmill using another block and butterfly nuts. TITLE: Sara Walks! JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 14-15. PAGES: 2.

  171. HEAD POINTER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spinal cord injury to perform a variety of tasks. The headpiece for this pointer is adapted from a safety helmet liner and is adjustable to fit a variety of head sizes. The device features additional padding at the forehead for comfort and an adjustable chin strap. The aluminum pointer can be fitted with an end clamp to hold a variety of attachments for different tasks. DIMENSIONS: The pointer is 360 millimeters long. TITLE: Tried and Tested. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 18. PAGES (including cover): 2 2001.

  172. HEAD POINTER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide custom adaptation to a head pointer device for an individual with cerebral palsy. While many commercial devices are available, not all are ideal for every individual. A simple, lightweight version can be customized for individual needs. The design is based on a donated headgear from a commercial safety visor. The individual’s aluminum pointer has a standard rubber tip (a smaller version of the type used on crutches), plus an end clamp that holds whichever paintbrush she wants to use. TITLE: Head pointer painting. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: p. 16 PAGES: 2. (including cover).

  173. HEARING TEST BOX FOR USE WITH YOUNG CHILDREN

    --- CUSTOM ADAPTATION --- PURPOSE: To enable the hearing of very young children to be tested for range and degree of hearing loss. Designed to test children from seven months to three years of age, the test box is used in Visual Reinforcement Audiometry. This testing method involves teaching the child to turn his/her head when a special sound is heard and reinforcing this by showing a moving toy or puppet in a lighted window. Because the child enjoys the toy show, he/she will turn his/her head even if the sound is only softly heard. By altering the frequency and intensity of the sounds, the tester can determine how much and how well the child can hear across a range of frequencies. The test box is constructed of medium density fiberboard and has three square compartments stacked vertically, with a plinth at the bottom containing electrical components. At the front of the side panels is a slot that accepts a sheet of tinted perspex to conceal the contents of each compartment unless the internal light is on. The perspex cover can be removed so the toys can be replaced as needed. Each compartment contains a light and a power socket for plugging in the toy; the light and the toy operate simultaneously, causing the toy to move as soon as the light comes on. The lights and toys are operated by remote, enabling the tester to switch on any one or all three compartments. DIMENSIONS: The boxes are 350 centimeters square. COLOR: The box is painted black to minimize visibility in a darkened room. TITLE: Hearing Test Box. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p. 12-13. PAGES (including cover): 3 2003.

  174. HEATER CONTROL AID

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with rheumatoid arthritis to operate the controls of a space heater. The heater is operated by turning a small rotatiting knob. A wooden tool with a handle and a rectangular hole in the center was fashioned. The user places the hole over the knob and operates it by pushing the tool to one side or the other. TITLE: Independence at Home. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 8-9. PAGES: 3 (including cover).

  175. HOLDER TO ATTACH CAMERA TO A WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to take photographs. The holder is made from 19 millimeter chrome-plated steel curtain rods and clamps to the wheelchair footplate strut. It has a horizontal arm which passes from the footplate strut under the user's right leg and a vertical arm that comes up on the user's right side. The arm is long enough to put the camera at eye level. The camera is mounted on a horizontal arm that pivots from the vertical arm. The mounting is made from brass equal angle and screws into the recess in the base of the camera normally used for a tripod. The mounting is arranged to give a friction-retarded rotation in three planes at right angles to each other. This enables the user to take vertical or horizontal shots and to pivot the camera to point upwards or downward. DIMENSIONS: The brass angle is 25 x 3 millimeters.TITLE: Wheelchair Fishing and Photography. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p.14-15. PAGES (including cover): 3 2001.

  176. HORSE-DRAWN PLEASURE Picture of HORSE-DRAWN PLEASURE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted horse-drawn cart for use with a manual or electronic wheelchair by children with mobility disabilities. Using a standard horse-drawn cart as a base, a cart was designed which meets all of Australia's Riding for the Disabled organization’s needs. It has a sturdy chassis made from steel tubing, with marine-grade plywood panels and floor and fabricated metal mudguards. Horse-drawn carts generally have big wheels which make them high so that the driver can see over the top of the horse; however, in this version the wheels are very low-slung, with the floor of the cart only 30 centimeters from the ground. The wheel and cart being lower to the ground provides added stability and prevents the cart from rolling over. Instead of the usual spoke wheels with a timber or steel rim the cart uses smaller car tires. The tailgate of the cart consists of two hinged sections which fold down to form a ramp for wheelchair access. When folded down, the first section is supported by a leg between the two sections, and the second section rests on the ground. To make it easier to unfold the sections, there is a handle in the center of the lower section. When folded up, the two sections form a sturdy back panel which is extra protection against the wheelchair rolling out of the cart, if by chance it became unsecured. The back is locked in place with a pin on either side, similar to a tailgate on a truck or trailer and it’s fully contained so the pin can’t come all the way out and get lost. The cart has three seats. The two outside seats each have two arms, so the outer arms create a safety railing and the inner arms create divisions between the seats which help to keep the passengers in position. The seats and seat backs are upholstered with vinyl covered foam. The center and right seats are removable to provide space for a wheelchair. These seats are held in place by four locking pins, which are easy for a trained person to take out but may be too difficult for someone with a disability to remove. The center seat rests on the outer pins and lifts out first, followed by the outer one. When an electric wheelchair is in place instead of the two seats, it needs to be in exactly the right position so its weight is equally distributed to the front and back wheels of the cart. It also needs to be firmly secured so it doesn’t move and change the balance of the cart during travel; therefore, toggle clamps similar to those used for securing wheelchairs in buses were added. On the side wall left of the driver’s seat there is a foot-operated brake which uses a car hand-brake mechanism, and has a hand lever to lock it on. This can be used to keep the cart completely still while the passengers are boarding, even if the horse moves a little. It can also be used as a parking brake when necessary such as when the cart is on a hill. To make the ride as comfortable as possible, the cart has leaf springs from a car suspension, which were chosen for their load-carrying capacity. The capacity can be adjusted by adding or removing leaves to the spring—this sort of bar is used on most horse-drawn vehicles of this type. The bar swivels as the horse turns to maintain an equal load on both sides. Once complete, the frame was painted maroon and the outside panels a cheerful yellow, with grey anti-slip paving paint on the floor of the cart and the ramp. TITLE: Horse-drawn pleasure. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: pp. 6-7. PAGES: 3 with cover.

  177. INDEPENDENT FEEDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with Guillain Barre Syndrome to eat independently. TITLE: Eating Independently. Made primarily of stainless stee, this unit has a rectangular base frame that fits into an existing tube on the user's wheelchair and supports a standard wooden dinner tray. On the right side of the frame is a vertical post with two 90-degree bends in it that is fixed in position with a trinut, creating a mount for the feeding device and a drink container. The mount can be pivoted horizontally when the trinut is loosened for precise positioning. Also on the post is the mount for the feeding device, which also locks in position with a trinut. The feeder mount consists of a rectangular tube section with an opening at one end and a pusher inside it. The pusher is attached to a lever system with an arm going down to the tray. A sandwich, cookie, or other snack is placed in the rectangular tube section. When the user wants to take a bite, he pushes the lever sideways toward himself and holds it there to raise the pusher and push the food to the top of the tube. When he is finished, he releases the lever and the food slides back down into the tube section and out of the way. Further up the post is another arm supporting a drink container, also adjustable with a trinut. An aluminum fitting can be placed over the plastic cup to hold an ice cream cone. The narrow neck holds the cone and holes around the outside collect and drain drips into the container below. TITLE: Eating Independently. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 14-15. PAGES: 3 (including cover).

  178. IPAD MOUNT Picture of IPAD MOUNT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized iPad mount for an electric wheelchair for individuals with mobility disabilities and spinal cord injuries, including people with quadriplegia. A quadriplegic used a computer to organize his activities such as painting, filmmaking, counseling, and motivational speaking. Laptops do not easily mount onto the electric wheelchair, and when the iPad became available, this individual jumped at the chance. Working with TADNSW an iPad bracket was created to be ready for use with the iPad. The wheelchair already had a bracket attached to hold the user’s iPhone, house front gate remote, and a universal remote for the TV and sound systems. After researching the dimensions of the iPad on the Internet a new bracket was designed. Another horizontal bar was attached to the wheelchair. An aluminum base was cut to hold the iPad with a disc underneath so the device could rotate. Strips of Velcro were glued to the supporting base and to the bottom of the iPad case allowing it to sit firmly in position on the base. Since the user has limited control of his arms. he uses a mouthstick to operate both the iPhone and iPad. When the user is not using the mouthstick, it sits within easy reach in a metal tube mounted on the wheelchair. To combat the problem of running out of battery power an iPhone car charger kit is used to connect each device to the wheelchair battery. TITLE: iPad Mount. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: p. 11. PAGES: 2 with cover.

  179. JIG FOR EMPTYING A LEG BAG

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with multiple sclerosis to empty a leg bag independently. The user, who lives alone, has limited hand strength and was unable to empty her leg without calling for assistance. Although she was able to lift the bag from its carrier on her wheelchair, the valve at the top of the bag was stiff and difficult to open. Using a plastic cutting board as a base, a mount was created from two plastic blocks with a rectangular hole to hold the bag valve. A lever made of PVC tubing was added on the right side attached to a metal piece which slides between the blocks and opens the valve as the lever is pushed across. The base is mounted to two small bricks on each side, creating a space underneath for a five-liter container. The bag empties into the container and the user pushes the lever back to the resting position to close the valve. A table was made of wood and PVC tubing to house the device. Suction cups secure it to the floor and it is at the right height for the user to reach and has sufficient height from the floor to allow the wheelchair footplates to fit underneath. TITLE: Bathroom Assistance. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 12-13. PAGES: 3 (including cover).

  180. JIG TO HOLD PEG PARTS FOR ASSEMBLY

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with cognitive disabilities to assemble pegs for hanging clothing. This jig clamps to a bench and has slots to hold the two sides of the peg in position. With the sides stabilized, the spring section can be placed over them. TITLE: Making Work Easy. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 12-13. PAGES (including cover): 3 2001.

  181. JOYSTICK CONTROLLER FOR SAILBOAT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with cerebral palsy to sail independently. The sailboat is equipped with two battery-powered motors to operate the rudder and the mainsheet, which is attached to the boom. A basic joystick was adapted to control these operations by replacing the existing internal spring with a stronger one and extending the handle to six inches long. A wooden base attaches to the floor of the boat with Velcro. The wooden control box at the base of the joystick clips to the base in the boat with rust-resistant brass pad bolts and the cable from the joystick plugs into the cable from the battery, providing control of the boat for the user. TITLE: Safe Sailing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 10-11. Number of pages: 3 (including cover).

  182. KANGAROO CHAIR AND TABLE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted Kangaroo chair and table set for a child with developmental delays. The child has had a Kangaroo chair and table set for several years. The Kangaroo is generally designed to provide well-supported long floor sitting for children up to primary school age, and has a chair with a winged back support and a height-adjustable table. However, the child still needs long periods on floor sitting to stretch his legs and loosen his leg muscles, which are tight as a result of his gait pattern. This custom adapted version was therefore made larger than the standard size range to suit him, and has an extended seat base for comfort while sitting on the floor. After the woodwork had been carried out custom cushions were made and installed for the back and extended seat. TITLE: Change table plus. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: p. 14. PAGES: 2 with cover.

  183. KANGAROO CORNER CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide supported seating for a child with cerebral palsy, developmental disabilities, and hearing and vision impairments. Made of wood, this low-to-the-floor chair and table set enables the child to sit with correct, supported posture with her legs straight out in front of her to stretch the hamstrings. The set is adjustable and can be used for eating, reading, or play. TITLE: Playing and Growing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 8-9. Number of pages: 3 (including cover).

  184. KEYBOARD WEDGE

    --- CUSTOM ADAPTATION --- PURPOSE: Provide a custom adaptation to a standard keyboard for use by an individual with cerebral palsy. Due to the type of typing aid used by this individual, the most effective position of a keyboard needed to be at a 30 degree angle from the desk. This adaptation allows the individual to guide the typing aid directly towards the keys rather than having to bend his wrists to reach the keyboard. A clear sheet of acrylic was used to make the keyboard wedge, using a jig to heat and bent the acrylic in the right spots. The wedge has a lip on the front to keep the keyboard in position, as well as a non-slip material on the angled service to reduce the change that the keyboard will move under pressure from the typing pointer. TITLE: Accessing a keyboard. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: p. 7 PAGES: 2. (including cover).

  185. KITCHEN CHAIR Picture of KITCHEN CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with mobility disabilities to reach counters and perform kitchen tasks. A specially adapted office chair, the seat is rasied above standard height and casters provide mobility; the chair is also equipped with a foot bar for support. The seat has a plywood base with foam padding and is covered in vinyl. The armrest brackets were extended and the armrest upholstered to match. The backrest has a gentle curve for support and is angled five degrees backward to accommodate the user's specific physical needs. DIMENSIONS: The seat is 530 millimeters wide and the backrest is 550 millimeters wide. The foam seat padding is 50 millimeters thick.TITLE: Kitchen Chair. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 21. PAGES (including cover): 2 2002.

  186. KITCHEN DRAWER LOCK

    ----CUSTOM ADAPTATION ---- PURPOSE: To secure kitchen drawers to prevent a child with a developmental disability from opening them. The locking device consists of a handle on the outside of the drawer cabinet attached to a horizontal lever mounted on the top inside wall of the cabinet. The horizontal lever is attached to a vertical latching bar that fits into a corresponding slot in the wedge-shaped pieces mounted on the drawers themselves. When the handle on the outside is turned, the horizontal lever lifts the vertical bar out of the slots on the drawer pieces and a drawers can be opened. Once the knob is released, the latching bar descends, locking the remaining drawers. When the open drawer is closed, the wedge-shaped piece slides under the latching bar and lifts it so it falls back into the slot, locking the drawer. TITLE: Securing Kitchen Drawers. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 10. PAGES: 1.

  187. KITCHEN ENCLOSURE

    --- CUSTOM ADAPTATION --- PURPOSE: To prevent a child with developmental delays from entering a kitchen without supervision. The child's home had an open-plan kitchen which required a means of keeping the child out when unsupervised. A fence was constructed of pine with vertical bars spaced according to safety specifications to prevent entrapment. A horizontal bar across the top finished the fence. The fence is equipped on one side with a gate with a magnetic latch. One gate post was mounted on the beam marking the edge of the original room and the other was attached to a steel plate and pin bolted to the studs under the floorboards. The gate opens in both directions and clicks shut automatically when closed. DIMENSIONS: The gate and fence are 850 millimeters (mm) high and span 2.8 meters. The vertical pine bars are 30 x 30 mm. The gate is 900 mm wide. TITLE: Bicycle and Beyond. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 8-10. Number of pages: 4 (including cover). 2006.

  188. KNIFE GRIP

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to cut food. The design process for the grip began with a cardboard template that fit around a gand. A slot to hold the knife was then added to the design. The grip was then cut from three-millimeter thick PVC and the slot was made to fit an existing steak knife that had been adapted by cutting off the handle just above the blade. TITLE: Knife Grip. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 12. PAGES: 2 (including cover).

  189. KNOB FOR GAS CONNECTOR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual to connect a portable gas heater in different rooms. The bayonet fitting for the portable heater required that the knob be pushed and turned simultaneously. A new, larger knob was fabricated with a scalloped edge rather than a knurled edge. TITLE: Retirement Projects. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 14-15. PAGES: 3 (including cover).

  190. KOALA CORNER CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide seating and positioning for a child with microcephaly, epilepsy, and developmental disabilities. Made to dimensions specified by a therapist, this unit includes a chair with a footrest and a table that enable the child to be seated in a posturally and functionally correct position for learning, eating and playing. Made of plywood, the unit has a pedestal seat with a winged back for shoulder protraction. The seat and back panels are equipped with fabric-covered foam cushions. Other positioning aids include a pelvic belt, a pommel, and footcups on the footrest. The table has a torso cutout for close positioning. It latches to in position behand the back edges of the seat and is height-adjustable using a tri-nut. TITLE: Happy Seating. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 9-11. PAGES: 4. (including cover).

  191. LADDER TO ASSIST GETTING OUT OF BATH

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized bracket and ladder system for use in getting in and out of the bath unaided for a person with mobility disabilities. A bracket is mounted on a stainless steel plate, and a fixed stainless steel tube is welded onto the plate. A smaller diameter inner tube with a 500 millimeter (mm) long piece of tube is welded at 90 degrees, creating an L-shape that sits in the outer tube and rotates from flush against the wall to 90 degrees from the wall. Hanging from two rings bolted through the horizontal section of the L is a ladder made of synthetic rope with a load rating of up to 100 kilograms (kg), and 30 mm diameter hardwood rungs at 125 mm intervals. The ladder descends to 1200 mm above the base of the tub and enables an individual to pull him- or herself up to sit on the ledge at the end of the bath in order get out. In order to prevent the horizontal arm from moving when weight is on it, a slot was cut in the outer tube and a band was connected the inner tube with a vertical piece corresponding to the slot welded on. The ladder is kept at the right height by the band and is locked in place by the vertical piece. TITLE: Getting out of the Bath. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 7. Pages: 2 (including cover).

  192. LAPTOP SUPPORT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide an individual with neurological disabilities with limited arm motion a means of comfortably accessing a laptop computer. This support is designed to enable the user to bring her wheelchair into position and then lower the support so that the computer is in her lap at the necessary angle. A rectangular plywood base with two vertical pieces at either side was designed to clamp to a table. Another plywood board with standard drawer runners at either side was mounted to the bases's side pieces at a 15-degree angle. The mount for the laptop is a third plywood board that slides up and down on the drawer runners and secures in the closed position with a ball catch. The computer is held in place with Velcro strips on the bottom of the mount. The user wheels herself up to the table with the mount in the closed position and pulls the board down over the ball catch and into her lap. The main mounting board is height adjustable using tri-nuts that move in vertical slots cut in the side pieces of the base, making the mount adaptable to a variety of tables. TITLE: Laptop Support. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 16-17. PAGES: 3 (including cover).

  193. LARGE EASEL

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with severe phyical disabilities to access canvasas of various sizes for painting. Made of square steel tubing, the frame is designed to enable the user to access any part of a large painting from one position. The frame is equipped with a central board on which the painting is mounted with brackets at the bottom to hold the painting and a bracket at the top that adjusts up and down in a slot on the board using a knurled nut. The board can be moved forward and away from the user, up or down, or sideways using a six-button, 27-megaHertz (mHz) remote. Movements are powered by direct current (DC) motors with 10:1 gearboxes for smooth movements. The gearboxes are connected to screwed shafts using flexible drives and the flexible drives are connected to the shafts using chain drives. Limit switches shut off the motors when the easel reaches the end of available travel. Swivel casters on the base allow the easel to be moved and a locking position keeps the frame in position during use. A heavy counterweight at the rear of the base prevents tipping. POWER: Uses two 24-volt sealed led acid batteries and an automatic charger. TITLE: Large Easel. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 18-19. PAGES: 3 (including cover).

  194. LARGE LIGHTED MAGNIFIER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a large magnifier for a person with Usher Syndrome (visual/hearing impairments). The magnifier was to be mounted and large enough to fit a book/magazine under it and read the whole page. Additionally, the magnification needed to be adjustable to the various size print the patron was reading. A powerful lens (made by Fresnel Technologies) was adapted. The type of lens was originally designed for lighthouse optics and is made of rigid plastic, so it is not floppy like larger lenses. A case for the lens which enables the height and angle to be varied was created using pine and plywood. The next issue was how to light the patron’s reading material. Eventually a cold cathode neon light (used to decorate hotted-up cars) was used. These type of lights are only 2 millimeters in diameter and were easy to mount under the top of the frame where they are shielded from the patron’s eyes and do not create glare. To power the lights, a 12 volt supply was used which could be run from main electricity or a battery. TITLE: Magnified reading. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: p. 12. PAGES: 2. (including cover).

  195. LARGE PRINT GROUP CROSSWORD PUZZLE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable seniors and those with low vision to participate in group crossword activities. A 10 squares across x 10 squares down was drawn on a magnetic white board and the grid outlined with fine masking tape. A magneticsheet was cut into squares that matched the size of the squares on the grid; the magnetic squares are used to cover unneeded squares to create a grid to match the crossword puzzle being done. DIMENSIONS: The board is 1 meter x 900 centimeters. COLOR: The masking tape outlines and magnetic squares are black. TITLE: No Cross Words. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p. 18. PAGES (including cover): 2 2001.

  196. LARGE SPIKE BOARD

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adapted food preparation spike board for an individual with left arm amputation. Current spike boards were not large enough to accommodate the user’s desire to cook large items such as large meats and large quantities of vegetables. A 400 by 300 millimeter PVC chopping board was acquired. Then 304 grade stainless steel, which is safe to use with food, was used to make a master pin and 30 copies. Each pin has a pointed tip which protrudes 10 millimeters above the board, a small ridge in the center and a wider shoulder at the opposite end point. Three groups of nine holes were drilled across the board for the pins, and counter drilled a wider section for each shoulder. The pins were press fitted into place, with the ridges and head holding them firmly in position and the shoulder sitting flush with the bottom of the board. The press-fit style provides a strong seal that if subjected to some heat there is no fear of the pins falling out. Finally, non-slip rubber pads were added to each corner of the base so the board would not slip of the kitchen benchtop. TITLE: One-handed Cooking. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 15. PAGES: 2 (including cover).

  197. LATERAL ROCKING HORSE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide balance practice for children with balance and neurological disabilities. Built of plywood, this rocker has a seat with a footrest, a front safety bar, and horse-shaped sides. The unit is mounted on lateral rockers that rotate approximately 25 degrees from vertical on either side. TITLE: Happy Seating. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 9-11. PAGES: 4. (including cover).

  198. LAZY SQUIRREL STANDING FRAME WITH HEADREST Picture of LAZY SQUIRREL STANDING FRAME WITH HEADREST

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted Lazy Squirrel Standing Frame with a headrest for a child with lissencephaly. Lissencephaly is a rare brain malformation that results in the child being unable to stand or hold himself upright. As a result of this condition, the child spent a lot of time sitting or lying down. The child needed a headrest to cradle his head while he stands in the frame. Two TAD volunteers worked on an adapted design based on the original Lazy Squirrel Standing Frame. The Lazy Squirrel Standing Frame is primarily a wooden frame with a body and head support backing made of mesh fabric. It has a height-adjustable body strap, leg straps, and a tray so the child has a surface to play or eat from. A headrest was made with two wedge-shaped pieces of closed foam with a curved finish on the edges and then finished with some expanding foam in the center. The headrest was upholstered and Velcro was added to attach it to the frame. TITLE: Archer’s standing frame. JOURNAL: TAD Journal. REF: Volume 33, Number 1, 2013: p. 10. PAGES: 2 with cover.

  199. LEG SUPPORT FOR WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with a fused knee to use a wheelchair. The legrest extends straight out from the wheelchair seat, supporting the legs while leaving the foot free. A support frame was created from square steel tubing and mounted on the right front frame of the chair and under the seat. A horizontal piece comes out from the wheelchair frame and attaches to a vertical piece that supports the horizontal leg support. The support itself is made from half a section of six-inch PVC stormwater pipe. The ends were heated and turned over to eliminate sharp edges. The PVC form was lined with foam and fitted with a sheepskin cover. Initially, the support was set at a fixed angle of 22 degrees; however, the user found that adjustability was needed, so the support was altered to provide support in three places. The initial adjustment is made using bolts on the vertical frame piece; once this is done, further fine adjustments are made to ensure that the support meets the seat exactly. These adjustments are made using an adjustment point further down the vertical piece and a second point at the bottom of the right wheelchair frame. TITLE: Wheelchair Leg Support. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p. 18-19. PAGES (including cover): 3 2003.

  200. LEVER DOOR HANDLE EXTENSION Picture of LEVER DOOR HANDLE EXTENSION

    ---- CUSTOM ADAPTATION ---- PURPOSE: To enable an individual with upper extremity disabilities to open a residential fire door with an automatic closer. A lever made of lightweight aluminum tubing with rubber tips at each end was attached to the existing small lever handle with two hose clamps. This enabled the user to grasp the handle with both hands to turn it and use body weight to pull the door open. DIMENSIONS: The aluminum tube is 20 centimeters long. TITLE: Opening Gambit. JOURNAL: TAD Journal. REF: Vol 22, no 2, Winter 2002: p 10-11. PAGES (including cover) 3 2002.

  201. LIFT BUTTON DEPRESSOR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual in a wheelchair to reach elevator buttons. Made from lightweight telescoping aluminum tubing, this wand has a plastic grip and collapsesw when not in use. The device caqn be carried in a holster on the wheelchair or in a purse or storage pack. DIMENSIONS: The extended length is 850 millimeters and folded the device is 390 millimeters long. TITLE: Tried and Tested. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 18. PAGES (including cover): 2 2001.

  202. LIFT CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with dermatomyositis to use a chair. Because the individual was unable to get out of a chair independently, she often had to stand for long periods. Commercially-available lift chairs did not placer in the position she needed in order to stand. The custom-made chair started with a padded, vinyl-covered executive-style office chair which removed from its star-shaped wheeled base. The chair was bolted to a rectangular base tig welded together from sheet steel. Large, locking, hospital-style casters were fixed to each corner of the base. The lift mechanism was a double scissor lift with a small footprint that still left room for the user to tuck her feet when the chair was in the lowered position. The lift is driven by a geared direct-current motor housed in a plywood box at the back of the chair, and the battery and electrical works are housed in small plywood boxes on either side of the chair. A control panel mounted on the right arm of the chair enables the user to turn the power on and off, and raise and lower the chair using a rocker switch. Limit switches stop the upward and downward travel so the chair moves between 460 and 860 millimeters. At the upper limit, the user can slide to a standing position with her legs straight. Red vinyl curtains were added below the seat to screen the mechanism. An operational manual which can also be used for future repairs was also written. POWER: Uses a rechargeable 12-volt lead acid battery. TITLE: The Luxury of Sitting. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 12-13. PAGES: 3 (including cover).

  203. LIPSTICK INSPECTION WORKSTATION Picture of LIPSTICK INSPECTION WORKSTATION

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with repetitive strain injury to continue lipstick inspection work. This work station is designed to reduce shoulder strain, take weight off the arms, and minimize movement while permitting the task of inspecting lipsticks to continue. The work station has a wood base covered with a non-slip grip liner. Two wheelchair armrests rest on the base, forming a sloping triangle, with a foam pad at each end. A series of blocks and wing nuts allow the height of the armrests to be adjusted. The second part of the workstation is a low platform on which the lipsticks are placed; an edge along the back prevents the lipsticks from rolling off. The works station is placed at the edge of a table; the user rests his/her elbows on the end pads and the forearms on the sloping armrests. The platform with the lipsticks is immediately behind, enabling the user to reach the lipsticks without lifting the arms from the armrests. TITLE: Quality Work. JOURNAL: TAD Journal. REF: Vol 22 no 1, Autumn 2002: p 16. PAGES (including cover): 2 2002.

  204. LONG-HANDLED FORK

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to do digging tasks in the garden. The fork has a long wooden handle and the tines were machined on a lathe to be curved slightly to reduce resistance and tapered to turn easily in the ground. A strip of gauze was wrapped around the handle to protect the user's hand. TITLE: Fred's Garden. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p. 17. PAGES (including cover): 2 2001.

  205. LOOM MODIFICATION Picture of LOOM MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted loom for an individual with Parkinson’s disease to practice weaving. When this individual was diagnosed with Parkinson’s disease, she decided that she would try all the things she ever wanted in life including learning how to weave. She taught herself how to weave, bought increasingly bigger looms, and began making clothing for local medieval reenactors. Her diagnosis creates a lot of stiffness which was causing her pain when using her loom. It became hard on her hips as she had to use some force to push down on the pedal to activate the loom. Eventually weaving only meant pain and discomfort. She contacted TAD to see if there was anything any of the volunteers could to do to help. A volunteer investigated the loom and determined that a bypass of the original foot pedal and the introduction of a pneumatic system to do the work that the original lever was doing would allow the woman to enjoy her hobby again. The volunteer inserted a pneumatic cylinder into the system and a new foot pedal which would be much lighter for Pat to push. The new pedal directs air into the cylinder which creates the energy that was being done by the original lever. The initial prototype was made with materials borrowed from TAFE to ensure that the system worked. The woman was delighted with the outcome. TITLE: Pat’s Loom. JOURNAL: TAD Journal. REF: Volume 32, Number 3, December 2012: p. 10. PAGES: 2 with cover.

  206. LOUNGE MODIFICATION Picture of LOUNGE MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a lounge modification for seniors and individuals with mobility disabilities to make it easier to get up from a lounger (i.e. couch) that is low to the ground. This adaptation was created for a woman who found it increasingly difficult to stand up after sitting on her couch due to increase muscle weakness in her upper legs. The couch was set very low to the floor so extra strength was required to rise up to a standing position. A TAD volunteer took measurements and determined the best height for a block frame on which the lounge could rest that would raise the height and reduce the need for increased lift strength. The woman's couch is a sectional that is split into four separate blocks so bases were prepared for each section. A dark stain was used to match the frames with the wood on the couch. TITLE: Lounge Raiser. JOURNAL: TAD Journal. REF: Volume 32, Number 2, August 2012: p. 11. PAGES: 2 with cover.

  207. LOWERED CLOTHESLINE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who uses a wheelchair to hang laundry outdoors. The existing clothesline hoist was adapted by bolting two aluminum strips to the existing arms. Two lengths of clothesline were threaded through holes drilled in the bottom of the strips. This created two lines reachable from wheelchair height. DIMENSIONS: The new clotheslines are 500 millimeters lower than the existing lines. TITLE: No More Washing Day Blues. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 18. PAGES (including cover): 2 2001.

  208. LUNGE TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means of strengthening thigh muscles for children with lower extremity disabilities. The child stands in front of the table with one foot forward and one foot back in the walking position. An object of interest to the child is placed on the table in front of the child, requiring him/her to lunge to reach it. The wooden table is equipped with sliding legs for height adjustability, and the legs lock to a base plate to prevent the table from being knocked over. The table has a semi-circular cutout with adjustable side panels. A wide fabric belt helps keep the child from falling. A system similar to tongue-and-groove flooring, enables footcups to be mounted on the base, slid into the desired position, and locked in position with a wing nut. An extra pair of footcups can be stored under the table when not in use. DIMENSIONS: The table height adjusts from 650 to 900 millimeters (mm). The base plate is 1200 x 900 mm. TITLE: Happy Seating. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 9-12. PAGES: 5. (including cover).

  209. MATTRESS STRAPS

    --- CUSTOM ADAPTATION --- PURPOSE: To prevent a plastic-covered mattress from sliding off a home hospital-style bed. The hospital bed has a plastic-covered mattress on top of the main mattress. The plastic cover caused the mattress to slide off the bed while the user was in bed. Long belts were made out of seat belt webbing and buckles were attached to each end. The belts were then bolted to the underside of the bed. When buckled over the mattress, the belts hold the mattress in place and prevent it from slipping. The straps can be unbuckled and folded back to make the bed. TITLE: Bathroom Assistance. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 12-13. PAGES: 3 (including cover).

  210. MEMORY BOARD GAME

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a group memory improvement activity at a day center for seniors. The center had requested a large, lightweigheight board game that could be mounted on a whiteboard stand and removed when not in use. The game requires players to choose two numbers from the array on the board, and if the pictures on the reverse match, the player keeps the pair. The winner is the player with the greatest number of pairs. To make the board, a piece of Masonite was cut to size and handholds were cut in each vertical side. To ensure that the board would be stable when placed on the whiteboard ledge, channel sections were added to each corner that fit over the whiteboard when the game board is in place. To provide additional strength to the board, a frame of cedar battens was fitted around the outside edges. Thirty Masonite rectangles with a slot in the top were cut to serve as game pieces. The slot in each rectangle enabled the pieces to be hung on hooks glued to the board in a matrix six wide by five high. A set of fifteen pairs of large, colorful computer graphics with black outlines were printed and glued to one side of the rectangles. Later, pictures of people and a cat involved at the center replaced some of the graphics. Large numbers were printed on the reverse of the tiles as an identification/memory aid. DIMENSIONS: The board is 1100 millimeters (mm) high x 1240 mm wide and 2.5 mm thick. The rectangular playing pieces are 180 x 150 mm. TITLE: Concentration Board. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 18. PAGES: 2 (including cover).

  211. MOBILE BASE FOR SLEEP SYSTEM

    --- CUSTOM ADAPTATION --- PURPOSE: To provide mobility for a Dreama Sleep System used by a child with leukodystrophy and severe scoliosis. For comfort and to slow the development of the scoliosis, the child spends most of his time lying on his side. However, doing so in the bed meant he was isolated from household activities. To make the bed mobile, a frame was constructed of square tubular steel with a plywood base attached to the underside. Attaching the base to the underside of the frame enabled the frame to serve as a lip to prevent the system from sliding. Each of the four legs of the frame is equipped with a locking caster. A double-acting screw mechanism enables one end to be elevated above the horizontal. A large tubular steel frame is attached to the elevating end for mobility. DIMENSIONS: The base plywood is 12 millimeters (mm) thick. The platform is 370 mm from the floor and the elevating end can be raised an additional 350 mm. TITLE: Drema Base. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 5. PAGES: 2 (including cover).

  212. MOBILE DINING TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with multiple sclerosis to transport meals and eat comfotably in a small apartment. A rolling table was built from melamine coated wood that fit comfortably in the space between the living room and the kitchen. The table has two shelves beneath the eating surface, one accessible from both sides and the other from the kitchen side only. Designed to be easy to clean and move, the table is equipped with four double-wheeled furniture casters and has a handle at either end of the melamine-coated top. DIMENSIONS: The top is 64 x 35 centimeters, the melamine-coated wood is 16 millimeters thick, and the casters are 75 millimeters in diameter. TITLE: Customised Furniture. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. P. 12-13. PAGES: 3 (including cover).

  213. MOBILE PRESCHOOL CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with spina bifida with both access to very low preschool tables and personal mobility. A standard wheelchair was too high to be used at the tables, so a low-level wheeled chair was built. A Sebel Mini Hobnob chair, similar to those used by the other children in the classroom, was set on wheels virtually at ground level. Made of square steel tube, the frame to which the chair was attached, has large front wheels for self-propulsion and smaller rear casters. as well as a plywood footplate, The seat is height adjustable to accommodate the five-year-old child's growth. DIMENSIONS: The front wheels are 300 millimeters (mm) in diameter and the rear casters are 100 mm in diameter. The footplate is 25 mm above the floor. The seat is height adjustable in three 25 mm increments from a base of 625 mm. TITLE: Joshua's Preschool Chair. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 18. Number of pages: 2 (including cover). 2006.

  214. MOBILITY CART Picture of MOBILITY CART

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted mobility cart for a child with arthogryposis, a congenital disorder that causes joint contractures and muscle weakness. The child’s mother was interested in providing the child with the benefits of wheeling around the house unassisted. Wheels were added to a chair to create a mobility device for the child who has good upper body strength. The child sits on the cart and propels his or herself forward by pushing on the wheels. TITLE: Freedom for Lilian. JOURNAL: TAD Journal. REF: Volume 32, Number 1, April 2012: p. 9. PAGES: 2 with cover.

  215. MOBILITY DEVICE FOR GENERAL HOME USE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a mobility device that would allow for movement through a family residence (with many obstacles), and be used as a shower chair for person with severe physical disabilities. A mobile chair was created with a plastic seat mounted on a steel chassis with three 250- millimeter (mm) wheels out of alignment. The wheels each have their own running track and their own axle alignment. The chassis is made from a steel bar shaped to suit the three-wheeled design. The stub axles were machined to fit holes drilled in the chassis so the axles could be welded into place from behind the bar and achieve a close fit to the chassis. Having only one wheel in front means that the chair prevents steps from being the obstacle they are to wheelchairs with two small wheels at the front, and attempting stairs was made even easier when the tire pressure was reduced in the front wheel. Once the front wheel goes over the step the other two follow in turn, maintaining stability at all times. A single push handlebar was mounted directly onto the chassis underneath the chair, so the center of effort to push the chair is low down and easier to push and turn with one hand. The seat is angled at 45 degrees to the left rather than straight ahead. This was done to make the device easier to use in the shower; however, it also helped with communication between an individual and his or her caregiver while in the chair. The seat is mounted higher than a standard wheelchair and does not have a footrest. Additional holes were drilled into the seat to assist with water dispersal while in the shower. DIMENSIONS: The steel bar from which the chasis is made is 50 x 6 mm. TITLE: Moving Around the House. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 14. Pages: 2. (including cover).

  216. MOBILITY STOOL

    --- CUSTOM ADAPTATION --- PURPOSE: To provide mobility for a parent or therapist while assisting a child with balance and walking skills. Designed to keep the parent or therapist at the right height near floor level for assisting a young child, the stool has a square plywood base equipped with furniture casters, wooden doweling legs to attach the seat to the base, and a plywood seat. TITLE: Keeping Active. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 12-13. PAGES: 3. (including cover).

  217. MODEL STAND

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with cerebral palsy to work on resin models. Because of reduced motor skills and strength in his right hand, the user required a means holding cast resin model pieces in place while he combined or painted them using his stronger hand. A custom stand was created with a heavy steel base containing holes for two vertical steel posts which clamp into place. Each post is equipped with a clamp holder at the top. A number of clamps were purchased, including small g-clamps and two types of spring-loaded clamps, which were then modified to fit in the clamp holder. One post can be used for a model currently being worked on while the other holds a model that is drying. TITLE: Making Models. JOURNAL: TAD Journal. REF: Volume 27, Number 4, January 2008: p. 6-7. PAGES: 3 (including cover).

  218. MODEL STAND 2

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with cerebral palsy to work on resin models. Because of reduced motor skills and strength in his right hand, the user required a means holding cast resin model pieces in place while he combined or painted them using his stronger hand. A custom stand was created with a heavy steel base containing holes for two vertical steel posts which clamp into place. Each post is equipped with a horizontal arm with a clamp holder at the end. The arm can be rotated 360 degrees for access to all parts of the model. The vertical post can also be swiveled by loosening the calmp at the bottom. A number of clamps were purchased, including small g-clamps and two types of spring-loaded clamps, which were then modified to fit in the clamp holder. One post can be used for a model currently being worked on while the other holds a model that is drying. TITLE: Making Models. JOURNAL: TAD Journal. REF: Volume 27, Number 4, January 2008: p. 6-7. PAGES: 3 (including cover).

  219. MODIFICATION TO QUICK-RELEASE WHEELCHAIR WHEELS

    --- CUSTOM ADAPTATION --- PURPOSE: To prevent quick-release wheelchair wheels from being inadvertently released. The push rims on the quick-release wheels had been removed because the chair user could not propel the chair independently. Doing so, however, exposed the buttons which released the wheels, creating the danger of an inadvertent release if the wheels were bumped while going through doors. The quick-release feature was locked by machining sleeves to fit over the buttons and gluing them in place. TITLE: Assistance over Time. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 16. Number of pages: 2 (including cover).

  220. MODIFICATIONS TO A BICYCLE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with cerebral palsy, developmental disabilities, and vision and hearing impairments to ride a two-wheeled bike. The commercially-purchased bike was equipped with a high-riser bar at the back of the wide seat. A padded backrest was attached to the bar. The rear wheel was fixed and stabilizer wheels on sprung outrigger brackets were added. PVC plastic foot cups with straps were added to the pedals to keep the rider’s foot in position. TITLE: Playing and Growing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 8-9. Number of pages: 3 (including cover).

  221. MODIFICATIONS TO A TOY PEDAL TRACTOR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child who has cerebral palsy to use a toy ride-on tractor. The child was able to pedal the tractor with guidance from a family member, but needed assistance with keeping his feet on the pedals and additional seated support. The existing seat on the tractor was replaced with a molded Sebel seat, raised from the seat platform to enable the child to comfortably reach the pedals. The seat was equipped with a pelvic seat belt with an easy-to-operate buckle. The column for the steering wheel was extended to accommodate the higher seat. Large foot cups with straps were added to the pedals and a wooden push handle was bolted to the back of the tractor. DIMENSIONS: The steering column was extended by 100 millimeters. TITLE: Freedom Wheels. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 7. Number of pages: 2 (including cover).

  222. MODIFICATIONS TO ELECTRIC TRICYCLE Picture of MODIFICATIONS TO ELECTRIC TRICYCLE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adaptions to an electronic tricycle to slow acceleration and provide a safe, secure bucket seat for a child with ataxic cerebral palsy. Ataxic cerebral palsy causes the child to be unsteady and a little shaky but does not diminish the child’s desire for speed. In order to accommodate the child’s “need for speed,” a custom adaptation was created using an electric ride on tricycle acquired through funding by the Family Assistance Funding (FAF) from the Australian Department for Aging Disability and Home Care (ADHC) and the assistance of TADNSW. The child has better control and movement in his hands than in his feet so the first step was to move the ability to accelerate from the pedals to the handlebars. To avoid the bike shooting off as soon as the accelerator is pressed, a control circuit was installed that allows the bike accelerates slowly. The control circuit also reduces the maximum speed the child can reach until he has mastered riding at lower speeds then he can graduate to higher speeds. The second adaptation was to add a bucket seat onto the trike so that the child could be tightly strapped in for extra safety. This adaptation allows the child to play with other kids and help him feel included. TITLE: Daniel’s need for speed: New electronics and bucket seat keep Daniel in control. JOURNAL: TAD Journal. REF: Volume 31, Number 3, Winter 2011: p. 10. PAGES: 2 with cover.

  223. MODIFICATIONS TO PROTECT A WHEELCHAIR

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adaptation to protect various parts of an electronic wheelchair for a child with right hemiplegia, vision impairment, and developmental delay. There were a number of fittings on the chair that needed attention and had been damaged by the child. The first issue was the control panel for the joystick, which had a thin film cover over the membrane touch buttons that set the direction and mode. The buttons didn’t work unless they were covered by the film, but the child repeated pulled off the membrane. A piece of malleable aluminum was cut to the exact shape of the panel, leaving three tabs at the top and sides. Holes were punched out for the buttons and whole piece was filed smooth so it would be safe for the child’s hands. The cover fit neatly over the panel, leaving only the buttons exposed. It was held in place with screws that go through the tabs into the sides of the panel, making it impossible to remove without a screwdriver. The second issue was that the child had severely damaged the upholstery on the chair’s left armrest. A piece of black industrial rubber was fit to the metal casing and glued firmly into place, and after it withstood several years of wear. The third issue was the chair’s fuse box located behind the footrests under the seat and well within the child’s reach. A cover needed to be created to go over the existing case to maintain moisture and dirt-proofing. An aluminum panel with loops at each corner on one side was created. The loops went around the pipe chassis of the chair and formed a hinge, so the panel rested over the fuse box to cover it; however, it could also be easily lifted out of the way to access the fuses. This panel was painted black to match the rest of the wheelchair. The chair’s rechargeable battery is under the seat behind the fuse box, covered by a casing that the child had been lifting and damaging. A strap that goes around the casing and underneath the chassis to hold the casing in place was created and fastened with a belt-style buckle that the child could not undo. The final issue was to shield the cabling, which runs from the attendant control at the back of the chair down to the battery and to the joystick in front. In some spots, the cabling plastic had been stripped completely, leaving the wires exposed and prone to damage. A flexible stainless steel braid, which is generally used to armor outdoor cables in plumbing, was used to create a mechanical shield between the cable and the child’s fingers. TITLE: Wheelchair protection. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 14-15. PAGES: 3 with cover.

  224. MODIFICATIONS TO TROLLEY

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of one hand to steer a trolley (cart) used for document delivery. An existing cart had four swivel wheels, making steering with one hand difficult. Two of the existing wheels were replaced with non-swivel ones. The adaptation required making small forks to fit the new wheels into the existing wheel mounts. In addition, the cart handle was raised using steel tubing and steel strap clamps. DIMENSIONS: The new handle is 950 millimeters high. TITLE: Office Assistance. JOURNAL: TAD Journal. REF: Vol 22 no 1, Autumn 2002: p 12-13. PAGES (including cover): 3 2002.

  225. MODIFICATIONS TO WALKING FRAME

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with polymyositis to independently rise from a seated position. The individual had an existing four-wheeled rollator-style walker with a seat, but the seat was too low for him to be able to pull himself to a standing position. The existing seat was removed from the walker and a new seat plate was made of 12-millimeter plywood. Attached to the seat plate was a thicker foam rubber cushion covered in Mereton fabric. The new seat plate was then attached to the walker. However, the higher seat rendered the walker's backrest too low. The aluminum tubing side supports were cut and extended with inserts, elevating the backrest. Rubber tubing covers each new join. The walker can still be folded as it could with the original seating. TITLE: Raised Seating. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 9. PAGES: 2 (including cover).

  226. MODIFIED BABY COT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom modification of a baby cot for a mother with multiple sclerosis to care for her baby. Due to muscle weakness in her legs from the multiple sclerosis, the individual was unable to stand up to read into a standard cot and pick up her son, even with the side at its lowest level. The individual purchases a new cot to be modified so the cot would open from the front and she could reach inside. The cot was assembled apart from one side. The remaining side was cut in half and fitted with two gates, using self-closing bar door hinges at each end and a barrel bolt in the middle. The individual only needs to open one side to reach her son, but bed-making is easier with both gates open. The adaptation is still useful as the child is now a toddler, he is able to scramble in and out his self, making sure to come down safely backwards. TITLE: Managing motherhood. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 6-7. PAGES: 3 with cover.

  227. MODIFIED BICYCLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation of a bicycle for a person with limb amputation. TADNSW’s FREEDOM WHEELS® modified bike service adapted and provided the patron with a bicycle; however, the patron had problems on uphill and uneven surfaces using the bicycle. However, a prototype for a rode that can link between two bikes was being developed and it was perceived that this might solve the patron’s problem—particularly since the patron and her husband were adult riders and ideal to test the prototype. Made of stainless steel, the rod is strongly clamped to the seat post of the front bike. A tie-rod attachment bolted onto the clamp enables the rod to move flexibly in all directions. It is then attached to the steering mechanism of the rear bike. The patron is able to pedal as much as possible and add some power to get up an incline. Additionally, the attachment to her husband’s bicycle made the patron feel more secure and balanced on uneven surface roads. TITLE: Maureen rides again. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 12-13. PAGES: 3. (including cover).

  228. MODIFIED BICYCLE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with severe physical disabilities to experience bicycle riding. Designed for a child who is unable to walk or sit upright unaided, this cycle was created by modifying a standard child's two-wheeler. The first adaptation was to add a tow bar to the bike frame at the handle bars.The tow bar is equipped with a hand brake to aid in slowing the bike when going downhill. The existing seat was replaced by a larger one that provides greater stability; the seat was placed at a 15-degree angle to assist the user in sitting up straight and prevent the rider from sliding forward. An additional frame made of steel bar was attached to the bike frame at the back wheels and under the seat. This frame includes outrigger brackets with stabilizer wheels, and a high-riser bar behind and above the seat. Attached to the high-riser bar is a vertically- and horizontally-adjustable padded backrest. The backrest can be tilted up to 10 degrees. Above the back support is a wrap-around headrest that can also be tilted backward. A fin on the left side at the pelvic level prevents left leaning and bending over too far. A chest belt with Velcro closure and a lap belt with a seatbelt-style buckle provide additional stability. The bike was also fitted with Taddy footcups fixed to the existing pedals; Velcro straps secure the feet in place. The back wheel was fixed to permit the pedals to turn when the wheel turns, providing the sensation of pedaling and exercising the legs. The bike is also equipped with wrap-around hand splints to keep the rider's hands on the handlebars; the splints are made of wetsuit material and fasten with Velcro at the underside of the wrists.TITLE: A Bike for Christmas. JOURNAL: TAD Journal. REF: Vol. 21 no. 3, Spring 2001: p. 12-13. PAGES (including cover): 3 2001.

  229. MODIFIED BICYCLE FOR TEENAGE WITH CEREBRAL PALSY

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized bicycle for a teenager with cerebral palsy and developmental delays. An evaluation of the teenager with disabilities determined the only modifications needed were a larger seat, outrigger wheels, and foot cups. The new-design outrigger wheels can be easily removed and reattached, making transport and storage much easier. While the modifications were minor, the results were major. The consumer is now able to get necessary exercise while doing an activity he enjoys, and spending quality time with his family (bicycle riding). TITLE: Riding with the Family. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 10-11. PAGES: 3. (including cover).

  230. MODIFIED BICYCLE HANDLEBAR Picture of MODIFIED BICYCLE HANDLEBAR

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bicycle handlebar for a child whose left arm is shorter than her right. The difference in length between the arms made bike riding uncomfortable for the little girl since she could not quite reach the handlebar. The TAD volunteer measured the bike and the distance between the girl's hand and handlebar, and fitted the bike with a handlebar extension. The extension was made from steel tubing and sized to meet the girl's left hand at a comfortable distance. The extension was welded to the original handlebar and painted white to match the rest of the handlebar frame, then neatly finished with a bright blue grip to match the color of the bike frame. The extension can be cut off when the girl outgrows the bike so the bike will return to its original state. TITLE: A New Handlebar for Elise. JOURNAL: TAD Journal. REF: Volume 33, Number 1, 2013: p. 6. PAGES: 2 with cover.

  231. MODIFIED BIKE Picture of MODIFIED BIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a modified bike for a child with Hypomelanosis of Ito syndrome. A 6-year-old had a congenital dislocation of the left hip which caused stiffness in his hip and one leg to be slightly shorter than the other. While out shopping, the child and his mother saw a bike that was nearly the right size for the child but required modifications for him to keep his left foot on the pedal. TAD volunteers converted the bike from a free wheel to a fixed wheel with foot cups attached to the pedals so the child's feet would stay on the bike. TITLE: Samuel's First Ride. JOURNAL: TAD Journal. REF: Volume 33, Number 1, 2013: p. 9. PAGES: 2 with cover.

  232. MODIFIED BIKE Picture of MODIFIED BIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bicycle for a child with global developmental delay and epilepsy. Freedom Wheels Modified Mike Service created a customized bike which enables the child to join in riding with his brother and sister on family outings, and provides an enjoyable and different way of moving that also improves his muscle strength. In addition to the standard outrigger wheels, the bike's seat has a number of supports including hip and thoracic fins and belts, a head rest, and foot cups. It also has extended handlebars that are easier for the child to reach and a tow bar with a brake. TITLE: Eating with the family. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 6-7. PAGES: 3 with cover.

  233. MODIFIED BIKE Picture of MODIFIED BIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bike modification for a child with spastic diplegia. The boy’s condition mainly affects his lower limbs but he is still able to walk short distances using a walker and his motor skills and strength in his left hand are also affected. The bike did not require extensive modification as the child has reasonable upper body strength. The bike modifications include a wider seat and outrigger wheels, plus a high-riser bar with padded back support plate and a pelvic strap. Additionally, the bike includes toe clips to keep the child’s feet securely on the pedals, and the hand brake is located on the right side to suit the use of the stronger right hand. TITLE: Happy riding. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: p. 15. PAGES: 2 with cover.

  234. MODIFIED BIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adapted bike for an active adult with Down syndrome. FREEDOM WHEELS adapted a bike to include a wider seat and outrigger wheels that could be removed later if the individual developed enough skill to ride on her own. This adaptation allowed the individual to combine her love of swimming and riding by competing in the Triathlon Pink, which supports breast research. TITLE: Lucy’s Triathlon. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 4. PAGES: 2 (including cover).

  235. MODIFIED BIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adapted bike for a child with bilateral ulnar club hand. The child’s arms and hands are not completed developed. Her right arm is longer and can straighten more easily, and she has some ability to grip with her right hand, whereas her left arm is less able to straighten or grip. When younger the child could use a standard bike with one hand, but a heavier bike is too difficult to steer one-handed. FREEDOM WHEELS was able to construct a custom adapted the first bike design with uneven handles, as well as a standard modifications including a wider seat, outrigger wheels and toe clips. This allows the child to still mainly control the bike with her right hand while having the left handle bar close to her arm enables her to use her left arm for additional guide and stabilizer. Additionally, the outrigger wheels provided additional stability necessary for a larger bike. TITLE: FREEDOM WHEELS comes up trumps. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 5. PAGES: 2 (including cover).

  236. MODIFIED BIKES

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bike for a child with Down syndrome and mild visual impairment. FREEDOM WHEELS® created a bike with a wider seat, outrigger wheels, toe clips, and a tow bar. Aside from learning how to climb onto the bike with assistance from his father, the child has already begun to enjoy being on the bike and has started to pedal on his own; although his father still pulls him over rougher terrain on occasion. TITLE: Easy Riding. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 16-17. PAGES: 3 with cover.

  237. MODIFIED BIKES

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bike for a mother who is nervous of bikes and wants to ride with her Down syndrome and mild visual impaired child. The mother had ridden a bike since an accident she had while riding on one when she was a young child. FREEDOM WHEELS® created a bike with a wider seat and outrigger wheels for her. Despite being nervous to start, she had gradually developed more confidence and hopes to eventually remove her outrigger wheels. The father plans on getting a bike so that the whole family can ride together. TITLE: Easy Riding. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 16-17. PAGES: 3 with cover.

  238. MODIFIED BUNK BED

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a teenage girl with osteogenesis imperfecta (brittle bones) to safely use a bunk bed. In order to create needed space in a shared bedroom, two single beds were joined as bunk beds. However, there was concern that the limited head room on the bottom bunk would result in the child with osteogenesis imperfecta accidently injuring herself. Similarly, the upper bunk posed risks due to falls or other injury while climbing up. Also, the top bunk would limit access if caregiving was required. To create greater headroom for the bottom bunk, an extension was added that did not raise the top bunk higher than necessary and that did not intrude in the space for the lower bunk. An H-shaped steel extension with a socket at each end was created that sits between the upright of the bottom bunk and the upright of the top bunk. The extension is held in place by the weight of the top bunk. Because the uprights are not fixed in the sockets to make future dismantling simpler, the structure also required reinforcing. To accomplish this, two loops were added to the top and bottom of each end piece on the wall side. Diagonal steel cables were attached to the loops with turnbuckles to tension them. To provide access to the top bunk, a new wooden ladder was built to match the beds. It fits over the frame of the bed at either end and can also be moved along the frame as needed. COLOR: The extension was painted beige. TITLE: Night Safety. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 15-17. PAGES: 4. (including cover).

  239. MODIFIED CHAIR LEVER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized adaptation to operate the level mechanism of a reclining chair for an individual with right arm weakness. The original lever was quite short and positioned low down on the right side making it very difficult to push down to raise and lower the leg support section of the chair. A handle was created that bent out far enough from the base so it cleared the chair armrest and with a modified handgrip for easier grasping. A bent section of square steel tube was used to make the new handle and was painted black with an added gold ball handle (matching the existing room environment). The new handle was attached to the existing mechanism protruding from the chair base. The spring tension was also modified so that the lever was easier to operate. TITLE: Better leverage. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: p. 6 PAGES: 2. (including cover).

  240. MODIFIED CHILD BIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted bike for a child with muscular dystrophy. The FREEDOM WHEELS workshop modification included the usual outrigger wheels and wider seat, plus hip and thoracic supports, a padded head plate, foot cups, and a tow handle. The handlebars were extended to make them easier for the child to reach. TITLE: Jaxson’s Wheels. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 11. PAGES: 2 (including cover).

  241. MODIFIED CHILD TRICYCLE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adaption of a child tricycle for a child with Collagen 6 Myopathy. The child does not have enough strength to turn the tricycle pedals but is able to propel the trike himself using his feed on the smooth floor tiles in the family home. First, the pedals were removed, the cranks straightened, and then reattached to 25 millimeters out from the front wheel hub. This allows the child to use the pedals as footrests when he tires and needs to be pushed. The existing push handle was replaced with a sturdier, extended tube with a T-handle on the end. The top of the handle is around 1 meter from the ground so it is in a suitable position for an adult to push it easily. Additionally, the seat position was altered from a 15 degree angle, readjusted the seat base horizontally and the back vertically, and repositioned the entire seat unit at the correct distance above the floor so the child could easily reach the ground with his feet. A steering limiter was added so the child could not turn the wheels too far to either side. Finally, a padded frame bar which joins the front wheel to the seat for extra protection was added. TITLE: Elijah’s Transport. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 16. PAGES: 2 (including cover).

  242. MODIFIED CHILD WALKER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted walker for a child with muscular dystrophy who is unable to stand or walk independently. A bright yellow walker was adapted using FREEDOM WHEELS bike components which would provide the child with postural supports similar to bikes. A high-riser bar was attached to the frame of the walker under the seat then a back support plate and thoracic fins were mounted onto the high-riser. These components are height adjustable on the high-riser so that they can be moved to provide optimum support as the child grows. This customized walker allows the child to easily interact with other children and provides him with freedom and independence. TITLE: Jaxson’s Wheels. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 11. PAGES: 2 (including cover).

  243. MODIFIED CHILD’S CAR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation of a Wiggles Big Red Car for a child with cerebral palsy. The car’s existing seat was unsuitable for the child as he needed to be able to recline backwards. However, the child had an existing free-form seat which fitted snugly into the same space. This was used with cushions made by a volunteer. A wired hand-operated jellybean switch control was created to work with the existing electrical controls. This switch was mounted on the steering wheel where it was easily accessible for the child to operate. The jellybean switch was color-matched to the car’s existing controls per the patron’s request. TITLE: Bathing Noah. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 13-14. PAGES: 3. (including cover).

  244. MODIFIED COT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adapted cot for a mother with hemiplegia and limited use of her left arm. The mother needed a safe play area for her son that did not require him to be lifted—a modified cot would suit this purpose. An existing cot was adapted using two zips to make a triangle. Since the existing fabric side of the cot was not strong enough to have a zip put in, the cot was taken to pieces to take out one entire panel, cut the black edging to a square shape (it is curved on the other panels), and sew in a section of outdoor furniture fabric, which is stronger. This adaptation worked for some time until the zip eventually broke due to the pressure of being operated one-handed. An alternative solution involved a panel made from steel tube and mesh which hooks over the top rail of the cot and covers the access hole thus allowing the mother to lift in and out with one hand. TITLE: Bringing Up Baby. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 12-13. PAGES: 3 (including cover).

  245. MODIFIED CRIB Picture of MODIFIED CRIB

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted crib for a mother with C6-7 quadriplegia who uses a motorized wheelchair and. The mother has wrist function but no use of her fingers. She did not have the reach or strength to operate the crib’s drop side, and could not get near enough to the crib once the side was down because it got in the way of her chair. Previous adaptations by TAD staff would not work in this case since the mother used a motorized wheelchair. A TAD volunteer offered a different solution - a sliding gate. The entire drop side was removed and two new fixed sections, which sit at either end, and two gates in the center, which slide open outside the fixed sections were added. The mother was concerned that the gates would extend too far beyond the crib when opened; therefore, the design required that the gates not be the entire width of the side. However, with some adjustment of the spacing between the pickets, there was more than half the side to work with. The gates slide on the type of runner normally used for kitchen drawers. The locking mechanism had to be childproof but easy enough for the mother to open with her limited hand use. The door latch was placed at the bottom of the crib well out of the child’s reach and line of sight. The crib was also raised so that the mother’s wheelchair could fit underneath it, castors were added to make the cot easy to move around the house, and struts between the legs on each side were used to reinforce the cot. TITLE: Sliding Cot Door. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: pp. 10-11. PAGES: 3 with cover.

  246. MODIFIED CUTLERY

    --- CUSTOM ADAPTATION --- PURPOSE: To provide custom adaptation of cutlery for an individual with Chronic Inflammatory Demyelinating Polyneuropathy. Two pieces of 16-gauge steel sheet were cut and wrapped into a U-shaped holder that fits around the individual’s hands. A stainless steel knife and fork were then TIG-welded to the U-shape holder. The steel holders have a natural spring so the individual can bend them back very slightly to insert his hand. Once the holders are on his hands, the user does not need to grip them as they stay in place unaided because of the spring. The original configuration had the fork welded to the holder facing upwards and could be used more like a spoon; however, this configuration did not work well for the individual, so the placement was reversed to be used like a standard fork. The knife works for buttering bread, adding spreads and so on. Because of this individual’s specific disabilities he is not able to clean up easily, therefore, he eats pre-prepared meals. Several pieces of non-slip mat were provided so that one could be used under the tray, then another one on top of the tray, and then the heated meal on top of that. The non-slip mats keep the plate stable while food is cut. TITLE: Dining comfortably. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: p. 10 PAGES: 2. (including cover).

  247. MODIFIED DESK CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with short stature to sit comfortably at her desk. A commercially-available swiveling desk chair was purchased and virtually rebuilt. The seat was removed from its existing base and mounted on a custom-built parallelogram-shaped base which was attached to a screwjack to raise and lower the chair height while keeping the seat horizontal. The screwjack was powered by a 50-watt direct-current (DC) motor. This enabled the user to sit on the chair at its lowest height and then raise it to standard desk height. The arrangement retained the chair's original swivel capability. The seat, lifting mechanism, and motor were then remounted on the original reworked base with casters to retain mobility. A narrow wooden footrest was hung from metal bars below the seat. POWER: Uses a motorbike battery. TITLE: Sitting Comfortably. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 17-18. PAGES: 3 (including cover).

  248. MODIFIED DINING CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who uses a walker and has upper extremity weakness to transfer safely to a dining chair for meals. The individual required a chair that enabled her to sit and then swivel into position and lock the seat in position for eating. A standard office chair with a five-legged star base was purchased. To ensure the chair would be safe and stable during transfers, the existing casters were removed and replaced with rubber feet. Because the left armrest would sweep the table and knock over items during the turning process, the existing hard plastic armrests were removed and replaced with upholstered ones. The left armrest was also hinged to the support post so the user could flip it out of the way while turning the chair. To ensure that the chair was securely locked in place whil the user eats, a round horizontal plate was installed under the seat with slots cuit around the circumference into which a single "tooth" drops to stop the chair from revolving. The user reaches down with her right hand and lifts a spring-loaded lever to allow the chair to rotate and releases it to lock the seat when it is in the desired position. TITLE: Dining Chair. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 16. PAGES: 2 (including cover).

  249. MODIFIED DINING CHAIR Picture of MODIFIED DINING CHAIR

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted dining chair for a young woman with Dravet syndrome, an intellectual disability and epilepsy. Her seizures are severe and hard to control. When the young woman was younger she use to sit at the kitchen table using a high chair but as she got older, she outgrew the high chair and now needed a new way to sit comfortably at the dinner table. Upon initial evaluation, the assessment team tried a TAD Michelle Tilt-in-Space Supportive Chair but it was not well suited for the young adult as she had difficulty getting in and out of the chair. The TAD volunteer modified one of the family’s own dining chairs. Two armrests were added to the chair to keep the young woman comfortable and safe in case she lost balance. A tray was added that the young woman could use to play or eat. The tray can be removed so that the chair can still be placed under the dining table. The armrests and tray were stained to match the rest of the chair so the chair fitted in to the family’s dining space and the young woman could participate in family dinners. TITLE: Bethany’s Chair. JOURNAL: TAD Journal. REF: Volume 33, Number 1, 2013: p. 11. PAGES: 2 with cover.

  250. MODIFIED KINDERGARTEN CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with multiple disabilities with appropriate seating. Three wooden kindergarten chairs were modified to meet the needs of specific children. Seat and back inserts, measured for each child, were added to the standard chairs and bolted on using metal brackets. A pelvic belt and a crotch strap were added to assist with positioning. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 16-17. Number of pages: 3 (including cover). 2006.

  251. MODIFIED POWERED TRIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a customized powered trike for a child with spinal muscular atrophy type II. This customization begins with a simple trike which uses a press foot control connected to a battery that powers the motor. First the foot pedals are disconnected and a circuit board was added to adapt the trike for hand control. The trike is then operated by two specially designed grip-style hand switches which are mounted on each handlebar. The switches plug into sockets on the tank, which means they can easily be unplugged and replaced if they are damaged. This also was an advantage when the user needed to exercise one particular hand over another — either side could be unplugged as needed. Additionally, the child’s parents were able to unplug the hand switches and plug in a remote button on a long cord allowing them to operate the trike from a distance. An important modification was added for individuals with limited muscle control was a slow start and stop function, so that the trike cannot start off or stop very quickly and avoid injury. A speed limiter was also added which is mounted on the back of the trike, enabling the user’s parents to set the maximum speed at which she can travel; this is a useful function for when a child is initially learning to ride the trike, and were unable to control the speed well. The existing motorbike-style seat was changed to a buck seat to give the user back support, and a seat belt was added. Finally, a T-bar handle on the back of the trike was added in case the user took off when you didn’t want her to. TITLE: Jessica Moves Ahead. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 4-5. PAGES: 3 (including cover).

  252. MODIFIED SCOOTER Picture of MODIFIED SCOOTER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create an adapted scooter for a teenage girl with cerebral palsy and hemiplegia on the right side that affects her control and balance. The young adult was eager to get a scooter but was unable to balance on just two wheels. A local skate shop offered wheeled scooters for children but none for teens leaving a modified scooter as the teen’s best option. The back of a regular scooter was cut off, and an axle was connected to the original back wheel to a second spare wheel with fabricated pieces. A foot cup was added to the base of the scooter so that the teen’s foot would not slide back into the wheels. A test run indicated that the scooter would need a brake over the back right-side wheel to help the girl to control her speed. TITLE: Scooter Time. JOURNAL: TAD Journal. REF: Volume 32, Number 1, April 2012: pp. 8-9. PAGES: 3 with cover.

  253. MODIFIED STAIR CLIMBER Picture of MODIFIED STAIR CLIMBER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted modification to a stair climber for an individual who uses a wheelchair. The individual attends a mediation class that requires him to get up a flight of 20 steps. Previously he used a commercially available stair climber that clamped onto his wheelchair and lifted him up the stairs. This adaptation was working well until the user got a new wheelchair which was not compatible with the stair climber. The new wheelchair has a cross bar behind it to support the back of the chair, but the crossbar prevented the arms of the stair climber from reaching the wheelchair to lock onto the sides. The crossbar on the wheelchair was thrusting the chair forward and making the sides of the chair too far away from the clamps on the stair climber. The solution was to move the clamps on the stair climber forward. The volunteer cut a piece of aluminum into a bar of about 40 millimeters by 40 millimeters to make a spacer. Then the spacer was cut to match the profile of the stair climber’s existing arm to make a tight fit. The clip was then riveted onto the stair climber to ensure that the spacer couldn’t fall off. The second part of the problem was that the adjustable bolt that slides the clamp back and forth needed to be longer. Inserting long bolts completed the job. JOURNAL: TAD Journal. REF: Volume 32, Number 1, April 2012: p. 12. PAGES: 2 with cover.

  254. MODIFIED STOOL

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with muscle weakness and balance disabilities to work safely in the kitchen. A stable shower stool with a large, molded plastic seat was modified for use in the kitchen. To increase the height, the lower sections of the legs, which have height-adjustment holes and rubber feet, were removed, as were the spring clips in the upper legs. The legs were then extended with a stub insert tube. New holes were drilled in the extensions for the spring clips and the clips refitted. The lower legs were then reattached. To provide a large, secure handgrip on each side of the seat, a length of aluminum tube was bent to form a rectanglular loop and the shorter ends were bent upward to form handgrips. The handgrip sections were fitted with foam tubing for padding and the ends of the handgrips were joined with a stub insert. The rectangular assembly was then screwed to the legs. DIMENSIONS: The height of the modified stool adjusts from 500 to 600 millimeters. TITLE: Kitchen Seat. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 11. PAGES: 2 (including cover).

  255. MODIFIED STUDENT DESK FOR INDIVIDUALS WITH DWARFISM

    --- CUSTOM ADAPTATION --- PURPOSE: To provide customized desks for children with dwarfism. To modify the existing desks, the wooden desktops were removed and a 20-centimeter piece was cut from the 25-millimeter metal legs using a jig to ensure all the desks would be the exact same height. Tubing inserts were cut to fit inside the metal legs and rejoin them, but because the tubing had a raised manufacturer seam, the leg pieces had to be drilled to a depth of 10 centimeters. The legs were reassembled, fixed with pop rivets, and refitted to the desktops. TITLE: Starting High School. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 14-15. PAGES: 3. (including cover).

  256. MODIFIED SWIMMING POOL LADDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with rheumatoid arthritis to enter and exit an above-ground pool. The pool came with a four-step molded plastic ladder, which was only slightly angled into the pool. The user required a ladder with a greater angle and rungs spaced more closely together to minimize putting weight on the knees. A second identical ladder was combined with the first by cutting and removing sections through both sides of the ladder in between each rung. The rungs were then reassembled to create an eight-step ladder with rungs half as far apart as those on the original ladder. Two square stainless steel tubes were fitted down the inside of the side of the ladder pieces and the rungs were attached to the tubes using stainless steel pop rivets to angle the ladder at about 60 degrees into the pool. A stainless steel hand rail was attached to the top of the ladder and the original weighted base froim the ladder was reattached to the bottom for stability. DIMENSIONS: The rungs are 150 millimeters apart. COLOR: White. TITLE: Margaret Keeps Moving. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 12-13. PAGES (including cover): 3 2001.

  257. MODIFIED TAD JAR OPENER Picture of MODIFIED TAD JAR OPENER

    ---- CUSTOM ADAPTATION ---- PURPOSE: To enable an individual with upper extremity disabilities to open screwtop jars. A standard TAD belly clamp was modified to fit rounded counter edges and made deeper at the front. A Baby Boa Constrictor Opener, which has a self-clamping rubber strap to grasp the lid completed the unit. The user stands in front of the belly clamp, holding it in place with his/her body. The jar is placed in the triangular point of the unit. With the jar secure, the strap is placed around the lid and the handle is gently turned to unscrew it. TITLE: Opening Gambit. JOURNAL: TAD Journal. REF: Vol 22, no 2, Winter 2002: p 10-11. PAGES (including cover) 3 2002.

  258. MOTORISED WHEELCHAIR MOVER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a recreational therapist who had a back injury to move clients who used wheelchairs around the facility. Because of the back injury, the therapist was unable to push wheelchairs or lift heavy objects. To build the unit, the motor, gearbox, elctronics, and rear wheels of a second-hand scooter were used in conjunction with a chasis built of square hollow section steel. The unit has a platform at the front on which the wheelchair, with its user, is loaded. The batterues, motor, and gears are hosed in a case of sheet metal behind the platform. A column comes up to support the handlebars and controls. The wheelchair is loaded using a winch. The winch is unlocked, straps which hook to the back of the wheelchair are pulled out, platform ramps are lowered, and the winch handle attached. With the staps attached to the chair, the therapist turns the winch handle to pull the chair onto the platform. Once the chair is in place, the winch lock lever is flipped, preventing the chair from moving. The motor on the unit is operated by a small lever on the handlebars, which when turned to one side or the other moves the unit forward or backward. A proportional speed control allows speed to be varied as needed. For safety, an electromagnetic brake engages when pressure is released on the lever, locking the back wheels. The unit is steered using a chain and sprocket system attached to a steerable front wheel. POWER: Uses a 24-volt power system using two rechargeable large sealed lead acid batteries. Each charge lasts approximately three days. TITLE: Motorised Wheelchair Mover. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 7. PAGES: 2 (including cover).

  259. MOUNTING SYSTEM FOR WALKING STICK

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who uses both a cane and a walker to transport the cane on the walker. A plastic cup was fastened to the lower part of the frame with a screw-tightened hose clamp to hold the tip of the cane. The top of the cane rests in a hook attached to the upper frame with another screw-tightened hose clamp. A hole in the bottom of the plastic cup enables dirt or debris picked up by the cane tip to be cleaned out. TITLE: Walking Stick Carrier. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 20. PAGES: 2 (including cover).

  260. MOVABLE COMMUNICATION AND LEARNING BOARDS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted communication and learning boards for students with disabilities. These boards enabled students with high support disabilities to access communication aids and learning materials while they are in their different therapeutic positions. There was no commercially available adjustable board which could be moved into the various positions and be easily moved around. The original design called for a stand that was 700 millimeters high and 600 millimeters wide, with a 600 millimeter-high board mounted on the stand. The design also included a mirror facing on once side of the board and a Velcro-adherent fabric on the other side, and for the board to be adjustable to different heights and angles. This design was fine-tuned to include diagonal braces across the top corners to strength the frame. The height of one pair of vertical uprights was adjusted to bring down the weight of the stand. For safety, a Perspex mirror was used instead of a glass mirror was used. For easy frame mobility, 75 millimeter-diameter rubber castors were installed. TITLE: Classroom Boards. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 15. PAGES: 2 (including cover).

  261. NEW BED CONTROLLER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized adaptation of a bed controller for a person with quadriplegia. Upon receiving a new bed this individual find the new bed controller difficult to use. A controller was adapted from original toggle-style switches and an old control box similar to the device previously used by this individual. The existing cable between the bed and the new controller was built into the controller therefore a new cable was needed for the adapted device. First a cable connection between the bed controls and the junction box on the wall beside the bed was created. Then the new cable was wired into the old controller and a connector was put on the end to plug into the junction box. The adapted controller is easily accessible to the individual and the previous problem of a springing back short cable was removed. The new controller, was recycled by the acquisition of extra controllers, and can be plugged into the junction box and used if needed. TITLE: Bed control. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: pp. 8-9 PAGES: 3. (including cover).

  262. NOTEPAD HOLDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of one hand to perform office tasks. This notepad holder is designed to "While You Were Out" pad in place for writing. The device consists of a plywood base with a three millimeter piece added to the front to create a slot to hold the cardboard backing of the pad. Non-slip material on the back of the plywood base keeps the unit from sliping while the user is writing. TITLE: Reception Aids. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.8-9. PAGES (including cover): 3 2003.

  263. ONE HAND CAMERA

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who has had a stroke and lost use of one arm to operate the zoom lens of a camera while holding the camera in position to look through the viewfinder. The solution was to make a nylon gear with serrations that match those on the zoom lens, and two ball bearings to enable it to move freely. This is held in position against the zoom by a brass plate formed to clear the camera’s other functions and fixed to the tripod mount on the bottom of the camera with a knurled aluminum knob. The user can hold the camera in one hand and simultaneously roll the fingers of that hand across the gear to move the zoom lens in or out. TITLE: Still Zooming. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 16. Number of pages: 2 (including cover).

  264. ONE HANDED BRAKE FOR WALKING FRAMES

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted walker brake system for individuals who are unable to use both hands to brake a walker. An individual with multiple sclerosis utilizes a walker but he was increasingly unable to have the strength to use both hand brakes to stop/slow his walker down. The result was the walker would pull to one side and leave the individual prone to falling. A therapist at the MS Society referred this individual to TAD where a brake-splitter was designed that enables both brakes to be activated by pulling on only one brake lever. The walker was fitted with this device, and now the individual can navigate safely using his walker. TITLE: One handed brake for walking frames. JOURNAL: TAD Journal. REF: Volume 32, Number 2, August 2012: p. 10. PAGES: 2 with cover.

  265. ONE HANDED CHOPPING BOARD

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized one-handed chopping board for an individual with hemiplegia resulting from a stroke. The board base made of 16-millimeter plywood with a non-slip rubber underlay to prevent it from moving on the marble tabletop. The base has a laminex overlay and oiled hardwood edging. On the right side of the base there are two strips of polypropylene cutting board material, with two “jaws” mounted between them. The jaws have textured grooves on the inside faces to assist with holding the material to be chopped. One jaw is fixed in place using two stainless steel dowels, while the other slides in the track between the two polypropylene strips using a simple lever cam to lock it in place. The moveable jaw can be adjusted for sizes up to a maximum of 100 millimeters. On the left side of the base, the section furthest away from the user as she stands at the table contains another polypropylene strip. On this is mounted an adjustable holder for her chopping knife. With the tip of the knife inserted into the holder, the user simply moves the knife up and down to chop something like a carrot that is held in the jaws. This significantly reduces the effort required compared with repositioning the knife for every stroke. This is particularly useful as the individual was originally right handed and she is now using the knife with her left hand. If the patron needs to slice something like bread, she can take the knife out of the holder and use it the normal way. The actual chopping board section is another rectangular piece of polypropylene with a drainage groove all the way around. The chopping board section and the two jaws are removable for cleaning. TITLE: Chopping one-handed. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 5-6. PAGES: 3. (including cover).

  266. ONE-HANDED WALKER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted one-handed walker for an individual having use of only one hand following a stroke. This simple but effective adaptation was created by cutting off the existing handles of the walker while managing to remove one of the handgrips intact. The handgrip was placed in the center of a new bar which spans the space between the two original handlebars. Underneath the handgrip, a single brake lever was mounted which was then connected to a splitter allowing equal pressure to be applied to the brakes on both sides. This adaptation allows the individual to use the central grip to steer the walker, and easily reach the brake lever just below it. The new bar rests on the handlebar on the one side and locks in place on that side using a tri-nut. On the other wise it pivots, enabling it to be folded down out of the way when the individual wants to use the seat. None of these modifications affected the ability to fold the frame when it needed to go in the car. TITLE: Simple but effective. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 14-15. PAGES: 3 with cover.

  267. OUTDOOR WHEELCHAIR ACCESSIBLE TABLES

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create customized outdoor wheelchair accessible tables for students with mobility disabilities. The Hunter Orthopedic School has 33 students with physical and/or intellectual disabilities from kindergarten to year 12. The school’s existing plastic tables were dilapidated and were not wheelchair accessible friendly. The school wanted to replace the tables with something different that may be supported in a different way making the tables easier for wheelchair users. The new tables needed to integrate the existing large shade umbrellas, which were mounted on metal poles in the center of each table. A team of ten volunteers developed a design for square tables made from timber decking, with each table constructed in two triangular sections. Each triangular section has a central length of mild steel pipe cut in half, which wraps around the umbrella pole. The angle iron frame which supports the timber decking and the struts supporting the frame are welded to the pipe. (The team made a special jig to ensure that all the sections were made to exactly the same specifications.) Two triangular sections were bolted together around each pole to create a complete table. TITLE: Dining Outside. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 12-13. PAGES: 3 (including cover).

  268. OVER-BED COMPUTER WORK STATION

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to work from bed or from a wheelchair. This unit consists of a two-layer table on metal legs equipped with casters for mobility. The table is at the appropriate height to enable it to be wheeled over the user's bed. The upper layer or section of the table can be rotated similarly to a lazy susan, while the lower section is fixed. Under the lower section is a small motor with a shaft which rotates the upper layer on rollers between the two layers, A slot in the center accommodates equipment cables, enabling them to move as the upper layer rotates. The lazy susan section accommodates computer monitors, a compact disc storage unit, a television, video player, and more. Any item can be accessed by rotating the lazy susan using push-button controls and a mouthstick. The unit rotates through 270 degrees with limit switches preventing further travel. At the right sidee of the table is fixed mounting for the computer, modem, etc., as well as movable shelves for the printer and scanner, which pivot from the table leg. These shelves can be turned to the right for clearance when the table is used over the bed, placed at an angle for access from a wheelchair, or tucked underneath when not in use. An adjustable mounting at the front of the table accommodates the keyboard at an 80-degree angle for mouthstick access. A flexible arm mounted to the left of the keyboard holds a phone handset and a microphone headset for voice-recognition software. When the phone is mounted in this way, it is not in contact with the phone disconnect button. Consequently, as a solution, a large paperclip with spring-loaded wire handles is clamped to the top of the phone in line with the connector control button. Using a mouthstick, the user can flip the front handle down to depress the button and connect the phone to admit incoming calls. Flipping it up enables calls to be answered or made. TITLE: Working in Bed. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 14-15. PAGES (including cover): 3 2001.

  269. OVER-CHAIR TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with Parkinson's disease to engage in a variety of activities while seated in his recliner. The customized table has a large plywood base that fits under the chair and is held in place by the weight of the chair. The chair's castors slot into small holes in the base, holding both the chair and the table completely stable. A post with a spring-loaded carriage that moves up and down from a gym set was mounted to the base. The table support was bracketed to the carriage and held in place with a tri-nut. This enables the user to change the vertical position of the table by loosening the nut, moving the table surface to the desired height, and tightening the nut. The table also swivels horizontally, allowing the user to push it out of the way when moving to or from the chair. The swivel mechanism can be locked in a range of positions using a spring-loaded pin. The angle of the table is also adjustable, allowing it to be tilted for reading or flat for eating. A lip on the side facing the user prevents items from sliding off. The tilt mechanism is also held in place with a tri-nut and an additional locking pin secures it in the horizontal position. TITLE: Stable Table. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 8-9. PAGES: 3 (including cover).

  270. OVER-THE-LAP BOOKREST

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with low vision to support reading material at the needed height for reading. The user would use pillows on her lap to elevate reading material when away from a book or table, but this solution did not provide sufficient stability. A specially-designed height-adjustable platform was created. A plywood platform padded with firm foam and covered with vinyl was mounted on a frame made of lightweight aluminum. The frame has two L-shaped supports connected by a 390 millimeter wide U-shaped bar. The horizontal supports are padded to protect furniture. Two split bush brackets slide onto the tubing and are externally clamped in place using tri nuts. The brackets carry aluminum rods, angled 20 degrees below horizontal to support the platform. To provide extra stability and further protect furniture, two flat feet made from strips of wood are held in place by copper saddles. The platform can be removed for cleaning by undoing the screws that hold it to the frame. DIMENSIONS: The horizontal supports are 330 millimeters long. COLOR: The vinyl covering on the platform is grey. TITLE: Bookrest for Vision Impaired Reader. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.16. PAGES (including cover): 2 2003.

  271. OXYGEN CYLINDER SLING

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with emphysema who uses a walker with a seat to transport an oxygen cylinder. Made of Breezeway fabric, the sling hangs under the seat of the walker and attaches to the rails on which the seat rests when in the lowered position. The base of the sling is the same length as the cylinder and deep end covers prevent the cylinder from sliding out. One side of the sling was made in three pieces to provide room for the seat clips on the front rail. A hole was cut in the center of the sling to accommodate a cord to pull to fold the walker. The walker can also be folded manually. DIMENSIONS: The sling base is 530 millimeters long and the end covers are 85 millimeters deep. TITLE: Oxygen Cylinder Sling. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p.13. PAGES (including cover): 2 2003.

  272. PADDED ARMREST FOR WALKER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for a person with arthritis of the kees to support her weight on her forearms while standing with a walker. The individual used a lightweight aluminum walker with front wheels and rear glides. A padded armrest with a torso cutout and upright hadgrips was built and installed on the top front crossbar and existing handgrips. The rest consists of a plywood base with a torso cutout covered in a layer of foam and topped with soft vinyl. The upright handgrips were mounted at a 10-degree angle on a flat bar that fit into a trench cut in the plywood base. The handgrips were later covered with soft plastic tubing for comfort. The user can position herself in the walker, rest her forearms on the padded top, and grip the handgrips. DIMENSIONS(DxW): The platform is 310 x 600 millimeters (mm) with a cutout approximately 100 x 350 mm. The layer of foam is 75 mm thick. TITLE: Crutch Repairs. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 18-19. PAGES: 3 (including cover).

  273. PAPER HOLDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of only one hand to cut paper with scissors. The device enables the paper to be elevated and positioned for cutting and consists of a cylindrical wooden base with a magnet embeded in it and a steel plate lid with a raised handle. The paper is held between the lid and the magnet for cutting and the paper can be maneuvered while in the holder. TITLE: Tried and Tested. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 18. PAGES (including cover): 2 2001.

  274. PHONE HOLDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with motor neuron disease to talk on the telephone in privacy. Because the individual no longer has use of his arms, the device needed to be adaptable to both a standard cordless phone and a cell phone. The holder is equipped with a gooseneck arm and clamps to the push handle of a wheelchair. Attached to the gooseneck arm is a plastic spring clamp with jaws lined with vinyl. A caregiver dials the number being called and places the phone in the holder. The user can then complete the conversation privately. TITLE: Phone Holder. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 17. Number of pages: 2 (including cover).

  275. PLANT STEM CLAMP

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia and use of one hand to cut plant stems. The user has a spring-operated clamp worn on a rubberized rope around his neck. The clamp is used to steady the weed or plant stem, which can then be cut. TITLE: Fred's Garden. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p. 17. PAGES (including cover): 2 2001.

  276. PORTABLE BARIATRIC COMMODE CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual to rise from a toilet when visiting friends or traveling. A folding frame was made from 22-millimeter steel tubing and finished with epoxy enamel. The side legs are attached to the back with standard hinges, which allow them to fold onto the back. The frame has armrests and a backrest. The legs have non-slip caps for stability. The seat is made of a single sheet of 14-millimeter plywood with a central hole that fits over the toilet bowl just above the existing seat. Wooden side rails fit over the side rails of the frame to hold the seat in place. Notches at the corners fit around the frame. The seat is removable for transport and storage. DIMENSIONS: The frame is 66 centimeters high. COLOR: The seat is natural wood finished with clear lacquer. TITLE: Portable Commode Chair. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 17. PAGES: 2 (including cover).

  277. PORTABLE CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a chair with a seat high enough for a user with mobility disabilities and upper extremity weakness to rise from that the user could transport to doctor appointment and other outings. A folding aluminum director's chair was purchased and aluminum tubing in the same dimensions as that of the chair frame was used to create extensions for the chair's legs. Internasl sleeves were inserted in the tubing and epoxy glue and pins were used to ensure strength. Aluminum crossbars were installed on either side of the seat between the legs to ensure stability. Wheels were installed on the left legs so that the chair could be tipped and wheeled into place when folded; the wheels do not rest on the floor when the chair is in use. Rubber stops were installed on all four legs to prevent tipping. A carrying handle was added to the frame for use during transport. When additional seat height was required, a firm, vinyl covered cushion was mounted on plywood that sits across the existing seat on two metal angle bars bolted to the frame of the original director's chair. The cushion slides out when the chair is folded for transport. DIMENSIONS: Without the cushion, the seat height is 650 millimeters. TITLE: Portable Chair. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 12-13. PAGES: 3 (including cover).

  278. PORTABLE CHANGING TABLE FOR OLDER CHILDREN

    ----CUSTOM ADAPTATION ---- PURPOSE: To provide a changing table for children ages 5 to 9 with incontinence who are too big for a regular changing table. The table base is a rectangular piece of medium-density fiberboard, 145 centimeters (cm) X 75 cm. Four pieces 19 millimeter (mm) plywood, 12 cm high, are attached to the edges of the table base to form a box into which a vinyl covered 70 mm foam mattress is placed. Collapsible legs, 85 cm high, are attached to the bottom of the table base. 10 cm leg extensions, made of square tubing and attached with a tri-nut, are available to raise the table for taller caregivers. Each end of a webbed safety strap is bolted to the bottom of the table base so that the strap can be used to hold a child in place if needed. When not in use, the tables legs can be folded, and the table can be rolled on two castors attached to one side of the base. TITLE: Portable Change Table. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 19. PAGES: 1.

  279. PORTABLE SEAT FOR ARCHERY

    --- CUSTOM ADAPTATION --- PURPOSE: To create a portable seat to assist an individual with cerebral palsy who competes in international archery competitions. The seat meets international requirements such as not having the legs dig into the ground and occupying only the amount of specified in the rules. The three-legged chair stands independently and enables the user to have his feet on the ground. The legs are made from powder-coated 19 millimeter steel tubing and meet at a central point under the seat. The two longer back legs are angled approximately 25 degrees from vertical and are joined by a base piece at the bottom. The front leg angles approximately five degrees and fits into the center of a T-shaped section which joins the back to the center of the back leg base. The seat is made of sheet metal and is situated at a 45-degree angle from vertical 700 millimeters (mm) from the ground. The seat is covered with foam rubber covered with non-slip material. This enables the user to place his feet on the ground for weight bearing and stability. The components are held together with push button spring clips, enabling the chair to be dismantled for transport and storage. DIMENSIONS: The seat is 360 x 320 mm. TITLE: Archery Seat. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p. 12-13. PAGES: 3 (including cover).

  280. PORTABLE STAND FOR HOSPITAL COMPUTER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child in a hospital to use a computer while sitting or lying in bed or from a wheelchair. TITLE: Hospital Computer Stand. The concept for the stand was based on a cantilevered hospital bed table modified to accommodate the weight of the computer components while still being easily adjustable. Square metal tubing was used to make a stand for the table; the stand included a lockable metal box with two sheet metal doors at one end. The box houses a lockable gas strut with adjustable pressure, similar to those used on office chairs. A lever releases the strut , enabling the table to be raised or lowered. The box also houses to telescoping columns which support the table top. The box protects children from the moving parts and also offers storage support. It was necessary that the base fit under all hospital beds and be fitted with the largest possible casters to accommodate a variety of floor surfaces. To accommodate the casters and keep the overall height of the stand within the required range, the metal tube frame was cut short at each corner and four metal plates were welded to the corners to hold the casters. The keyboard tray can be used by a child in a sitting position or while lying down. To accommodate the lying position, the tray slides out and unhooks from the frame for use in a vertical position. The back of the monitor is equipped with a ball and socket joint to enable it to be used in any required position. A large handle, made of 20 millimeter (mm) stainless steel tubing bent to shape, was bolted to the metal box to serve as a handle to aid with mobility. TITLE: Hospital Computer Stand. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 14-15. PAGES: 3. (including cover).

  281. POSITIONING CHAIR Picture of POSITIONING CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide proper positioning for a child with neurological disabilities. An existing Sebel Hobnob Junior Chair was modified to meet the child's specific needs. A height-adjustable footrest that slides out from under the seat was added. The chair was also equipped with glides on the legs for easier movement, and ant-tips were added to the rear legs. For more precise support, a removable lateral plywood insert was added to the seat. The insert was removable when the child grew sufficiently to use the chair without it. DIMENSIONS (DxWxH): The insert is 255 x 270 x 250 millimeters. TITLE: Bicycle and Beyond. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 8-10. Number of pages: 4 (including cover). 2006.

  282. POSITIONING TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide proper positioning for a child with neurological disabilities. This table is designed to provide the child with proper postural positioning while allowing the child to concentrate on eating, playing, or educational activities while at the table. The table was made of plywood to dimensions specified by the child's therapist and provides space for two children. The table is height adjustable and has a torso cutout at one end to provide the child with close access. A wooden edge along the two longer sides where the children do not sit to keep objects from being knocked off. DIMENSIONS: The table adjusts from 440 to 540 millimeters (mm) high in 20 mm increments. The torso cutout is 235 mm wide x 180 mm deep. TITLE: Bicycle and Beyond. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 8-10. Number of pages: 4 (including cover). 2006.

  283. POWER CORD CONTAINMENT DEVICE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized device to keep power cord out of wheelchair wheels for person with quadriplegia. Initial recommendations were that circuits be fitted with an Earth Leakage Protection circuit breaker (ELPCB) or Residual Current Device (RCD) in all cases where main power cables are involved in an occupational setting. With this in mind, 25 millimeter (mm) square aluminum tubing was used to make a 1,200 mm pole. The pole fits loosely into a 40 mm square aluminum socket mounted on the bottom rail of the wheelchair, to enable the user to place it himself. A hook was made and fitted to the horizontal rail of the chair so an individual can hook the pole firmly into position. The hook and socket are attached with hose clips to avoid drilling into the frame of the chair. A plastic joiner was used to fit a 480 mm horizontal bracket, which was then fitted with a plastic hook on the upper side. This hook holds the cable high up and safely out of the way. TITLE: Blowing Leaves. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 11. Pages: 2. (including cover).

  284. POWERED ARMCHAIR MODIFICATION Picture of POWERED ARMCHAIR MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted armchair for an adult with Charcot Marie Tooth Disease, a disease similar to Muscular Dystrophy, which causes muscle weakness and foot drop, making it difficult to walk. The individual had used a powered lounge chair to watch television. The chair had a remote control which tilted the chair at an angle that would lift the individual forward and hold him into an almost standing position to help him transfer to his walker and then wheelchair. When the user went to replace his chair, he and his wife realized that the original model had been discontinued. The replacement had much shorter arms, so when he reached the full tilted position he could not put his hands on the chair's arms to steady himself and push forward towards the walker. A TAD volunteer evaluated the chair and determined that the arms were about six inches too short for the user to lean his hands. The solution was to make a metal extension for the arms making them at right angles for a bit of extra support. Since the chair's cover was attached with Velcro, it was easy to detach the spare material that could be used to stretch over the arm extenders. In addition to resolving the issue that the arms on the chair were too short, the volunteer observed that the user was having difficulty using both hands to operate the chair's controller. Since the remote was attached by a cable, the user had to hold it in one hand and press the switch with the other hand. The volunteer fashioned a cradle for the controller out of sheet metal and bolted it to the outside of the chair so the user could operate the switch using only one hand. TITLE: The Converted Armchair. JOURNAL: TAD Journal. REF: Volume 32, Number 2, August 2012: p. 4. PAGES: 2 with cover.

  285. POWERED ELEVATED CHAIR

    --- CUSTOM ADAPTATION -- PURPOSE: To provide a customized lifting chair for an individual with mobility disabilities that can be easily moved throughout a residential setting, including going through doorways. The chair has a U-shaped base made of rectangular hollow steel with a vertical post at the back, and large casters on the front ends of the U and smaller ones at the back. There are also larger bike-type wheels on either side which can be used to propel the chair if necessary. Additionally, there are handlebars at the back of the chair that can be used to push the chair when required. The seat frame is made of steel tube and has a plywood base padded with foam and covered with vinyl. The seat is raised and lowered using an electrolinear actuator powered by a rechargeable battery and housed in a steel box mounted to the rear of the vertical post. The chair is equipped with a braking system which holds the chair completely still during transfers onto it on the ground, or on or off at a raised level. The raising and lowering mechanism and the brakes are operated by using toggle switches which are mounted in a small hand-piece on a length of cable so that it can be reached from the ground or in the chair. POWER: Uses a 12-volt rechargeable battery. DIMENSIONS: The lifting chair travels no more than 150 millimeter (mm) off the ground to a standing height of 680 mm. TITLE: Chair Raising. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 6. Pages: 2 (including cover).

  286. POWERED KITCHEN STOOL

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with short stature and paralysis of the legs to access counters and the stovetop for cooking. Because the user lacked mobility, she had used a standard kitchen stool fitted with casters, but that proved unsafe. A custom stool was created with a frame of welded rectangular hollow steel. The stool was equipped with an electrolinear actuator that raises and lowers the seat. The actuator is an electric motor with a worm reducer that drives a vertical screw. The screw has a nut on it, which is connected to the seat. As the screw rotates, the nut and the seat travel up and down. The padded seat is equipped with a back support and is covered in vinyl. A toggle switch on the side of the seat raises the seat to counter height or lowers it for transfers and access to lower cupboards. DIMENSIONS: The steel sections of the frame are 75 x 50 millimeters. The seat elevates up to 680 millimeters and lowers to 370 millimeters. COLOR: The vinyl covering the seat is blue. TITLE: Elevating Kitchen Stool. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 18-19. Number of pages: 3 (including cover).

  287. POWERED PERSON-LIFTER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for a caregiver to lift an individual with multiple sclerosis from the floor after a fall. This lift has a frame made of welded rectangular hollow steel and a three-sided base which is closed at the rear of the device and open at the front. Casters were installed on the two closed corners and on the two open ends, with the casters on the open ends set outside the frame to leave room for the lift seat to move. The rear casters are equipped with brake that snap down to lock the unit in place while the user is getting into it. Two vertical pieces extend upward from the two closed corners of the base and a crossbar connects them, creating a handlebar for moving the device. The device is equipped with an aluminum seat with a plywood base and back that moves up and down on a central vertical screw shaft powered by an electric drill motor with a V-belt pulley speed reducer. A switch on the drill motor changes the direction of the movement from up to down. By pushing the switch in the opposite direction and pulling the drill trigger, the seat with the individual in it can be raised to enable the user to transfer to a chair. DIMENSIONS: The seat on the lift can be raised to a height of 500 millimeters. TITLE: Powered Person-Lifter. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. P. 10-11. PAGES: 3 (including cover).

  288. PRAM (STROLLER) MODIFICATIONS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted pram (stroller) for a mother with cerebral palsy. The individual chose a pram that was heavy in the front so that it did not require any extra weight or other anti-tilt mechanisms. However the pedal brakes were still a problem, as the individual could not lift her foot to operate them without the risk of falling over. The brakes were converted to a hand operation while making sure that the changes didn’t interfere with the ability to fold the pram. The two brake handles were adapted from a walking frame by heating and flattening them to the right shape to fit the walker. Then a cable was added to create a new braking mechanism which fits over the wheel assembly. When the handles are in neutral position the pram travels normally, when they are pushed down this operates a brake lever which squeezes onto the tires to lock the wheels, and when they are pulled up they operate like normal cable brakes, applying the brakes levers to slow or stop the pram. To simplify the brake operation, the rear wheels are locked in a straight-a-head position, using the locking device supplied with the pram. This stops the wheels rotating and damaging the brake mechanism. Another issue was that the individual was unable to push down on the back of the pram to raise the front wheels when she needs to go over a curb. In this instance she needs to go around to the front of the pram and lift it from there. To solve this problem an extended 650 millimeter strap was added that goes around the user and the pram. This enables the user to go around to the front of the pram while still attached to it, which is also useful if she needs to tend to the baby. The standard 300 millimeter strap, which is now mandatory for all prams, also remains attached to the pram handlebar. The extra lead provides confidence that if the individual accidently trips, lets go of the pram, the pram will not roll away. TITLE: Keeping balance. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 8-10. PAGES: 4 with cover.

  289. PUPPET BOX

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with multiple disabilities with access to hearing testing. This box is used with children who are unable to understand instructions to signify when they hear certain sounds or are physically unable to do so. Instead, the child is taught to turn his/her head when a certain sound is heard, an instruction that is reinforced by lighting a puppet in the box. The box is painted with blackboard paint for a matte finish that does not reflect light. A black curtain is fitted to the back of the box with an opening for the puppet. The front of the box is made of charcoal-grey Perspex, which is not transparent until lit from behind. The box is outfitted with three levels of lighting controlled with an air-operated foot switch to make the switch as quiet as possible. POWER: The lighting uses a 12-volt direct current (DC) garden lighting transformer. DIMENSIONS (HxWxD): 600 x 400 x 320 millimeters. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 16-17. Number of pages: 3 (including cover). 2006.

  290. PUSH BUTTON HEATER CONTROL AID

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with rheumatoid arthritis to operate the lighting controls of a space heater. In order to light the space heater, two recessed buttons needed to be depressed simultaneously and held for several seconds. A tool was fashioned from the handles cut from a stroller. A wooden block with a slightly rounded end was glued into each handle. The user blaces the rounded blocks against the buttons while grasping the handles and using her body weight to press the buttons. TITLE: Independence at Home. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 8-9. PAGES: 3 (including cover).

  291. RAILS FOR BUS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted rails for bus for an individual with Rubinstein-Taybi Syndrome. This individual has a rare syndrome which has resulted in developmental delay and challenging behaviors, and gets very anxious if she doesn’t feel secure. The home which the individual lives has a bus which is used to take the residents to their day placements and on outings at the weekend. Most of the residents use wheelchairs and are lifted in and out of the bus in their chairs, but this individual can walk and so needs to use the fold-down step at the side of the bus for access. The problem was that she did not feel secure on the step, and workers at the home had to support her when she was using it. As well as the risk of injury to the individual if she panicked and lost her balance, there was also a significant risk of injury to the workers if they took all her weight. The solution was to create custom adapted rails that would work in tandem with the buses existing vertical rails on either side of the door. Two additional triangular rail sections were created and attached to buses rails. The vertical side of each new rail was made from square steel tube, and was bolted to another piece of U-shaped steel which goes around each of the existing rails. The other two sides of each new section were made from round steel tube that extended out to form the new rails. A small plate was added at the bottom of each existing rail with a raised square in the centre. When the new rails are folded out for use, the raised square slots into the bottom of the vertical section lock the rails securely in the open position. The vertical sections move freely on the existing rails, so it is easy to lift them slightly to release them when it is time to fold them back in. This also means the new rails don’t compromise the structure of the bus and can be removed if it is sold in the future. The last task was to work out the best way to hold the rails closed and stop them from rattling when they are folded in and the bus is in motion. Initially a spring clip was added to hold them together and some insulation tape on one to muffle the rattle, but the tape appeared to wear out very quickly. This system was replaced with a Velcro-fastening strap. The solution has worked well for the individual providing her with a really good sense of security, and if she should happen to trip she has something other than staff to hold onto. TITLE: Boarding the bus. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 12-13. PAGES: 3 with cover.

  292. RAISED HEIGHT SHOWER CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a caregiver to provide bathing assistance without bending. An existing shower chair was adapted by extending the stainless steel frame under the seat. Equipped with casters, the chair legs were extended outwar approximately 100 millimeters and given additional bracing for stability and strength at the increased height. DIMENSIONS: The seat height was raised 250 millimeters. TITLE: Shower Chair Raised. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 19. PAGES (including cover): 2 2001.

  293. RAMP TO TILT WHEELCHAIR TO COMFORTABLE EATING POSITION Picture of RAMP TO TILT WHEELCHAIR TO COMFORTABLE EATING POSITION

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with cerebral palsy who uses a wheelchair with tilt-in-space seating to eat independently. The user's disability prevents upright sitting, so a low-level ramp was constructed to raise the wheelchair's rear wheels. Seventeen millimeter lightweight plywood was used to construct the sloping portion of the ramp, and five slats of 50 x 25 millimeter wood were used to fashion a gutter to hold the rear wheels in place. The same type of wood was used to frame three sides of the ramp, with a hole in the rear piece for carrying. When combined with a wheelchair tray, the platform enables the user to eat independently. DIMENSIONS (WxD): 520 x 600 millimeters. TITLE: Dining Chair. JOURNAL: TAD Journal. REF: Vol 22 no 1, Autumn 2002: p 14. PAGES (including cover): 2 2002.

  294. READING STAND FOR BED

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to read in bed. This device is attached to saddle-style mountings which rest on the bed rails. The holder can be moved closer to or farther from the user by sliding it along the rails. Tri-stud adjustments on either side permit up and down adjustment. The lectern surface is mounted on a 19 millimeter stainless steel frame, and the angle can be adjusted using a tri-stud clamp at the back. Movable elastic bands tied around the lectern surface hold the book and paqges in place, while enabling the user to turn pages with a mouthstick. TITLE: Working in Bed. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 14-15. PAGES (including cover): 3 2001.

  295. REAR STEER BIKE MODIFICATION Picture of REAR STEER BIKE MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted rear steering modification for a bicycle for a child with autism and global developmental delay. The child and her mother often go for walks around the local neighborhood and the mother thought it would be nice for the child to ride a bike on these outings. The child has limited balance and gross motor skills, but the mother still would need to give the child extra support as she grows. The child was assessed and then given a 24-inch bike for trial use. The bike's training wheels provided postural support and a strap around the child's waist provided additional support. The foot cups were useful in keeping the child's feet in place. The bike had a tow bar on the front that allowed the parents to pull the bike. When she was a toddler, the bike had a handle on the back to allow her parents to push her. The child had gotten used to this feature, and it was kept in the newer design. A custom rear steering modification was also added to the bike that allows the front wheel of the bike to be steered by a handlebar located at the back of the bike. The additional handlebar was positioned at the riders head height on the high-riser. The rear steering works by turning the handlebars to the left or right, just as a regular handlebar works and was fitted with a steering limiter that prevents the rider from over-steering and also prevents the person using the rear steer from stretching the rider's arms too much. Steering from the rear is transmitted through a series of levers and links between the rear steer and front forks. These links are arranged so as not to impinge on the child’s leg movements. TITLE: Payton's Freedom Wheels. JOURNAL: TAD Journal. REF: Volume 33, Number 1, 2013: pp. 14-15. PAGES: 3 with cover.

  296. RECEPTION AIDS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of one hand to perform office tasks. A multi-function board made of nine-millimeter plywood to enable the user to open envelopes, remove envelope contents, fold papers, staple papers, and stuff envelopes. The board has a flat piece that rests on a desk or table and is slightly larger than A4 size. A slot placed at a ninety-degree angle to the flat piece rests against the edge of the table; if needed, the user can lean against the slot with a leg to hold the unit in place. At the front of the slot is a Lexan panel with a blade mounted in it for opening letters. The slot is then used to hold the envelope upright while the contents are extracted. The flat section has raised blocks to create an A4-sized frame which enables the user to line up papers for stapling. Two angled cutouts at the top provide access to the papers for right or left corner stapling. The cutouts were designed to match the stapler being used so that, when the stapler is pushed as far in as possible, the staples will always be in the right place. In addition, a hinged section in the center of the flat piece assists in folding papers. The hinged piece is opened and a piece of paper is placed in the A4-sized area; the hinged piece is then closed. Folding one end of the paper over the hinged piece and then folding the other, folds the paper accurately in thirds for insertion in an envelope. The envelope can then be placed in the front slot for stuffing. TITLE: Reception Aids. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.8-9. PAGES (including cover): 3 2003.

  297. RECORDER HOLDER Picture of RECORDER HOLDER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for a child with cerebral palsy to play the recorder. A two-part holder was creared using clear acrylic. The first part of the holder was a column of two-millimeter wide acrylic disks joined by a thin strip of acrylic. Each disk has a hole in the center, varying slightly in size to adjust for the instrument's tapered shape, creating frets about eight millimeters in diameter to guide the player's fingers. The finger guide was nounted on a stand with a heavy polycarbonate base, an aluminum center column, and an acrylic frame that pivots to different angles on the column and has five height adjustments. The recorder is held on the frame with elastic clips. TITLE: Recorder Holder. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 22. PAGES: 2 (including cover).

  298. RECUMBENT TRICYCLE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spastic quadriplegia and vision and intellectual disabilities to cycle for exercise. The basic structure of the three-wheeled cycle was created using the front half of a 12-inch bicycle and the back half of a 16-inch bicycle. The single back wheel was replaced with two wheels on an additional frame made of steel pipe. The seat was made from a full-size Namco plastic seat shell mounted to the new cycle frame. Pressing a small lever under the seat allows it to be rotated 45 degrees to either side and locked in place for transfer. The seat can also be adjusted backward to accommodate growth and plywood thoracic positioning fins positioned on the frame on either side of the seat swing away for access. Two padded vertical positioning plates were mounted in front of the seat to prevent the uer's knees from falling to the left. The left plate was fixed to the seat and rotates with it, but the right one is removable for transfers. To prevent the cycle from moving during transfers, two locks from hospital bed casters were fitted to the back of the frame, with one on each side. The locks can be flipped down to lock the wheels in place. The cycle has a fixed wheel so the pedals rotate when the cycle is towed using a tow bar fixed below the handlebars. The pedals have footcups with Velcro straps to hold the rider's feet in place. The rotating pedals thus provide significant passive exercise. Brakes mounted on the handlebars enable the user to have greater control should he develop the ability to do so. TITLE: Exercising Options. JOURNAL: TAD Journal. REF: Volume 26, Number 4, January 2007: p. 16-17. PAGES: 3 (including cover).

  299. REINFORCED BED WITH ENCLOSURE Picture of REINFORCED BED WITH ENCLOSURE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom-made bed for a child with Angelman syndrome to provide a safe and protected environment during sleep and periods of restlessness. The child had outgrown her previous modified cot and the new bed was needed to withstand the strenuous shaking the child applied during her periods of sleeplessness. The new design involved moving the child to a single mattress and building safety railings high enough so that she cannot climb over them and compliant with the Australian standard for railing spacing. A large, robust set of railings, with double gates at the front allowed for easy access to the child and for changing sheets. Parliament hinges were used to keep the gates well away from the jamb and avoid creating a point where the child could pinch her fingers. The gates are secured by two large pad bolts located at the base of the bed well out of the child’s reach. Concerned that the gates might not be strong enough, the child’s mother requested that the gates be fitted with a deadlocked bar cross the top of the bed to hold the gates doubly firm. DIMENSIONS: The mattress is housed in a 200 millimeter-high wooden box base which sits inside the railings with mattress resting on top of the base. The top of the mattress is then 540 millimeters from the floor, and the rails are 1500 millimeters from the floor. The wooden box can be removed in the future, making the railings effectively 200 millimeters higher allowing for the child to continue using the set as she grows older and taller. COLOR: The bed was finished with a coat of fresh white enamel paint. TITLE: Safe in bed. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 8-9. PAGES: 3 with cover.

  300. REINFORCED CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide seating for a child with multiple disabilities, including cerebral palsy and intellectual disabilities, who rocked when seated. The chair needed to be strong enough to be difficult to rock and to be able to withstand any rocking motion generated while providing the needed positioning for eating and other activities. The chair base and frame were made of solid Tasmanian oak, with joints that are both screwed and glued. The seat, back, and base covering were made of 9-millimeter (mm) plywood. The bottom of the chair is equipped with solid wood skis which resist tipping when the child rocks. Resting on the front of the skis is an adjustable-height footblock made of four layers of 12-mm plywood, which are held in place underneath using tri-nuts. The footblock is equipped with footcups with Velcro straps. In the center of the base, under the seat, there is a compartment for adding additional weights to make rocking more difficult. The compartment has a plywood lid with finger holes for removal and replacement. The chair is also equipped with a covered 25-mm foam cushion and a double-layer foam back cushion. One layer of foam can be removed from the back cushion to accommodate growth. Other positioning features include a pelvic belt and removable thoracic fins. The chair also has a large handle on the back made from 30 mm dowel mounted between two wooden blocks. DIMENSIONS: The thoracic fins are 170 mm long. TITLE: Reinforced Chair. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 17-18. PAGES: 3. (including cover).

  301. REINFORCED CHAIR

    ----CUSTOM ADAPTATION ---- PURPOSE: To prevent children with cognitive disabilities and poor impulse control from rocking or throwing the chair. The chair frame was made from tubular steel and fitted with a steel seat and back. The backrest was slightly angled and curved for comfort. The legs were welded to steel plates which were bolted to metal floor plate with Tekscrews, creating a firm, immovable base. The chair was also equipped with a lap belt. TITLE: Reinforced Chair. JOURNAL: TAD Journal. REF: Vol 22, no 3, Spring 2002: p 18-19. PAGES (including cover) 3 2002.

  302. REINFORCED KITCHEN GATE

    ----CUSTOM ADAPTATION ---- PURPOSE: To prevent an older child with learning disabilities from entering the kitchen unsupervised. An existing lattice gate that was not strong enough to deter a 7-year-old boy can be reinforced. The Gate was mounted on solid wood boards firmly screwed into both sides of the doorway. The lattice was renforced by a wooden bar mounted on a hinge on the same side of doorway to which the lattice collapses. The bar folds down onto the top of the closed gate and fastens to the opposite side of the doorway. A barrel bolt is installed on the underside of the bar, out of the child's sight, to hold the bar in place. TITLE: Reinforced Kitchen Gate. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 12. PAGES: 1.

  303. REPLACEMENT SHOWER SEAT

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with spina bifida to shower independently. An existing shower seat had been custom built and mounted to the side wall of the shower at a slight angle to promote damage. The unit had a wooden seat covered with plastic, but over time water had penetrated the wood, causing it to rot and eventually break. A new seat base was made from 12 millimeter high-density polyethylene with rounded corners. Glued to the base was a sheet of closed-cell foam to create a soft, non-slippery seating surface. The seat was attached to the original mounting using stainless steel brackets. TITLE: Shower Seat. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p. 7. PAGES (including cover): 2 2003.

  304. RIVETER STAND Picture of RIVETER STAND

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with Down Syndrome to operate a riveter. The concertina-style riveter was held with one hand while steadying a sign to be riveted. A stand was built to bear the weight of the riveter while holding it upright, The stand has a square steel base covered in thick plywood on which the sign to be riveted rests. An L-shaped steel is fastened to the base. The riveter is suspended form the top of the L on multi-strand stainless steel cable, with counterweights inside the vertical section, which help pull the riveter back up once the rivet is in place. Because the cable that holds the riveter on the stand is attached to the normal handgrip area, the user had to put her hand through the finger area and grip the next section. To protect the fingers from the mechanism, a U-shaped guard was added. The stand was then painted and personalized with the name of the organization. COLOR: Blue. TITLE: Riveting Work. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 10-11. PAGES: 3 (including cover).

  305. ROCKING CHAIR WITH CONCEALED ROCKING MECHANISM

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with dementia to benefit from rocking while not risking injury if they disassemble the mechanism. The chair was constructed by attaching the upper part of a standard hospital Geri chair to a tubular steel base that moves the chair back and forth. The mechanism to move the chair was enclosed in order to prevent people from getting their feet caught in it. The seat of the chaqir is bolted to a square frame that has rods attached to the bottom. The rods link to and pivot from uprights that go into the base of the chair, allowing the square frame to tilt backwards and forward, simulating a rocking motion. The mechanism is enclosed in wooden panelling for safety. The chair is also equipped with a footrest, and a lever to lock the rocking mechanism off when the chair is unattended. TITLE: That Old Rocking Chair. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 15. PAGES (including cover): 2.

  306. RUMMY STAND

    --- CUSTOM ADAPTATION --- PURPOSE: To enable seniors and individuals with fine motor disabilities or arthritis to play a rummy tile game. The tiles of the Rummy-O game were large enough to handle, but the holders that displayed and supported a hand of tiles proved unstable and the legs tended to fall off or collapse. New holders were fashioned of wood and a triangular support was fastened to the back of each holder to support it at an angle. The holders were painted and a piece of PVC plastic was attached to the front edges to keep the tiles from sliding off. DIMENSIONS: The tiles are 25 x 48 millimeters and the holders are 33 centimeters long x 10 centimeters high. TITLE: Rummy Stand. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 11. PAGES: 2 (including cover).

  307. RUNGED TABLETOP

    ----CUSTOM ADAPTATION ---- PURPOSE: To provide children unable to stand without support with a table incorporating grips that provide support when standing or sitting. The rectangular tabletop is fitted to the base of a height-adjustable table and is made from a single piece of 12-millimeter (mm) plywood. On each lengthwise half of the tabletop, two sets of 37-centimeter (cm) long slots are cut using a router. These "rungs" are two cm wide on one half and three cm wide on the other to accommodate different hand sizes. The slots can be used as rungs as a child stands from a sitting position or sits in a chair. A second tabletop of identical dimensions but with no slots is made to be used as an overlay when the children using the table do not need support. The overlay is held in place using Velcro strips. TITLE: Runged Tabletop. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 15. PAGES: 1.

  308. SCOOTER ARMREST EXTENSIONS Picture of SCOOTER ARMREST EXTENSIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To assist an individual with mobility disabilities in transferring from a scooter. The existing scooter armrests were altered so they can be moved forward to provide a point of support in front of the user during transfers and moved back at other times. The armrests are mounted on hollow square tubing, into which long slots, rather than single holes, were cut. The arms slide along the slot into the forward position for standing transfers and backward for standard use. TITLE: Scooter Handling. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 16-17. PAGES (including cover): 3 2002.

  309. SCOOTER CONTROL COVER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with mobility disabilities to use a scooter outdoors in inclement weather. Made of Lexan, the cover is shaped to fit over the scooter controls without getting in the way. Initially, the cover was attached with Velcro strips glued to the back of the handlebar mount and the cover itself. However, the Velcro did not hold the cover in place when the user reached under to insert the key. The Velcro was replaced with cable ties laced through small holes drilled through the handlebar mount and the cover. This enables the user to lift the cover up to insert the key and turn it back down while riding. TITLE: Getting Around. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 14. PAGES (including cover): 2 2001.

  310. SCOOTER FOOTREST

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a footrest on a scooter for an individual with severe arthritis. Because the individual was unable to bend his legs, he could not use the existing scooter floor/footrest. Instead, he rested his feet on the mudguards. However, this posed a problem when traveling downhill; because the rider could not brace himself, he would slide forward. To solve the problem, a new footrest was constructed of square metal tubing and attached to the front of the scooter, enabling the rider to brace himself with his legs straight. The footrest was designed in such a way as to accommodate one leg being four inches shorter than the other. TITLE: Retirement Projects. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 14-15. PAGES: 3 (including cover).

  311. SEAT FOR SWIMMING POOL

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation of a seat for the swimming pool for a child with cerebral palsy. A pool chair was made based on a previous TADNSW adaptation (Bath Chair)—made from PVC pressure pipe and outdoor furniture fabric. The seat is mounted on a frame which has four sections. The seat section is secured with large suction cups which attach to the tiled step inside the pool, and below this are smaller ones which attach to the tiled step riser. There was some difficulty finding cups that were large and strong enough for the step section, and eventually ones that are normally used for drain plungers were used. The seat incline angle can be adjusted, and it has a pelvic belt and crotch strap. It also has additional cross bars to ensure that the child stays upright, which are padded with wetsuit material so she does not injury herself during an uncontrolled movement. The cross bars are detachable so that they can be removed when the child is being put into the seat. As a final safety measure, a strap was added to the back of the chair which hooks around the pool fence to hold the seat upright. This device allows the child to enjoy the water safely and with minimal physical support from the family. TITLE: Swimming chair. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: p. 11. PAGES: 2. (including cover).

  312. SEAT INSERT FOR SAILBOAT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide safe, supported seating while sailing independently for an individual with cerebral palsy. The individual had purchased a fiberglass seat, but it did not provide sufficient support for her upper body. A contoured seat insert was created using foam and covered in fabric. The insert is attached to the fiberglass seat with Velcro. To provide additional support for her shoulders and prevent her from slipping forward or sideways, foam-padded wooden tabs were affixed to the fiberglass seat at shoulder height. TITLE: Safe Sailing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 10-11. Number of pages: 3 (including cover).

  313. SEAT SHELL ADAPTATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To provide proper positioning for a child with multiple disabilities, including cerebral palsy and lung disease. The family owned a Medifab seat and insert that was used in the car and provided appropriate positioning and support. However, they found it inconvenient to transfer the seat from the car to the house each time it was needed. The solution was to create another shell for the seat insert using an existing Medifab mobile base frame that was not being used. The seat insert was measured and a plywood shell and footrest were made to fit. The next step was to determine how to fit the new shell in the frame. The frame has adjustable legs with casters at the bottom, and a plate at each side with multiple holes in arcs that had enabled the original seat to be tilted. A metal frame was added to the seat shell, along with two fixed pins at the front corners and two spring-loaded retractable pins at the back corners. The front pins fit into the grooves at the front of the side plates on the base frame. The back pins fit into the arc of holes at the back of the side plates. The spring-loaded pins are attached to handles that are squeezed to retract the pins to tilt the seat to the desired angle. A piece of bent steel was then attached to the bottom of the shell to mount the footrest. The steel has a series of holes which enable the footrest to be adjusted down to accommodate future growth. Attachments are also mounted on each side of the shell to accommodate an existing tray, which can be adjusted backwards and forwards using different holes in the shell. With the shell completed, it was possible to unclip the insert from the seat in the car, position it in the indoor shell and base, and place the removable tray in position, creating a high chair that can be used for eating and other activities. DIMENSIONS: The footrest can be adjusted 120 millimeters down in 20 millimeter increments. TITLE: All in the Family. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 12-14. Number of pages: 4 (including cover).

  314. SEATING SUPPORT Picture of SEATING SUPPORT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted seating support for a child with dystonic cerebral palsy. When sitting in a chair, the child pushes his pelvis forward and becomes uncomfortable, and the child concentrates more on sitting than on his books, crafts, and other activities. The family attempted to remedy the seating issue by adding a two-piece insert, the commercially available “tomato seat;" however, this device did not secure properly to the chair. The child’s treatment team contacted the TADNSW services, and a custom adapted solution was created. To stop the movement of the inserts, a wooden base was created on which both the seat and backrest components of the insert were mounted and held in place. The base with the insert's two pieces were strapped tightly to the chair. A pommel was added to the base of the seat to stop the child from pushing himself forward and off the seat, and a foot support was created as part of the wooden base on which the child could rest his legs and to hold his body in place. The foot support can be folded backward toward the frame for easy transport of the entire base with attachments enabling the family to use the device on chairs at restaurants and other places outside the home. TITLE: Sitting in Comfort. JOURNAL: TAD Journal. REF: Volume 31, Number 4, Spring 2011: p. 10. PAGES: 2 with cover.

  315. SENORY TOY FRAME

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a customized adapted sensory toy frame to provide a variety of stimulating activities for a child with developmental disabilities. The child already had a set of bongo drums, and the idea was to incorporate these into the frame along with other items, such as a steering wheel, a hooter and a bell. A rectangular frame was designed and built from pine and plywood that was specially adapted to clamp onto an existing table at the unit. The frame supports two interchangeable platform assemblies — one for the bongos, and one for an old steering wheel had been restored. The wheel was mounted and fitted a ratchet which clacks noisily as the wheel is turned. The platforms for the bongos and wheel are height adjustable within the frame, which means that the child’s therapist can alter the height for different purposes. For example, the therapist can have the child standing up to exercise his legs. It also provides more flexibility for other children to use the frame. The platform height is adjusted by sliding it up and down a ratchet system at either end of the frame, and securing it with a locking tri-stud. To ensure that the platform cannot fall suddenly within the frame, if for example the tri-studs worked loose, the ratchet system holds it in place. To lower the platform, the ratchet system can be overridden using a small lever near the tri-stud. As an additional safety measure, the platforms can only be removed when they are in the bottom position. This prevents the platform from falling accidentally if it is removed while in an elevated position. To achieve this, keyhole plates were made which fit into each side of the frame. The plates have a round hole at the lower end, and reduce to a narrower slot along the remaining length. The locking studs can be inserted or withdrawn through the hole at the bottom of the frame but not in the narrower section above. To provide aural, visual and sensory stimulation, a number of other toys were added to the frame. These included a small, brightly colored xylophone on the left side, a bell and a hooter on the right side, and other toys which light up and make sounds fixed to the top of the frame. TITLE: Fun Sounds for Kenny. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 6-7. PAGES: 3 (including cover).

  316. SENSORY TABLE Picture of SENSORY TABLE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted sensory table for children of different ages with hearing or visual disabilities. An adjustable table with a round wooden top, a metal frame, and adjustable legs was used for this adaptation. The top of the table was removed from the frame and four indents were cut into the sides of the table allowing four children to stand supported at the table. A plastic container was fitted through a hole cut in the table top and the square metal supporting frame on the bottom of the table top. The plastic box was filled with five inches of styrofoam to reduce the weight of the box should it be filled water or sand. TITLE: Playing Together. JOURNAL: TAD Journal. REF: Volume 32, Number 1, April 2012: p. 10. PAGES: 2 with cover.

  317. SHOWER ACCESS PLATFORM

    --- CUSTOM ADAPTATION --- PURPOSE: To provide access to a shower stall for an individual with mobility disabilities. The shower of the home was too small to allow a shower chair to be maneuvered and the base of the shower was recessed into the floor, making it difficult to pull the chair out of the shower. The solution was to develop a platform or false floor made of marine plywood. The platform was square with one corner cut out to fit around a small ledge in the shower. The plywood was treated with a waterproof coating , slots were cut in it to permit drainage, and non-slip strips were added to the surface. Lengths of PVC pipe and feet made from door stoppers were attached to the underside of the platform to raise the platform to the level of the bathroom floor. The feet were set slightly back from the platform's edge to accommodate the curved edge of the shower. Since the platform needed to be lifted to allow the floor underneath to dry or be cleaned, a metal T-bar handle was made. The handle had prongs at the bottom that fit into the surface slots to enable the platform to be lifted when the handle is turned. A shallow ramp made of Tyrex rubber was addedto the front of the platform to accommodate the height difference between the floor and the platform. DIMENSIONS: The platform is 90 centimeters square. TITLE: Shower Access. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 17-18. PAGES: 3 (including cover).

  318. SHOWER CHAIR ADAPTATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To adapt a commercially-available shower commode chair to meet the safety needs of an individual with multiple sclerosis. Because the individual has spasms and tremors and has difficulty controlling his movements, he required assistance to remain upright and safe in the shower. To protect the individual's back from the metal bar across the back of the chair. A pad of closed-cell foam was attached to the back of the chair with straps made of seat belt webbing and finished with plastic buckles, enabling the pad to be removed for cleaning. A chest strap was also added to the chair. The strap was made of outdoor furniture fabric with the edges hemmed under. The ends to be attached to the chair were also hemmed and a piece of stainless steel was threaded through the hem. Self-tapping screws were used to attach the strap to the uprights of the chair through the stainless steel. A metal ring was attached to the left side of the strap and a strip of Velcro was added to the right side of the strap. The Velcro loops through the ring and folds back on itself to secure the strap. DIMENSIONS: The seat belt webbing is 25 millimeters (mm) wide and the furniture fabric was 15 centimeters wide. The stainless steel was 12 x 3 mm. The left end of the chest strap was 250 mm long and the right end was 700 mm long. TITLE: Shower Chair Safety. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005: P. 8. PAGES: 2 (including cover).

  319. SHOWER CHAIR RAILS Picture of SHOWER CHAIR RAILS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with mobility disabilities to independently enter and exit a shower stall. Two lengths of steel were mounted between the front hob and a bracket screwed into the back wall of the shower stall. A frame to support the chair was mounted on rollers in the the steel with three stop positions. A release mechanism enables the user to choose which stop position is used. One stop is outside the shower, the second enables the user to place only the hands and arms under the shower, and the third puts the user under the shower. The chair mounted to the assembly enables the user to slide in and out of the shower. The steel assembly was hot-dipped galvanized to prevent corrosion. TITLE: Shower Chair Rails. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 20-21. PAGES (including cover): 3 2002.

  320. SHOWER COMMODE CHAIR STABILIZER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with multiple sclerosis to transfer safely to and from a shower commode chair. During transfers at the toilet, the chair tended to move sideways. The rear casters were replaced with braked casters and a mechanism was created to secure the chair to the wall when needed. A wooden plate was secured to the studs in the tiled wall and an L-shaped steel piece with semi-circular atachments was hinged to the plate. The steel piece locks over the lower side rail of the chair. A small handle enables the latch to be lifted up to maneuverthe chair in place and then lowered to secure the chair. TITLE: Bathroom Assistance. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 12-13. PAGES: 3 (including cover).

  321. SHOWER RAIL

    ----CUSTOM ADAPTATION ---- PURPOSE: To enable a child with balance disabilities to steady him/herself in the shower. Designed to be completely removable and to provide balance assistance only, this grab bar is made of PVC pipe attached to commercial strength suction cups of the type used by glaziers to carry large panes of glass. PVC pipe uprights are fitted into the handgrips of the suction cups and joined to the horizontal bar with PVC joints. DIMENSIONS: The pipe is 31 millimeters in diameter. The grab bar is 600 millimeters long and projects 180 millimeters from the wall. TITLE: Shower Rail. JOURNAL: TAD Journal. REF: Vol 22, no 3, Spring 2002: p 15. PAGES (including cover) 2 2002.

  322. SHOWER STOOL

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized adapted shower stool to allow a child with muscular dystrophy to wash his face and hair in the shower. Due to the child’s legs being abducted, he was unable to use the footplates on his commode to raise his legs and use a previous washing system. The child’s therapist suggested a separate footstool which would enable the child to sit in a stable position with his feet wide apart. After an in-home evaluation a device was created with six legs made from square stainless steel tube with rubber stoppers on the end, four on each corner and an additional two at the front. The legs are adjustable through 25 millimeters to take the slope in the bathroom floor into account. The 1000 millimeter-wide top is made from white acrylic (this was generously supplied free by Pacific West Corporation), which is easy to clean and looks neat in the bathroom. The stool also has a 50 millimeter lip at either end to hold the child’s feet in position. Additionally, the top of the stool has a cutout on one side, which is intended to provide space for a carer to assist him if needed. Finally, there is a post on one side of the stool made from round steel tube with a rubber stopper at the top. This acts as a handle so that Malcolm’s carer can lift the stool in and out without having to bend over. TITLE: Bathroom stool. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: p. 11. PAGES: 2 with cover.

  323. SINK ACCESS STAIRS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a teenage girl with short stature to independently access a bathroom sink. A three-step ladder was made of stainless steel tubing. Bent into a D shape, the side rails of the ladder act as handrails for the user. Stair treads for the ladder were made of waterproof plywood coated with polyurethane and painted with non-slip tread deck paint. Crutch caps were fitted to the ends of the legs. TITLE: Bathroom Access. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 8-9. PAGES: 3 (including cover).

  324. SKIPPING ROPE

    allowing a child with left erb’s palsy (limited arm function) to skip rope independently. Due to the erbs palsy the child cannot hold the skipping rope and turn it in the normal way. A custom adaptation was designed which encloses one section of a skipping rope in a U-shaped piece of 10 millimeter aluminum tubing, with a small L-shaped indentation in one corner of the U. The bottom of the U-shaped section is strapped onto the child’s stomach by a belt that goes across her back, and her left arm is held against her body inside the belt, keeping it out of the way of the rope. The child can balance easier when the left arm is kept down. The belt has a quick-release clip so that once the correct length has been set; the child can easily do it up and undo it with one hand. The child turns the tube and the enclosed rope using the “handle” formed by the L-shape indentation on the other side of the U. This has a plastic grip on the it so the aluminum tube can rotate inside it. The section that goes against the stomach is also covered by plastic, so her stomach is protected from the rotation movement. Minor adjustments had to be made so that the child could get enough momentum. The arms of the U were extended so they weren’t further down the rope toward the child’s feet. Also a heavier and longer rope than would normally be used with skipping was used. TITLE: Skipping with Delight. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 11. PAGES: 2 (including cover).

  325. SLEEPING IN COMFORT SYSTEM Picture of SLEEPING IN COMFORT SYSTEM

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted system to raise and lower legs at night for an individual with muscular dystrophy. The man with muscular dystrophy began using a ventilator at night and had to start sleeping on his back. He developed severe pain in his knees after three hours of sleeping in this position due to pressure that built up on his kneecaps. The individual was unable to change positions in the night without assistance, and since he lived independently this was not practical. TAD designers created an electronic device to move two cushions on each side of the individual’s body. The cushions were made of a polyethylene film, the type used under concrete to seal against moisture, and the seams were joined by a heat sealer. Under each of the individual’s legs is a larger cushion made from two circles of the film, and a smaller oblong-shaped one that goes underneath the larger one to help it to rotate in the right way to lift the leg. The cushions are attached at one edge to a strap which goes around the mattress. Both cushions are joined to the strap at the same place. The main cushion inflates and starts to rotate, and as the lower, smaller cushion inflates it pushes the larger one and assists with the rotation. To inflate and deflate the cushions, the individual uses a pump that is normally used to aerate water in an aquarium. The pump is modified so that it can suck air in as well as blow it out, enabling both inflation and deflation of the cushions—a necessity as the cushion has to be fully deflated rather than going flat naturally to allow the user’s leg to lay totally flat on the bed. The pump operates continually, with a set of valves which control the direction of air flow. The controller also contains a small microprocessor, which allows the individual to turn the system on and off and pre-set the sides to alternately inflate and deflate at intervals of anything from six minutes to six hours. The system also contains a manual override so the individual can make changes to the cycle during the night if he gets uncomfortable and dim the bedroom lights. The controller has a remote so that the individual can operate it easily once he is lying in bed and has the ventilator mask on. The final touch was some fabric covers for the upper cushions so they would be more comfortable. The original design was modified slightly by the userl’s brother to include the addition of a solid board under the cushions and attaching the straps to that. TITLE: Sleeping in comfort. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: pp. 6-7. PAGES: 3 with cover.

  326. SLEEPING WEDGE Picture of SLEEPING WEDGE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted wedge for sleeping for a young adult with quadriplegic cerebral palsy. Initially an abduction wedge was used to assist in keeping the young adult’s hips in correct position after repeated surgeries. However, while the wedge is no longer needed for orthopedic reasons this individual does not feel comfortable sleeping without it but has since outgrown the original wedge. The new design had to account for variations in body measurements as well as be as moisture-resistant as possible. A new wedge set was constructed out of EN38 foam. The foam was in a 100 millimeter thick sheet; therefore the design was based on cutting the foam into various sections to shape the “wedge,” and the pieces were glued together with contact adhesive. The design matched the user's exact requirements, but there were concerns that the edges and seams would be at the most risk of moisture penetration at the end caps; therefore, a layer of moisture-resistant glue was used to close the top surface of the wedge and then sealed with a silicone sealant. There had also been a problem with the previous wedge sliding down the bed, as this individual sleeps in a semi-reclining position and his weight pushes on it. To solve this, a wooden support which braces against the bottom of the bed and holds the wedge in position was made. After the new wedge was put into use, the individual’s caregivers felt that it would be useful for it to have a handle so the wedge would be easier to move, particularly when only one caregiver was attending to the individual. Two holes were bored through the wedge and a cord was run through one side, underneath the wedge and back up the other side, and a soft webbing handle was attached to each piece of cord at the top. Although it was difficult to get a good anchor point in the foam, this approach gave the handle sufficient strength so it would remain in position with use. An additional tie strap across the top and a tie running horizontally through the wedge was added. Both of these support the end-caps against pressure when the wedge is moved. TITLE: Sleeping wedge. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: p. 13. PAGES: 2 with cover.

  327. SLING-A-ROO Picture of SLING-A-ROO

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom leg exercise sling for elderly individuals with disabilities. Individuals recovering from hip and/or knee surgery who need to start walking with the support of a frame may be unable to hold their affected leg up for any length of time. The solution is an adjustable, soft brace that straps onto the lower leg with adjustable straps to hang off the support frame allowing for adjustments for individuals of different heights. The Sling-a-roo is made of a water resistant and non-porous 10 millimeter support pad which wraps around the leg just below the knee and is held in place by two sets of horizontal straps fastened with Velcro. A pair of vertical webbing straps, joined by a quick-release plastic buckle, attaches the pad to the walking frame. The webbing straps are sewn down the sides of the pad, making it semi-rigid so the brace does not bunch up. It is now easy for the physiotherapist to strap on the brace while the individual is sitting, then clip up the straps when he or she stands up in the frame. TITLE: Exercise sling. JOURNAL: TAD Journal. REF: Volume 31, Number 2, Autumn 2011: p. 8. PAGES: 2 with cover.

  328. SMALL WOODEN CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide seating to encourage development of trunk control for children with balance or lower extremity disabilities or other physical disabilities. Made of plywood, these chairs have a low back and armrests and enable children to sit with their feet flat on the floor. The chairs are well-braced for added strength. TITLE: Happy Seating. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 9-12. PAGES: 5. (including cover).

  329. SPECIAL BICYCLE MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with neurological disabilities the opportunity to ride a bicycle. A standard child's bicycle was outfitted with an eight-inch seat, large footcups, a fixed rear wheel, rear outrigger stabilizer wheels, a high riser bar, a pelvic belt, trunk stabilzer fins with mesh straps, and a tow bar mounted to the front handlebar. In addition, a brace was fixed beneath the pedal-mounted footcups. The brace wraps around the child's calf to hold his foot in the proper position for pedaling to prevent ankle injury. TITLE: Bicycle and Beyond. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 8-10. Number of pages: 4 (including cover). 2006.

  330. SQUIRREL STANDER ADAPTED FOR USE AT EASEL

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a children at an early intervention center to stand at an easel. This stander has a plywood base and radiata pine uprights and a fabric back. The base is adjustable so the frame tilts up to 10 degrees backward. The fabric back is made of Brezeway, fabric used for outdoor furniture, for strength, ventilation, and softness. A torso strap and a strap to stabilize each leg are also made of Breezeway doubled over and fastened with Velcro in the back of the frame. The standard version of the stander includes a tray, but sence this unit was specifically intended for use at an easel or table, the stander was built to those specifications without the tray. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 16-17. Number of pages: 3 (including cover). 2006.

  331. STABILIZER FOR COMMODE CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable people who have lateral balance disabilities safely use a commode chair. Two small rubber-tipped triangular arms are bolted to the bottom of the chair's steel frame and have small casters attached on the outside bottom edge. The arms swing out to a 45-degree angle, at which they stabilize the chair and prevent it from tipping sideways or backward. When the arms are folded in, the wheels are in place to tilt the chair back and roll it along. The arms are held open or closed with a spring detent, enabling a caregiver to move them into place with a foot. TITLE: Stability Plus. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 16. PAGES (including cover): 2 2001.

  332. STABLE RECLINER CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To stabilize a recliner equipped with casters and elevate it for easier sitting and rising. The chair's casters caused it to move when the user leaned against it while sitting down. A wooden frame was made to fit under the chair and stained to match the upholstery. The frame included insets to hold the casters and helped to elevate the chair. DIMENSIONS: The frame is 110 millimeters high and elevates the chair by 75 millimeters. TITLE: Post Stroke Assistance. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 10-11. PAGES: 3 (including cover).

  333. STAND FOR BABY BATH

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted baby bath stand for a mother with cerebral palsy. The individual bought a plastic baby bath, but she couldn’t use this in the bottom of the main bath as she couldn’t bend over far enough from a kneeling position. The baby bath stand/platform was made from marine-grade plywood and spray-painted with white enamel to waterproof it. This rests over the main bath, with timber stops underneath to keep it in position. There is a hole in the centre to fit the baby bath, which is in turn kept in position by the lip on the bath. TITLE: Keeping balance. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 8-10. PAGES: 4 with cover.

  334. STAND FOR TTY

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with cerebral palsy with a speech disability to communicate using a TTY. When the unit sat flat on a table, the user was unable to reach the keyboard. Initially, she used a telephone book and a pair of towels to prop the device at the extremely precise angle she required. A simple angled stand was then constructed of melamine-coated MDF. However, the angle of the stand proved to be too shallow to meet the user's needs. The stand was adapted by adding two small legs to the back and fixing the entire unit to a sheet of two-millimeter plywood, which extends 70 millimeters beyond the front of the stand. Two pieces of Velcro were attached to each end of the extended area. Velcro was also attached to the corresponding ends of a wrist support. The wrist support was pressed into place on the Velcro on the base, supporting the user's wrists and bracing the TTY in place. TITLE: TTY Support. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 10. PAGES: 2 (including cover).

  335. STANDING FRAME

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with global developmental delays and low muscle tone with forward-leaning support while standing. This prone stander enables the child to be upright and to develop a tolerance for weight-bearing. Built to a therapist's specifications, the stander provides forward-leaning support and can be adjusted from upright to 30 degrees from vertical. The unit has a square tube steel frame, a wooden trunk support and footplate, fabric-covered foam padding, chest and buttock straps with made of outdoor furniture fabric and equipped with Velcro closures, and footcups. The footplate can be adjusted downward using a trinut to accommodate growth. The stander is also equipped witha level hinged tray with tipped edges to provide arm and head support and provide a surface for playing. TITLE: View from the Chair. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 12-14. Number of pages: 4 (including cover). 2006.

  336. STANDING FRAME ADAPTATION OF THE LAZY SQUIRREL

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized standing frame for children unable to stand unaided. A standing frame allows children to be upright, thus assisting with digestion, circulation, and breathing. Children can also bear their own weight, which may assist in developing bone density, limb coordination and strength. The standing frame designed suggested is the “Lazy Squirrel” or “Squirrel” for short. The Squirrel is designed to provide well-supported vertical standing. It has a plywood base and timber side posts, with backing and support straps made of outdoor furniture mesh fabric. In this version, there is also a large castor base, making it easy to move around the house. Additionally, the Squirrel has a removable, lipped tray mounted on shelf bracket strips on the side posts, making it easily adjustable for height. The tray is used for play activities while the child is in the frame. The Squirrel has the facility to tilt backwards up to a 30 degree angle, this is useful for children who have trouble holding their head erect while standing vertically. The tilt is easily adjusted using a pair of tri-nuts. The Squirrel standing frame enables children to have eye contact with other children of similar age and height, thus improving the quality of interaction between the child and other individuals. TITLE: Customized Support. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 7-8. PAGES: 3. (including cover).

  337. STANDING FRAME MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To repair a stander for an individual with cerebral palsy. Two of the four locking casters on the stander had broken and the tires had hardened with age, putting the unit in danger of moving as it was placed in a horizontal position for transfers. The existing casters were replaced with new ones. In addition, the nuts for the quarter-inch tri-screws used to adjust the unit had worn out. The nuts were drilled out of the frame and tapped out to accept larger tri-screws, making adjustments easier. TITLE: Assistance over Time. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 16. Number of pages: 2 (including cover).

  338. STEP AID

    --- CUSTOM ADAPTATION --- PURPOSE: To provide an individual with post-polio syndrome with a means of negotiating shallow outdoor steps at the gate to enter the home. This step aid consists of an angled polystyrene block attached to a tubular handle that finishes in a crutch ferrule. The block creates an intermediate step between the ground and the top of the step being negotiated. The angled design accommodates unevenness in the footpath. A lock was added to the device to enable the user to secure the aid to the front gate when she left, ensuring it would be easily available to her on her return. The lock was created by adding to wooden blocks to the gate's top bar and bolting a staple and hasp to them. When the user has negotiated the final step, she leans back over the gate and rests the polystyrene block on the lower bar of the gate. The staple and hasp lock the handle of the step aid to the gate. DIMENSIONS (LxWxH): The polystyrene block on the aid is 230 x 200 x 65 millimeters with 160 millimeters of width clear of the handle. TITLE: Stepping Up. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 14-15. PAGES: 3 (including cover).

  339. STEP BLOCK MODIFICATION

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized step block to provide stability, and allow a person with cerebral palsy to step up unaided. Twenty millimeter (mm) steel tubing is used to form a U-shaped frame that goes around the three sides of the step block. The frame has four uprights that descend to each of the four corners of the step. Holes are drilled into the corners of the step block, and the frame is fitted with metal saddles which are bolted through the underside. The frame is painted to match the step block and spring-loaded castors, similar to those used in library stools, were added for stability when the step block is stood upon. TITLE: Reaching the Top Shelves. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 10. Pages: 2. (including cover).

  340. STEPLADDER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with arm weakness following a fracture to reach storage boxes on a bedroom cupboard shelf. The stool needed to be small enough for use in a small bedroom, light enough to be moved as needed, and have a means of supporting the box taken from the cupboard. A two-step stool was built of 12 millimeter hoop pine plywood. The lower step has a routed slot on each side and slides out like a drawer along dowels, enabling it to be tucked away when not in use to save space. At the back and right front corners, there are posts that support an L-shaped rail finished with decorative moulding. The user can rest a box on the rail while removing items from it. TITLE: Stepladder and Hot Water Funnel. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p. 15. PAGES (including cover): 2 2003.

  341. STOOL FOR KOALA CORNER CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with cerebral palsy to us a corner chair with his legs extended in front of him. Since the Koala Chair (see separate entry) was designed for sitting with the knees bemt, an extension stool was built. Made of 10 millimeter (mm) plywood, the stool is basically a box with a top that is height adjustable using a tri-nut. The stool latches to the base of the chair and is padded with fabric-covered foam attached to the stool with Velcro. DIMENSIONS: The foam padding is 50 mm. TITLE: Keeping Active. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 12-13. PAGES: 3. (including cover).

  342. STROLLER HANDLE EXTENSION

    ----CUSTOM ADAPTATION ---- PURPOSE: To enable an individual with short arms and no opposable thumbs to transport a child in a stroller. A commercially-available stroller was adapted by adding a handle extension made of a steel tube covered with softer padded tuving. The extension is mounted to the existing handle with spring-loaded swivel clips, which lock it in place while still allowing it to be turned down when the stroller is loaded into a car. An additional section which goes behind the user's back, can be mounted to the extension as needed, enabling the user to hold the stroller with his/her entire body, particularly on inclines. DIMENSIONS: The extension is made from 20 millimeter tubing and extends the stroller handle 1,100 millimeters above the ground. TITLE: Preparing for Motherhood. JOURNAL: TAD Journal. REF: Vol 22, no 3, Spring 2002: p 10-11. PAGES (including cover) 3 2002.

  343. STROLLER WITH DRIP FEEDER ATTACHED

    ----CUSTOM ADAPTATION ---- PURPOSE: To enable a child with mobility and eating disabilities to be taken out of the house for longer periods of time. A drip feeder (consisting of a bag with liquid nutrients, a battery-powered electric pump, and flexible plastic tubing between the bag, pump and child) is mounted on a child's stroller. The pump is mounted on a wood post attached to the center of a metal base bolted to across the back of the stroller frame. The diameter of the post is identical to that of the pump's indoor stand. Flourescent wetsuit material is used to construct a protective cover for the drip feed bag with a hanging loop at the top. The cover insulates the bag. A removable cross bar (made of aluminum tubing) with a center hook is mounted between the stroller's handles. TITLE: Natalie's Stroller. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 18. PAGES: 1.

  344. STURDY HEAVY LOAD BEDSIDE TABLE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a sturdy, heavy load table accessible from an individual’s bedside for a person with quadriplegia. The table has a U-shaped base and post made from square steel, with 3-inch castors on the four points of the U. Attached to the top of the post is a rectangular square steel frame on which rests a wooden table top with a lip to stop items from falling off. The wooden top has two handles on one side so that an individual can move it easily. The table is useful for holding a large number of items that an individual wants to keep within easy reach. TITLE: Bedside Facilities. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 12-13. Pages: 3. (including cover).

  345. SUPER JOGGER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide outdoor mobility for a teenager with cerebral palsy. The teenager had outgrown the child’s jogging stroller she had used outdoors for hiking and rugged terrain. The existing three-wheeled jogging stroller was redesigned and rebuilt to accommodate her. To bring the center of gravity more over the wheels, the wheels were moved in relation to the chassis and the frame rebuilt. The original aluminum tubing was reused and extended where necessary. To widen the seat, a gusset was made from the fabric of the stroller’s matching carrying bag and a new back was fashioned from netting. New footrests were made from PVC and attached to the front wheel. Guards on the insides of the footrests protect the user from tangling her feet in the wheel’s spokes. TITLE: Super Jogger. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p. 11. PAGES: 2 (including cover).

  346. SUPINE STANDER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide standing ability for a child unable to stand unaided. Made of plywood, the unit is hinged at the bottom to enable the unit to be tilted as needed. A sliding metal rod at the back holds the frame in place. The stander is equipped with a tray that moves with the stander to keep it parallel to the ground. Semi-circular aluminum brackets under the tray pivot on the tray support bar for the necessary movement. The stander is also equipped with two pairs of padded side supports and webbing positioning belts. TITLE: Happy Seating. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 9-12. PAGES: 5. (including cover).

  347. SUPINE STANDING FRAME Picture of SUPINE STANDING FRAME

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted standing frame for a child with migrating partial epilepsy in infancy (MPEI) to allow for therapeutic standing. The child had outgrown her Lazy Squirrel Frame that she used for home and at pre-school. The new adaptation allows the child to stand up and hold her own weight upright which is good for her muscles and enables her to engage more actively with others. The adjustable padded supports and straps on the frame support the child’s head, thorax, hips and knees. The frame puts the child at the same level as other children. JOURNAL: TAD Journal. REF: Volume 32, Number 1, April 2012: p. 11. PAGES: 2 with cover.

  348. SUPPORT CHAIR ADAPTATION OF THE KOALA CORNER CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized, stable seating and positioning device for a child with cerebral palsy. This device was adapted from a previous adaptation “The Koala.” The Koala is a pedestal seat with a winged back, and is generally used with a seat cushion and pelvic belt. It comes with a large adjustable-height table, which has lipped edges to stop objects from falling off, and latches into position behind the back edges of the seat. The version used by the child with cerebral palsy also includes an adjustable height footrest, a pommel and castors with locking brakes. An extra head piece was created and added to the original Koala to provide additional head support. Moreover, an extension box which clips onto the main chair was also created and added. The extension box fits over the footplate so that the child can sit with his legs extended to stretch his hamstrings. TITLE: Customized Support. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: pp. 7-8. PAGES: 3. (including cover).

  349. SUPPORT FIXTURE FOR POWERED WHEELCHAIR Picture of SUPPORT FIXTURE FOR POWERED WHEELCHAIR

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a support fixture for a powered wheelchair for a woman with a progressive neurological disorder to travel independently away from the hospital with all her required medical pumps and support devices. This young woman is dependent on getting her food and medications through pumps attached to her powered wheelchair by a customized bracket. As her medical needs have increased she needed three additional pumps to meet her needs, but the bulk and weight of the additional pumps make it nearly impossible for her to travel independently or leave the hospital due to the difficulties in transporting her wheelchair and all her equipment. A TAD volunteer visited the woman in the hospital, accessed her chair, and formulated a solution—a fixture that supports all five pumps on the back of the powered chair. The fixture featured brackets which held a longer central pole, two extra upright tubes on either side of the headrest, and custom made attachments for IV fluids. This set up allowed the woman to leave the hospital and go see her favorite football team for the first time in several years as well as gain greater independence. TITLE: Natalie’s Freedom. JOURNAL: TAD Journal. REF: Volume 32, Number 3, December 2012: p. 11. PAGES: 2 with cover.

  350. SUPPORT FRAME FOR BATH INSERT

    ----CUSTOM ADAPTATION ---- PURPOSE: To support a bathtub insert at a height that is comfortable for the parents when bathing a child with cerebral palsy. The frame is constructed of 20- millimeter stainless steel tubing welded into a rectangular frame with legs at all four couners and in the center of each of the longer sides. Rubber feet at the bottom of each leg provide traction for the frame. The frame can stand in a bathtub, and the bathtub insert can be filled by a hose attached to the tap below or a handheld shower. This frame was designed to support a Sunflower bathtub insert bought in Australia. DIMENSIONS (LxW): The frame is 154 centimeters (cm) x 64 cm wide with 55 cm high legs. TITLE: Alice's Bath Frame. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 13. PAGES: 1.

  351. SUPPORT RAIL

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom modification of support rail on an adjustable bed for a mother with multiple sclerosis. The individual bought an adjustable bed so she could raise the head to sit up comfortably and breastfeed her son. She had a support rail under the mattress of her old bed to help her turn over and get safely in and out of bed, but it was not stable enough when used in the same way with the new bed. A new rail was custom-made and designed to be mounted on a base that rests on the floor. The new rail is a simple, U-shaped tubular metal support, with the bottom ends bent at 90 degrees and mounted on a plywood base plate. As the bed is never moved, the individual was happy for the base to be screwed to the floor. The installation was carried out using four tri-studs to screw the base plate securely to the timber floor. These can be undone to clean the floor if necessary. TITLE: Managing motherhood. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 6-7. PAGES: 3 with cover.

  352. SWIM BOOTIES FOR ANKLE FOOT ORTHOSIS (AFO)

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual who has had a stroke to wear her ankle foot orthosis while swimming. The solution was to purchase a pair of wetsuit booties used in scuba diving to hold the AFO in place in the absence of a shoe. TITLE: Beach Advice. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 6. Number of pages: 2 (including cover).

  353. SWING SEAT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation of a swing seat for a child with Multicystic Leukoencephalopathy and poor motor skills. A customized swing seat was made using a Sebel Junior Hobnob seat shell. A frame for the seat was made by bending two lengths of square steel tube to form side pieces, and bracing these at the rear and underneath with two more pieces of tube. Bolted to the brace under the seat are rigid hanging members made from round steel tube, which keep the seating orientation fixed relative the hangers and provide a comfortable surface for the child to hold onto. These rise on either side of the seat where they are fixed to the original hanging cables from the swing set. The hanging members are positioned forward of the point where the seat and back join for additional stability, and the static hanging angle of the seat is slightly reclined to reduce the risk of the child tipping forward out of the seat. There are also pelvic belt and a crotch strap to keep the child in position. TITLE: A swing for Jacob. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 8-9. PAGES: 3. (including cover).

  354. TABLE FOR USE IN BED

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation for a table for use in bed to hold remote controls for an individual with quadriplegia. A small table with a small cushion at the based filled with polystyrene beads was made. The cushion is medium stuffed so that it is very stable and will stay in the position it is pushed into. A table top was made from a plywood base with a lip around all four sides to prevent items from falling off. A piece of non-slip mat was added to the table but not permanently adhered so that it could be replaced if needed. TITLE: Reaching remotes. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: p. 13 PAGES: 2. (including cover).

  355. TABLETOP BOWLING GAME

    --- CUSTOM ADAPTATION --- PURPOSE: To provide recreation and therapy for seniors and individuals with coordination and mobility disabilities. Based on a no-longer available Australian game called Bobs, the unit consists of a three-sided frame built from nine millimeter plywood. The frame is divided into nine lanes with an arched opening at the front. Above the lanes is an arched board bearing the numerical value for each lane in stick on-numbers. Players roll a large bearing up the table and through the lane opening to score points. The lightweight unit is hinged to fold for storage and transport. TITLE: Activities for Seniors. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p. 15-16. PAGES: 3 (including cover).

  356. TAD CUSTOMIZED TOILET STEP AND RAIL

    ----CUSTOM ADAPTATION ---- PURPOSE: To enable a child with small stature or balance disabilities to access the toilet with little or no assistance. This combination step and safety rail is designed to fit in front of and on both sides of a standard toilet. It consists of a two steps with grab bars and a frame that extends along both sides and behind the toilet. It can assist with accessing the toilet, provide lateral support while seated or standing, and assist with rising from a seated position. The rail is made of aluminum tubing and the steps are constructed of textured aluminum plating. The unit can also be adapted to aid in entering and exiting a bathtub. TITLE: Jye's Toilet Steps. JOURNAL: TAD Journal. REF: Vol. 24, No. 3, Spring 2004: p. 6-7. PAGES: 3 with cover.

  357. TAD TILT-IN-SPACE CHAIR

    ----CUSTOM ADAPTATION ---- PURPOSE: To enable a child to have her position changed without leaving the chair. This standard child's tilt-in-space chair, designed by Technical Aids for the Disabled (TAD), Australia, was customized to meet the specific needs of an 18-month old child with Aircardi syndrome with little head and trunk control. Made of plywood, this chair adjusts from upright to 55 degrees of tilt to enable the child to sit upright for eating, drinking, etc. while providing relief from the effort of holding the head up as needed. Large triwheel nuts lock the chair in the desired position. The chair is equipped with a one-piece foot support plate and a wheeled base that enables the chair to be used at the dinner table. A head extension can be dropped into slots on the back of the chair to accommodate height growth. Also included is a height- and tilt-adjustable removable tray that tilts with the chair. The tray attaches to metal slides on either side of the chair; triwheel nuts lock the tray in position. A play frame mounts across the chair close enough for the child, who has low vision, to reach and see the toys attached. A foam positioning insert and a wide chest strap aid in maintaining proper positioning. DIMENSIONS: The seat plate is 340 x 300 millimeters. The base is 300 millimeters high, the back height is 530 millimeters, and the head extension is 150 millimeters high. TITLE: Lucy Tilts in Space. JOURNAL: TAD Journal. REF: Vol 22, no 3, Spring 2002: p 9. PAGES (including cover) 2 2002.

  358. TAD TOILET STEP AND RAIL

    ----CUSTOM ADAPTATION ---- PURPOSE: To enable a child with small stature or balance disabilities to access the toilet with little or no assistance. This safety rail is designed to fit in front of and around a child-sized toilet and consists of a slightly raised platform with grab bars and a frame that extends along both sides and behind the toilet. It can assist with accessing the toilet, provide lateralsupport while seated or standing, and assist with rising from a seated position. The rail is made of tubular steel and the platform surface is plywood with a polyurethane finish and non-slip footprint stickers. The unit can also be adapted for use with a standard toilet. DIMENSIONS (DxWxH): The platform is 380 x 470 x 190 millimeters. TITLE: Toilet Step and Rail. JOURNAL: TAD Journal. REF: Vol 22, no 3, Spring 2002: p 14-15. PAGES (including cover) 3 2002.

  359. TAG-ALONG BIKE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To provide a custom adapted tag-along bike for a child with spastic diplegia. The child has his own custom adapted bike but when on outings with his family he found it difficult to keep up and cycle long distances. Since he was too large for a baby seat a tag-along adaptation appeared to be a good solution. A prototype was created that was compatible with components used to modify FREEDOM WHEEL bikes, such as the U-frame, high-riser bar, and postural supports. The adaption started with a commercially available single-wheel tag-along, which is normally clamped onto the seat post of the towing bike. However, the single-wheel design was not ideal for the child’s safety or needs; therefore, the tag-along was converted to add two rear wheels for added stability, while making it easy to store and transport. Another wheel was purchased from the company that made the tag-along, and two quick release hubs that are normally used for wheelchair wheels. The existing hubs were removed from the tag-along wheels and replaced with the new quick-release hubs. During the next stage, a stable mounting for the wheels was created by creating a bracket to go in between the two sections of the frame where the wheel would normally go, to hold the frame stable and fix the dimension. A U-frame was then attached to the bike frame, which is normally used to mount the outrigger wheels and high-riser bar on FREEDOM WHEELS bikes. The high-riser bar and postural supports can be transferred to the child’s bike as needed. Three struts were mounted on each side of the U-frame: one to hold a tube to receive the quick-release axle and wheel hub; one which runs from the wheel to the top of the U-frame; and one which runs from the wheel to the center of the bike frame near the pedals. This provides triangular support to the wheels in both vertical and horizontal dimensions. The wheels can be removed for transport without needing any tools, by pushing a button in the center of the wheel. With the removal of a spring pin, each axle and struts can then be folded upwards to create a narrow unit that will fit on a bike rack. The original tag-along was a solid coupling but this would not work well with a two-wheel tag-along design. A universal joint was added to allow the towing bike to lean when the tag-along could not. The pedals were modified to make fixed footrests with foot cups, and Velcro-fastening straps. This adaptation was necessary because the flexible towing point meant that there could be an accident if the towing bike stopped and the tag-along rider kept pedaling. After testing the tag-along out there were a few glitches that needed to be tweaked. The footrests were rubbing the towing bike’s back wheel when turning. Additionally, when the front wheel of the towing bike became lower than the back wheel, the gap between the tag-along and the bike was reduced. Using the old arm as a template, a new arm was created that was 100 millimeters longer, and welded to the fittings from the original onto the new one. TITLE: Jye Hits the Road. JOURNAL: TAD Journal. REF: Volume 30, Number 1, January 2010: p. 8-10. PAGES: 4 (including cover).

  360. TAILGATE LIFTER Picture of TAILGATE LIFTER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with mobility and neurological disabilities to open a lift-up station wagon tailgate to access a scooter lift. A spring-loaded arm was mounted inside the tailgate on the same side as the scooter lift. The arm assists in pushing the door open during the first thirty centimeters of opening before the vehicle's built-in gas struts took over. A roller on the end of the arm rolls against the tailgate as it rises. The plastic door lining was reinforced with steel plates to prevent damage. A strap made of seatbelt material was also screwed to the back of the tailgate, creating a handle that dangles outside the tailgate when closed to aid in the opening process. TITLE: Tailgate Lifter. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 19. PAGES (including cover): 2 2002.

  361. TELEPHONE SHELF

    --- CUSTOM ADAPTATION --- PURPOSE: To create an accessible area for telephone use for an individual with multiple sclerosis. A double wall-mounted shelf was built, with the top shelf accommodating the telephone on a rotating base. A second shelf provides storage for a telephone directory, mail, and other items. The shelf is a right angle to the user's work area, enabling the phone to be answered from her work chair and eliminating the need to walk to answer the phone. TITLE: Customised Furniture. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. P. 12-13. PAGES: 3 (including cover).

  362. TELEPHONE STAND

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to access his home telephone. An existing overbed stand was adapted using the wall-mount bracket that came with the telephone. The bracket was mounted to the stand and the phone base attached to the bracket. The base is upside down, facing the user while he is lying on the bed. Consequently, the handset could not be placed in the base when not in use or for charging. A separate metal clip was attached to the stand to hold the handset. A separate charger that can be plugged into any outlet was acquired to enable the phone to be charged when and where needed. TITLE: Keeping Up Connections. JOURNAL: TAD Journal. REF: Volume 27, Number 1, May 2007: p. 14-15. PAGES: 3 (including cover).

  363. TENNIS AID Picture of TENNIS AID

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of only one arm to throw a tennis ball up to strike it with the racquet. A strip of Velcro was cut to the appropriate length to strap around the user’s disabled arm. A piece of electrical conduit was cut to form a cup and attached to the Velcro with a Lexan plate. The user places the tennis ball in the cup and raises his foreshortened left arm to throw the ball up. He then uses the right hand to serve. TITLE: One-handed Tennis. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: p. 14-15. PAGES: 3 (including cover).

  364. THERAPY STEPS SET Picture of THERAPY STEPS SET

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create custom adapted three-piece therapy steps set for children with various disabilities to use in a therapy room at an intervention service organization. The steps needed to be wide enough for two people to walk on them side by side, and heavy enough to be stable but light enough to be moved around by two people. The design includes three separate sections, two step sections, and a one-square-meter central platform which goes in between them. The three-piece system allows for greater flexibility in how the steps are used therapeutically. Each step section has railing on both sides, and the platform section also has a railing on one side—this goes against the wall in the current corner setup, but can be placed at the front when against a straight wall. The rails are made from 38 millimeter galvanized tubing, painted with yellow enamel. The cutting, welding, and painting of all the rails was a lengthy process; however, the end result was a set of therapy steps that looked beautiful and blended in perfectly with the wooden floor of the therapy room. TITLE: Steps for therapy. JOURNAL: TAD Journal. REF: Volume 30, Number 4, October 2010: pp. 12-13. PAGES: 3 with cover.

  365. TILT-IN-SPACE CHAIR

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted tilt-in-space chair for a child with multiple disabilities. This adaptation is designed for children with special support needs, the child can be tilted back from an upright position to a 45 degree recline. This type of chair is useful for when a child needs to be upright for certain activities such as eating, but cannot tolerate this position for long periods of time. The child was measured for accuracy and the chair was made from 9 millimeter plywood. The chair included variations to suit the child’s needs and included large PVC foot cups, with the heels aligned at the back edge. These foot cups were necessary to keep the child’s legs separated after hip surgery. The chair was installed with oversized rubber tire castors to make the chair easy to maneuver. Cushion inserts for the chair vary to suit each individual user. This child’s cushion has a cut-out to hold her head comfortably in place, as well as side pieces to prevent her from throwing her arms sideways and dislocating her shoulders. TITLE: Chiara Tilts in Space. JOURNAL: TAD Journal. REF: Volume 29, Number 3, September 2009: p. 13. PAGES: 2 (including cover).

  366. TILT-IN-SPACE CHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with global developmental delays and low muscle tone with appropriate seating and positioning. The chair is made of lightweight plywood and is angle-adjustable from upright to 45 degrees reclining using trinuts. This enables the user to sit upright for as long as can be tolerated and then recline as needed. The chair is equipped with a tray clamped to metal slides, making it adjustable in height and tilt, and enabling it to follow the angle of the chair. Tray features include a torso cutout and tipped edges to keep items from falling off. A height-adjustable footplate is attached to the tilting section of the chair and is equipped with footcups with Velcro straps to aid in proper positioning. The tilting part of the chair mounted on a removable base with casters. The chair attaches to the base with strong over-center case latches. The base was designed to fit under the family dining table. Without the base, the chair is at child's table height, enabling the child to participate in crafts and other activities with other children. DIMENSIONS: The base is 400 millimeters high. TITLE: View from the Chair. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 12-14. Number of pages: 4 (including cover). 2006.

  367. TODD BATH SEAT

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with global developmental delays and low muscle tone with appropriate seating and positioning for bathing. The chair is made of PVC pressure pipe and fittings, with a seat and back of outdoor fabric. The seat is also equipped with a webbing pelvic strap and crotch strap. The base frame is fitted with suction cups for security and stability. The seat back is fixed at 90 degrees to the seat and the entire seat unit can be reclined from 32 to 50 degrees from vertical. TITLE: View from the Chair. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 12-14. Number of pages: 4 (including cover). 2006.

  368. TOILET ACCESS PLATFORM AND RAIL

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation of a toilet access platform and rail for a child with Multicystic Leukoencephalopathy and poor motor skills. The frame was made from round steel tube painted white, the frame goes right over the toilet to support a plywood backrest and side rails which the child uses both to access the toilet and keep his balance on the seat. There is also a wide plywood platform in front of the toilet with non-slip strips attached. All the timber is finished with several coats of clear varnish to ensure that it is not damaged if it gets wet. The legs of the frame have rubber ferrules adjusted for the floor slope with packing washers to make it very stable. TITLE: A swing for Jacob. JOURNAL: TAD Journal. REF: Volume 28, Number 4, December 2008: pp. 8-9. PAGES: 3. (including cover).

  369. TOILET ARMREST

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with balance and walking disabilities to independently use the toilet. A commercially-available frame was too high and too wide for the user who was a woman of short stature. The frame was adapted by lowering the arms by cutting a 50 millimeter piece from each vertical section. The width was reduced by cutting 60 millimeters from the horizontal bar which was then rewelded. The bars were then refinished with powder coating. TITLE: Toilet Armrest. JOURNAL: TAD Journal. REF: Vol 23 no 2, Winter 2003: p.14. PAGES (including cover): 2 2003.

  370. TOILET FLUSH LEVER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted toilet flush lever for an individual with multiple sclerosis (MS) and wheelchair user. Flushing the toilet was becoming increasingly difficult because a commode occupies the space on one side of the toilet and there is a wall on the other side, making it not possible to bring the wheelchair alongside the cistern. The user had to lean right over the length of the toilet bowl to reach the flush button from her chair. An adaption using a series of tubular stainless steel linkages on a frame and attached this frame to the existing support bars on either side of the toilet. On the side of the toilet next to the wall, the existing bar supports a torque tube which extends forward and is bent 90 degrees to form an actuating lever. As it is in between the toilet and the wall, it doesn’t protrude and present a hazard. The torque tube is spring loaded to ensure that it returns to its resting position. When the user presses lightly on the lever, the torque tube rotates and actuates the linkages that operate a mechanical plunger positioned over the flush button. TITLE: Reaching the button. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 12. PAGES: 2 with cover.

  371. TOOL FOR UNDOING VIDEO REEL CONTAINERS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with cognitive disabilities to open video reel cartons. This small tool undoes the tabs of the cartons that have to be reversed for recycling. The tool is a metal blade with small teeth at either end which can be hooked under the folded carton tabs to undo them without damaging the carton. The tool is equipped with a wide wooden handle to accommodate users with limited manual dexterity. TITLE: Making Work Easy. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 12-13. PAGES (including cover): 3 2001.

  372. TOOL TO OPEN GATE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with post-polio syndrome who uses a wheelchair to open the childproof gates in a retirement village. A tool was constructed of a long piece of aluminum tube and a piece of aluminum sheet. A bicycle handgrip was added to one end of the tube and a shaped piece of aluminum sheet was rivited to the other end. The aluminum sheet has a U-shaped cutout that fits around the lock pin and enables the user to lift the pin. TITLE: Retirement Projects. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 14-15. PAGES: 3 (including cover).

  373. TOOLS TO OPEN OUTDOOR CHILDPROOF GATE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with multiple sclerosis to open childproof gates to wetlands and shopping districts. The gates were required by law for safety have a pin mounted on the top of the gatepost. The pin has to be lifted as the gate is opened, operations which are not manageable for an individual using a wheelchair. The first step was to create a device to assist in lifting the button for the pin. A barbecue fork was adapted for this purpose by forming a sausage-shaped handle extension from modelling clay and attaching it to the fork with insulating tape. A knob, also made of modelling clay, was placed on the prongs of the fork to create the needed leverage to lift the pin. The tool to pull or push the gate (depending on whether the individual was entering or exiting) consisted of an extendable broom handle with a metal pin mounted on a bracket at the lower end at a right angle to the handle. The pin fits into an eyebolt installed on a mounting block in front of the gate. The user slots the pin into the eyebolt using the broom handle while using the other tool to pull up the pin. The broom handle is used to open the gate. A traditional door magnet mounted on an angle bracket bolted to the post-and-beam fence holds the gate open until manually released. TITLE: Gate Opener. JOURNAL: TAD Journal. REF: Vol 23 no 2, Autumn 2003: p.10 to 11. PAGES (including cover): 3 2003.

  374. TOY SHOPPING CART

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with cerebral palsy, developmental disabilities, and vision and hearing impairments with a safe play and walking aid. The handlebar of the cart was extended up and back toward the child and the rear wheels were fixed and extended back to prevent tipping when the child leaned her weight on the handlebar. A board covered with colorful stickers was attached to the front of the cart to minimize damage from inadvertent bumping. TITLE: Playing and Growing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 8-9. Number of pages: 3 (including cover).

  375. TRADITIONAL CORD PHONE MODIFICATION

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a modified phone receiver for a traditional cord phone accessible from an individual’s bed side for a person with quadriplegia. A traditional cord phone was adapted to be answered by a flick of a lever for individuals who can’t pick up the receiver or use traditional corded phones. This device is no longer necessary since the individual now uses a cordless phone. TITLE: Bedside Facilities. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008, p. 12-13. Pages: 3. (including cover).

  376. TRAVEL CUSHION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted seat cushion for a senior with advanced osteoporosis. Using previous cushions as a model, a new set of cushions that are 420 by 475 millimeters and joined by a 75 millimeter spine, with a 50 millimeter-thick Dunlop Enduro foam filling were created. The long-wearing fabric covers are zippered so they can be taken off for washing. Two pieces of 39 millimeter wide webbing form the handles. The travel cushions have made it possible for this individual to protect her spine and ribs from fractures when sitting on a hard seat. Rather than using a pillow cushion while using public transportation, this adaptation provides two cushions joined together so that the individual may easily carry them over her shoulder. A pocket can be added on one side to hold maps or any other papers she might need. TITLE: Travel Cushion. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 4. PAGES: 2 with cover.

  377. TRAVEL VEST

    --- CUSTOM ADAPTATION --- PURPOSE: To identify a travelor with vision disabilities as being disabled while negotiating public transportation. A standard mesh safety vest was purchase and a label reading "Diabled Passenger" was created using a permanent marker. The label was sewn to the vest. TITLE: Travelling Vest. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005: P. 9. PAGES: 2 (including cover

  378. TRAY FOR ALIGNING DOCUMENTS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with use of one hand to staple and clip documents. An A-4 sized document tray with edges on three sides was fabricated from rectangular aluminum sheet. A cutout in the top left corner enables the user to staple or paper clip the document. The tray can also be used to rubbber band groups of documents. The rubber band is hooked over the right corner of the tray and then hooked over the left side. The papers and the rubber band are lifted off the tray simultaneously, banding the papers. The tray is equipped with a custom-designed top opening clamp to secure the tray to a counter or workbench. The clamp has a flat piece of steel at the bottom with a solid piece at 90 degrees that slides into a square tube at the top. The solid steel piece has a threaded hole enabling the user to fit a screw and turn it to draw up the bottom piece. TITLE: Office Assistance. JOURNAL: TAD Journal. REF: Vol 22 no 1, Autumn 2002: p 12-13. PAGES (including cover): 3 2002.

  379. TRAY FOR WHEELCHAIR

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with mobility disabilities to shop and carry items. Designed for use on a variety of wheelchairs, the tray was fashioned of PVC with a lip at the front made of aluminum angle to prevent items from falling off. The tray attaches to the wheelchair with Velcro for attachment and removal. TITLE: In the Basket. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 17. PAGES (including cover): 2 2001.

  380. TREATMENT LADDER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means of helping a child with cerebral palsy to stand independently, to practice dressing while standing, and to provide an aid to practice moving from sitting to standing. The ladder has two pine uprights, each attached to a stable ski-shaped base. Five rungs made of 19 millimeter (mm) dowels are mounted to an inner upright that is height-adjustable using a tri-nut. DIMENSIONS: The height adjusts from 100 to 400 mm above the floor. TITLE: Keeping Active. JOURNAL: TAD Journal. REF: Volume 27, Number 3, October 2007: p. 12-13. PAGES: 3. (including cover).

  381. TRICYCLE FOR CHILD WITH SHORT STATURE

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with short stature with a tricycle. The project began with a standard child's 12-inch bicycle. To create the required frame size, the frame sections were cut apart and the seat tube was shortened. The pieces were then realigned and welded back together. The pedal crank was shortened and new holes were drilled to mount the pedals. A custom-made tricycle adapter was made to replace the single rear wheel with two wheels, widely spaced. Smaller handlebars and brake levers were made and the front caliper and rear disk brakes were adjusted accordingly. The seat was replaced with one better suited to the child's needs. COLOR: The frame was painted red. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 19. Number of pages: 2 (including cover). 2006.

  382. TWO CUSTOMIZED RAMPS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted wheelchair ramps for a mother with multiple sclerosis. The individual lives in an older-style house with slight changes in floor level at several of the doors, including the entry to the house, and she was not able to get her wheelchair over these unaided. There are commercially available ramps for such situations, but these did not fit the specific dimensions that she needed. Two customized ramps were built to solve the problem. The 4 centimeter-high step outside the bathroom door is bridged by a simple triangular plywood ramp. The ramp to the front door was more complicated, as the individual had to be able to wheel herself over the step and then turn at right angles to go down to the porch. The answer was a platform immediately next to the step, with a 90 centimeter-long ramp providing a gradual descent. When the ramp was installed, the designer felt that it needed a lip to prevent the possibility of the individual going over the edge, so this was added. When the job was finished, the porch floor and the ramp were both painted a deep grey to give a uniform appearance. The jobs TADNSW completed allowed this mother with disabilities to fulfill her role as a mother and made it easier to move more freely about her house. TITLE: Managing motherhood. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 6-7. PAGES: 3 with cover.

  383. USB PORT ADAPTATION

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with cerebral palsy to insert a memory stick into the USB port of a computer. The USB port has a lead which extends from the back of the computer. A wooden block that clamps together with a tri nut was devised to hold the socket at the correct angle and position to make it accessible to the user. An additional block of wood was added to the bottom to provide stability. With the socket in position, the user can insert the memory key. TITLE: Computer Tools. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. PAGES: 14-15. Number of pages: 3 (including cover).

  384. VIDEO REEL DE-SPOOLER

    --- CUSTOM ADAPTATION --- PURPOSE: To enable individuals with cognitive disabilities to de-spool video reels for recycling. The devices consists of a holder with slots for four reels, with rollers made from typewriter platens underneath. A small motor turns the rollers which rotate the reels, causing the tape to come off the reels and fall into a garbage bag. The light belts driving the rollers provide enough force to turn the reels, but not enough to damage anything else that touches them. TITLE: Making Work Easy. JOURNAL: TAD Journal. REF: Vol. 12 no. 1, Autumn 2001: p. 12-13. PAGES (including cover): 3 2001.

  385. WALKER / TRAYMOBILE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with mobility disabilities to have walking assistance whille carrying needed items. A four-legged wooden frame was constructed, with corner posts set at a height to enable the user to hold on to them. The front legs have casters. The frame is equipped with two carrying trays, each with a lip on all four sides to keep items from falling off. The lower tray is set in from the edge of the frame to provide space for the user's legs. DIMENSIONS: The area of the frame is 520 x 600 millimeters and the corner posts are 1,000 millimeters high. The top tray is 745 millimeters from the floor and the lower tray is 275 millimeters from the floor and is set 200 millimeters from the edge of the tray. The lip is 40 millimeters. TITLE: Getting Around. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 14. PAGES (including cover): 2 2001.

  386. WALKER ADAPTATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To adapt a standard walker for more efficient use outdoors. A larger lower inverted-U shaped crossbar was added to the front of the walker and large double casters with tires were attached to this bar to ensure proper tracking, while still maintaining the push-down braking action. In addition, the angle and position of the handgrips were adjusted by cutting a piece of steel that slides into the existing handle and drilling a hole in the new piece to hold it in position. TITLE: Powered Person-Lifter. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. P. 10-11. Number of pages: 3 (including cover).

  387. WALKER BRAKE SYSTEM

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized braking system to a walking frame for use by a person with spina bifida, necrosis, and thrombosis. The walker was adapted by attaching a pair of locking bicycle hand-brake levers to the handlebars of the walking frame. The hand-brake cables are connected to the L-shaped brake friction bars to engage for both sets of rear wheels. The bars have a spring return so that the brakes can be easily applied and released when used on a steep slope such as a hill. TITLE: Necessary Braking. JOURNAL: TAD Journal. REF: Volume 28, Number 2, July 2008: p. 8. PAGES: 2. (including cover).

  388. WALKER CARRIER Picture of WALKER CARRIER

    ---- CUSTOM ADAPTATION ---- PURPOSE: To enable an individual with mobility disabilities to carry a walker on a wheelchair. Designed for a wheelchair with two horizontal push bars on the back, the carrier is comprised of two sets of hooks that fit over the bars. Using extruded aluminum bars, two shorter hooks and two longer hooks were created by placing the aliminum bar in a vice and bending it to a 90-degree angle and then hammering out two pairs of curved shapes. The longer pair of hooks fit over the top bar of the chair and extend to the lower bar, where they are stabilized with a U clamp. The shorter hooks are bolted to the longer pair and curved outward. The walker hangs over the two pairs of hooks and a bungee cord is used to provide additional security. TITLE: Walking Frame Carrier. JOURNAL: TAD Journal. REF: Vol 22, no 2, Winter 2002: p 12. PAGES (including cover) 2 2002.

  389. WALKER CARRIER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted walker carrier frame for an individual with mobility disabilities due to lymphoedema. The individual could not transport her walker in the trunk or back seat of the family car, even when folded. While there were some commercially available carrier frames none fit the walker frame or could be used independently by the individual. A custom adapted carrier, which would fit into the car’s existing towbar socket, and meet the NSW Roads and Traffic Authority requirements for attachments to vehicles was created. The carrier rack could not protrude less than 1,200 millimeters from the back of the vehicle, and could not obscure the car’s rear lights or the license plate. Additionally, the carrier design must not pose a hazard to pedestrians and other vehicles when the car is parked. The custom design utilized a standard 50 millimeter towbar hitch, which is attached to a crosspiece made from angle iron. Two arms which are made from metal channel pivot from the cross piece, and can be locked in either a vertical or horizontal position using a spring-loaded catch. The arms rest on nylon bushes when they are in the lowered position, so they don’t directly touch the cross bar – this reduces friction and noise. There are also two additional cross bars made from steel tube at the centre and opposite end of the arms to stabilize and strengthen the device. The entire unit is painted white to match the car. To lift the walker onto the carrier, The individual first lowers the arms to the horizontal position and locks them in place. She pushes down on the walker’s handles to raise the front wheels and slots them into the U-shaped groove in the arms. She then lifts the handles and pushes the walker forward down the arms, securing it with a chain to make sure it can’t fall off. Rubber edging on the arms helps protect the walker from damage during this process. Reversing the process enables the walker to be easily removed from the carrier. The arms can then be folded up to vertical and locked in this position, keeping them out of the way of pedestrians and other cars. The entire carrier is only 700 millimeters wide and therefore does not obscure the car’s rear lights. It does obscure the license plate, so a duplicate license plate is attached to the back cross bar of the carrier. This is a flexible attachment so that the plate swings down when the side bars are in the vertical position and is still visible. TITLE: Walker carrier. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 8-9. PAGES: 3 with cover.

  390. WALKER MODIFICATIONS Picture of WALKER MODIFICATIONS

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create walker modifications for an adult with paralysis on his right side, use of only the left arm and hand, and with balance disabilities. The user attends a local bridge club with an entrance that has a steep ramp with no handrail on the left side, and he had to rely on someone to walk next to him for stability and balance in addition to using his walker. The walker was helpful, but without the use of his right hand, when the frame brakes were applied, sometimes the frame would swerve due to uneven breaking, creating the potential for falls. To create a custom adaptation, both brakes handles were removed from the walker and a crossbar of aluminum was fashioned. The right side of the new crossbar was hinged so it could pivot, and the left side, being the side with usable hand, was made detachable so that the handle could be swung down to make the seat accessible. To re-attach the bar, one only needs to screw the tri-bolt which has a large, easily managed head. A single brake lever was placed in the center of the crossbar, and modified brake cables were installed using a device called “Balanced Brake Splitter” developed by TAD volunteers. Finally, rubber hand grips were fitted on the cross-bar for comfort. The modifications provided the user with greater independence as he could safely operate his walker with only his left hand. TITLE: Staying Independent. JOURNAL: TAD Journal. REF: Volume 31, Number 4, Spring 2011: p. 14. PAGES: 2 with cover.

  391. WALKER MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a child with cerebral palsy to use a reverse walker by pushing it in front of him. The walker was designed to be pulled behind the user. However, because of lack of arm strength and difficulty with balance and hip control, the child was unable to use it. Consequently, it was necessary to allow the wheels to travel in the opposite direction by changing the action of the walker by reversing the position of the clutch which acted as an anti-rollback mechanism. With the change made, the child can use the walker in front of him, leaning on it and pushing it forward. TITLE: Reverse Walking. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGE: 7. Number of pages: 2 (including cover). 2006.

  392. WALKING FRAME

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with balance and muscle disabilities to replace her old walker with one built to the same specifications. The individual had used the same walker for 24 years and it had been damaged. Working with a therapist, a number of commercially-available alternatives were tried over several years, but a satisfactory replacement was not found. A custom-made walker was built using the specifications of the original unit. The walker has a welded steel frame with a wide U-shaped base, large front wheels, and wheel-less back legs. The large front wheels are attached to a horizontal bar inside the base. Uprights with the handle grips are welded to the bar with the wheels and angled bars extend from the uprights to the back legs of the U-shaped base for added strength and stability. COLOR: Bright blue powder coat finish. TITLE: Replacement Walking Frame. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 7. PAGES: 2 (including cover).

  393. WALKING FRAME ADJUSTMENTS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with short stature to be assisted while using a walker. The walker consists of a fixed frame with a U-shaped base. Angled vertical uprights support arm troughs and handgrips. Four small casters provide mobility. The walker enables the user to carry out daily living activities as long as a caregiver guided the walker in the right direction. However, because the user was of short stature, the caregiver was required to bend over to provide this assistance, and because the user sometimes needed to move in reverse, a second set of caregiver grips was required that did not effect the user's space. Two stainless steel clips were used to attach a 20 millimeter tube handle topped with a handgrip to each of the back legs of the frame. The lower clip pivots so that the handles can be swung into the upright position when needed. The upper clip holds the handles in place. A front handle was created by forming a 20 millimeter steel tube bar into a U shape and covering it with rubber padding and fitting it across the space between the user's handgrips. TITLE: Walking Frame Adjustments. JOURNAL: TAD Journal. REF: Vol 23 no 1, Autumn 2003: p.17. PAGES (including cover): 2 2003.

  394. WALKING FRAME BRAKE MODIFICATION

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized adaptation to a four-wheel walker to enable back wheels to lock when navigating the walker up steps for an individual with cerebral palsy and visual and hearing impairments. Two spring-loaded semi-circular aluminum cams are used to jam the back wheels if they move backwards, but not stop the wheels from moving forward. The two cams are mounted on the frame just above the wheels and are attached to a cord which travels up to hook in the center of the frame under the seat. When the cord is put around the hook, the cams are lifted off the wheels and they travel freely in both directions. When the cord is released from the hook, two small springs move the cams onto the wheels thus locking them in place. An individual can take the cord off the hook to operate the locking mechanism when walking around shops, and hook it back up when he or she needs to maneuver in both directions. TITLE: Maintaining mobility. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: pp. 4-5 PAGES: 3. (including cover).

  395. WALKING FRAME CARRYING STICK MODIFICATION

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized adaptation to a four-wheel walker enabling an individual with cerebral palsy and visual and hearing impairments to carry her walking stick and white cane while using her walker. Previous adaptations generally put the carry stick attachments on the outside of the frame; however, there was concern that this would reduce maneuverability of the walker within the individual’s small home. Attachments were added that allow the sticks to be carried within the space of the frame, and are positioned so they don’t get in the way when the frame is folded up to go in a car. Two aluminum blocks are placed on either side of the front bar, creating two small spaces between the padded section across the front and the blocks on each side. The individual can then place the two sticks in these spaces to keep them in place. Two “bobbins” were added with side plates to the rotating bar in the center of the frame. The other end of each stick rests on these, which stops them from dragging the ground or moving sideways. The bobbins also prevent the sticks from interfering with the rotation of the central bar. TITLE: Maintaining mobility. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: pp. 4-5 PAGES: 3. (including cover).

  396. WALKING FRAME MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted walking frame modification for and individual with congenital hip dislocation and has difficulty walking unaided. While this individual uses an electric scooter for going to the local shops and an electric wheelchair around her home, she requires a folding walker to take with her when going on outings in a car. The Admed seat walker with a basket and hand brakes was best suited for the individual’s needs but was too difficult to use due to the handles being uncomfortably high from the ground (830 millimeters). An adaptation which would lower the handles was suggested. First the old handles from the walker were removed as they were too short to re-use. New handles were made by bending 25 millimeter tubing. The padded handgrips and brake levers fro the old handles were able to be recycled and used on the new handles. The new handles were fitted to into the frame so that they now sit 130 millimeters lower than the old ones. The handle height can be adjusted in the same manner prior to the modification. The modification made the walker much more comfortable to use, the modification does not prevent the frame from folding, and the seat remains at the same height. TITLE: Handles lowered. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 10-11. PAGES: 3 with cover.

  397. WALKING FRAME MODIFICATION

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted walking frame for an older individual who has had a stroke and can be safely used with only one hand. The individual was experiencing several problems with her current walking frame—the existing gutter splints were not strong enough for her and had broken in addition to being too uncomfortable to start. Additionally, this individual needed a back rest for the seat and a method for braking safely with one hand. A unique solution was found at a local bike shop—a single brake lever which simultaneously operates two brake cables. The brake lever was mounted onto the right handle of the frame and adjusted the length of the cables to reach each of the two rear wheels. New gutter splints were created using aluminum piping cut in half lengthwise, padded with foam and covered with vinyl. A simple back rest was made using a plywood base, also padded and covered with vinyl, and mounted on the front crossbar of the frame. TITLE: Walking straight. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 11. PAGES: 2 with cover.

  398. WALKING FRAME MODIFICATION

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with balance disabiolities and only one hand to use a walker. A commercially-available wheeled walker with a seat was purchased and adapted. First, the existing wheels were replaced with larger ones to make it easier to traverse bumpy surfaces. Next, the walker was fitted with a stainless steel cross bar between the existing handles. To add the cross bar, the rubber handgrip on the left side was removed and an aluminum swivel block was fitted over the left arm, with stops at each end to keep it in position. Fixed to the swivel block is one end of the cross bar; the other end of the bar has a clip attached to it that locks onto the right handgrip. A rubber handgrip was added in the center of the cross bar. Using the cross bar, the individual can steer the walker with one hand and push down the legs to engage the brakes. The cross bar folds out of the way to enable use of the seat. TITLE: Retirement Projects. JOURNAL: TAD Journal. REF: Volume 27, Number 2, August 2007: p. 14-15. PAGES: 3 (including cover).

  399. WALKING FRAME MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a custom adaptation to a walking frame for an individual with spinal cord injury and mobility disability. A folding rollator frame was ideal for this individual, but it did not include features such as a basket to carry everyday things or a tray for carrying meals from the kitchen to the table. The basket and tray needed to be easily removable for occasions where the walking frame would be folded to go in the car. A basket from Howards Storage World was hooked over the crossbar and secured with two black rubber straps. A bracket to support the basket was created from 6 millimeter plastic-coated fence wire. A heat gun was used to make molded plastic funnels to hold the bracket and held these in place with plastic clips. A fitted timber strip to the outer side of the basket is where the tray was hinged. The three outer sides of the tray have a small lip, and it is covered with a non-slip fabric, so there is no danger of anything sliding off. The tray is easy to lift up by just pushing down on the far side. TITLE: Carrying essentials. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: p. 12 PAGES: 2. (including cover).

  400. WASHING MACHINE AID

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with lupus causing limited hand strength to operate her washing machine. The cycle setting dial on the washing machine has a raised center and indentations onn either side, and the user was unable to grasp it to turn it to the desired setting. A simple turning aid was created using waterproofed wood. A block of wood was cut and two wooden prongs made from dowels were screwed and glued into the bottom of the block. All edges were rounded and the block and prongs were sanded smooth and covered with Estapol. The user slides the prongs on either side of the raised center of the knob in the indentations and turns the knob by pushing on the block. TITLE: Washing Machine Aid. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 8. PAGES: 2 (including cover).

  401. WASHING MACHINE KNOB TURNER

    ---- CUSTOM ADAPTATION ---- PURPOSE: To enable an individual with upper extremity disabilities to set and turn on the washing machine. A piece of transparen Lexan was cut into a rectangle and the center was cut-out, creating a frame-style device. The device fits over the knob and is held in place with a hose clamp. This enables the user to turn the knob while still being able to read the printed settings around it. DIMENSIONS: The Lexan is 19 millimeters thick. TITLE: Opening Gambit. JOURNAL: TAD Journal. REF: Vol 22, no 2, Winter 2002: p 10-11. PAGES (including cover) 3 2002.

  402. WATER TABLE ADAPTATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To provide access to a water play table for a child with cerebral palsy, developmental disabilities, and vision and hearing impairments while using a therapeutic incline box. The plastic table had a metal stand with casters, but as the child grew, it no longer provided the correct height and position. To resolve the problem, the legs were extended and adjustability was added to accommodate future growth. To increase stability, the casters were removed from one end. DIMENSIONS: The legs were extended by 200 millimeters and can be adjusted by another 50 millimeters. TITLE: Playing and Growing. JOURNAL: TAD Journal. REF: Volume 25, Number 4, Summer 2005. PAGES: 8-9. Number of pages: 3 (including cover).

  403. WEIGHTED BLOCK TROLLEY

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a child with walking or balance disabilities with a block cart to push. Since commercially-available block carts did not provide the necessary stability, a custom cart was built. The unit has a large block-storage area, a height-adjustable wooden handle, two front casters, and large-diameter rear wheels. The handle adjusts using tri nuts. A concealed lower compartment holds two bricks to provide weight for stability. DIMENSIONS: The rear wheels are 132 millimeters in diameter and the front casters are 50 millimeters in diameter. TITLE: Supporting Early Intervention. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 16-17. Number of pages: 3 (including cover). 2006.

  404. WEIGHTED BLOCK TROLLEY

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized weighted block trolley for a child with Rett Syndrome and for children with standing and walking difficulties. The stable, counterweight trolley is made of timber and plywood, with a handlebar which can be adjusted using a tri-nut as the child grows. The device has rear wheels mounted at the side, and castors at the front which make it easy to steer. A counterweight is created by a paving brick installed under the front of the tray. The tray provides a handy receptacle for carrying toys while walking. The device has a modern-looking design and finish making it visually appealing to have in the main living areas of the home. TITLE: Helping Zoe to Walk. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 6. PAGES: 2. (including cover).

  405. WHEELCHAIR BAG

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for a caregiver to carry items while pushing a wheelchair. A customized vinyl bag was made and held open and supported by a galvanized wire frame sewn into the top edge. A flap top and a return around the front and side edges protect the contents from the weather. Handles on each side of the center of the bag provide a means of carrying the bag away from the chair. Small straps made of the same material as the bag loop around the push handles of the wheelchair to hold the bag on the chair. DIMENSIONS (WxDxH): 400 x 390 x 100 millimeters (mm). The wire for the frame is 3mm and the return is 25 mm. TITLE: Post Stroke Assistance. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 10-11. PAGES: 3 (including cover).

  406. WHEELCHAIR BUMPER BAR Picture of WHEELCHAIR BUMPER BAR

    --- CUSTOM ADAPTATION --- PURPOSE: To protect walls and furniture from being damaged by a wheelchair when the user has his/her legs straight out. With the user's legs straight out, the space taken up was large and made it difficult to avoid bumping into walls and furniture. To protect both the user's feet and surroundings, a frame that sits upright at the end of the chair was constructed of PVC tubing. The frame was covered in cellular foam and a strip of outdoor furniture fabric was laced around the frame to creare a soft footrest and to prevent the feet from extending beyond the frame. The frame mounts to the wheelchair using the existing upright sockets at the end of the chair for ease in removal as needed. A strip of rubber placed at the end of the chair reduced damage to the chair and further protected surroundings. TITLE: Bumper Bar for Wheelchair. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 20. PAGES (including cover): 2 2002.

  407. WHEELCHAIR CAMERA MOUNT

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with quadriplegia to take digital photographs. The user required a mount that would hold the camera very steady, but still allow her to use a tripod and to have the mount moved from a powered wheelchair to a manual wheelchair as required. A holder was designed with a stainless steel vertical arm mounted on the right front caster of each chair. For additional stability, the manual chair had an additional bracing clamped to the frame at wheel and seat height. On the powered chair, the vertical arm sat within a larger and sturdier fixed tube with a nylon bush to enable the arm to rotate. A horizontal arm extends from the vertical arm and clips into place at the end of the left arm of each chair. Mounted on this horizontal arm is a round aluminum platform to hold the tripod. Three methods were used to secure the tripod: the center piece of the tripod is attached by a very strong magnet which clips into a horseshoe-shaped piece of steel in the center of the plate; a seesaw clamp on the wheelchair side of the table holds the magnet in place; and the aluminum rim on the table keeps the tripod legs on the table. When the holder is not in use, it can be turned to the side. A caregiver using an Allen key can turn the table 90 degrees and then the entire arm is pivoted 90 degrees at the connection between the vertical and horizontal arms. It is then secured with a Velcro strap.TITLE: Have Camera, Will Travel. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p. 20. PAGES (including cover): 2 2001.

  408. WHEELCHAIR CAMERA MOUNT Picture of WHEELCHAIR CAMERA MOUNT

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom wheelchair camera mount for a photographer with hemiplegia related to stroke and limited use of his right arm. This individual cannot simultaneously hold his camera firmly and press the shutter, particularly as he uses large lenses which are quite heavy, and using a tripod to hold the camera doesn’t work either, as it’s difficult to set this up with one hand. Therefore, a custom adaptation solution of creating a wheelchair camera mount was suggested. A design using an inverted U-shaped aluminum frame to support the camera was created. The frame is mounted on the footrests of the individual’s wheelchair using specially made clamps that stay on the chair allowing the frame to be slipped into the clamps as needed. The top section of a tripod is mounted in the center of the frame’s cross bar, held in place with another custom made aluminum fitting. The base of the camera then screws into the tripod head in the normal way. The individual can move the camera up and down the tripod’s shaft, and adjust the angle and direction using a lever on the left side. TITLE: Wheelchair camera mount. JOURNAL: TAD Journal. REF: Volume 31, Number 1, Summer 2011: pp. 8-9. PAGES: 3 with cover.

  409. WHEELCHAIR COMMODE ADAPTATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To make a caster commode chair more usable for an individual with quadriplegia. The commode pan was set so high under the seat that the user came in contact with the pan. In addition, because of the pan's position, it tended to tip while being removed for emptying. A second set of aluminum chanels was installed below the original ones, and the wire frame supporting the pan, which was elongated to prevent spilling, slides into the new chanels. TITLE: Double Satisfaction. JOURNAL: TAD Journal. REF: Volume 25, Number 2, Winter 2005: P. 12. PAGES: 2 (including cover).

  410. WHEELCHAIR CONTROL COVER

    --- CUSTOM ADAPTATION --- PURPOSE: To protect powered wheelchair controls from rain. A sleve was fashioned from clear plastic that slides over the wheelchair joystick controller, protecting the buttons an gauges and most of the joystick. A fole in the sleeve provides access to the joystic to enable the chair to be operated. TITLE: Bathroom Assistance. JOURNAL: TAD Journal. REF: Volume 26, Number 2, July 2006: p. 12-13. PAGES: 3 (including cover).

  411. WHEELCHAIR FOOTPLATE ADAPTATION Picture of WHEELCHAIR FOOTPLATE ADAPTATION

    --- CUSTOM ADAPTATION --- PURPOSE: To assist an individual with mobility disabilities in transferring from a wheelchair. The wheelchair had a one-piece footplate that folded up during transfers and down to provide foot support. However, the user was unable to change the position of the plate as needed. The existing footplate was removed and replaced with hinged dual footplates. The new footplates were made from sheet aluminum cut to shape, with large overlaps joined with epoxy resin and pop-rivited fore strength. This enables the user to sit on the wheelchair seat with both halves up, move her feet to one side, lower the oposite side, slide both feet to the lowered side, lower the other side, and then put the feet on each half. TITLE: Scooter Handling. JOURNAL: TAD Journal. REF: Vol 22 no 2, Winter 2002: p 16-17. PAGES (including cover): 3 2002.

  412. WHEELCHAIR FOR BEACH

    --- CUSTOM ADAPTATION --- PURPOSE: To enable an individual with a mobility disability to visit the beach. A simple frame was welded of 19 millimeter stainless steel tubing with a 1.6 millimeter wall thickness. A bar at the front acts as a footrest. The chair is also equipped with a lever brake. The seat and back are made of Breezeway open webbing and are laced to the frame. Extended handles provide additional leverage for the person pushing the chair, compensating for the four fixed wheels of the type used on a child's riding toy. DIMENSIONS: The wheels are 30 centimeters in diameter x 14 centimeters wide. TITLE: Buggy for the Beach. JOURNAL: TAD Journal. REF: Vol 21 no 4, Summer 2001: p. 18-19. PAGES (including cover): 3 2001.

  413. WHEELCHAIR PEDAL EXERCISER

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a means for an individual with low-level paraplegia to exercise his/her legs. The individual had a set of exercise pedals but needed a means of attaching them to a wheelchair. The pedals needed to be 325 millimeters above the floor and 370 millimeters forward from the top of the wheelchair footplate sockets. A steel tube frame was welded with swan hooks that fit into the wheelchair footplate sockets and a crossbar on which the pedals were mounted. A forward T-bar was added for stability. To use the device, the wheelchair footplates are removed and the swan hooks are inserted in the same sockets. TITLE: Wheelchair Exercise. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 21. PAGES: 2 (including cover).

  414. WHEELCHAIR PUSH HANDLE EXTENSIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a tall parent to push a child's wheelchair. The existing push handles were sawed off a wheelchair and new ferrules were fixed inside the exposed tubes with Loc-tite. Two new longer L-shaped handles were made of metal and one end of each was afixed in the new ferrules. The handles were finished by painting them red to match the rest of the chair and attaching bicycle-style rubber handgrips. TITLE: Bicycle and Beyond. JOURNAL: TAD Journal. REF: Volume 26, Number 3, October 2006. PAGES: 8-10. Number of pages: 4 (including cover). 2006.

  415. WHEELCHAIR PUSH HANDLE EXTENSIONS FOR TALL PERSON

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a tall caregiver to safely push a wheelchair. Designed to work with a variety of wheelchairs and to be removable for use on multiple chairs, a set of tubular steel extension arms with handgrips at the top was fashioned. The extensions are adjustable and hook to the chair frame at the bottom. The height of the handles can be adjusted using wing nuts on the verical uprights and the width between the handlebars is adjustable using a wing nut on the horizontal bar behind the backrest. The extensions also are equipped with C-clamps near the top of the upright tubes that fit over the existing push handles, as well as with hook rods that clamp to the rear of the armrests, making the unit stable and secure. TITLE: Height No Problem. JOURNAL: TAD Journal. REF: Vol. 21 no. 2, Winter 2001: p. 18-19. PAGES (including cover): 3 2001.

  416. WHEELCHAIR TILT MODIFICATION

    --- CUSTOM ADAPTATION --- PURPOSE: To provide a customized adaptation to an existing wheelchair to allow a young adult with a rare genetic disorder and his caregivers to tilt the chair backwards with minimal effort (i.e. for mounting curbs or pushing onto a vehicle hoist platform). The wheels were moved forward so that more of the weight of the chair is behind the wheels. Then the rear handlebars were redesigned so that they were easier to push down on. The original handlebars had a cross bar making it difficult for caregivers to get between the handles and had to push down from behind the handlebars. The cross bar was removed and new individual handles were made and the bar was repositioned closer in to the back of the chair. This allows caregivers to use their body weight more effectively when they are pushing down on the bars and can keep their backs straighter thus avoiding back injury. Finally, a foot bar was added to the back of the chair to allow caregivers to easily add additional downward pressure. TITLE: A safe bed fro Will. JOURNAL: TAD Journal. REF: Volume 28, Number 3, October 2008: p. 16-17. PAGES: 3. (including cover).

  417. WHEELCHAIR TO STROLLER LINKING DEVICE

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized linking device between wheelchair and stroller for an individual with spinal cord injury. While the individual could push the stroller and use her wheelchair in tandem for short distances, this configuration was not idea for various surfaces and/or travel over long distances. The individual obtained a stroller that has swiveling wheels at the front and fixed wheels at the back. An adaptation using the stroller was created taking from previous pram-type adaptations while solely using the stroller in a pram-like fashion. Due to the stroller’s swiveling wheels in the front and the fixed wheels in the back meant that the linking device also needed to lift the back wheels off the ground, so that the stroller can move sideways when the individual turns corners in her wheelchair. A linking device was made from very light square steel tube, and hooks onto to the crossbar at the back of the stroller. This design helps the individual position the link while being able to fit it one-handed to avoid overbalancing. The link is locked onto the stroller using swiveling hooks which turn through a small arc and are fixed in place with thumb-screws. The wheelchair end of the link has vertical tubes which drop into larger diameter tubes on the wheelchair. The clearance between the two tubes allows the stroller to move around when travelling over rough ground or changes in slope — if there was no clearance the link would bend or break. The tubes on the wheelchair are the mounts for the front castors, but after removing the rubber stopper, they were also just right for holding the link. The wheelchair is made from titanium alloy that is difficult to drill or weld otherwise the adaptation would have required clamping on suitable tubes. The frame of the stroller was reinforced to withstand the pressure of the back wheels being lifted off the ground. The final touch was adding a strap which goes around both the stroller and the wheelchair, just in case the link somehow becomes disconnected. TITLE: Wheeling the baby. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 4-5. PAGES: 3 with cover.

  418. WHEELCHAIR TRAY

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted tray to fit on a wheelchair used by an individual with cerebral palsy and intellectual disability. This individual spends most of her day in her wheelchair and needs something to occupy her and a surface to rest it on; in other words, a portable table which she can use for her walkman, DVD player or to hold a magazine, etc. The tray is made from 9 millimeter plywood with a lip added around the front and side edges to stop objects falling off (with gaps at the corners to facilitate cleaning). Velcro strips are used to attach it to the wheelchair, as they are easy to wrap around the arms of the wheelchair and give the flexibility of moving the tray nearer to or further from the individual as required. TITLE: Simple but effective. JOURNAL: TAD Journal. REF: Volume 30, Number 3, July 2010: p. 14-15. PAGES: 3 with cover.

  419. WHEELCHAIR TRAY FOR SEWING MACHINE

    --- CUSTOM ADAPTATION --- PURPOSE: To enable a wheelchair user to operate a sewing machine from her wheelchair. The tray was made of plywood with a lip on the front three sides to prevent thread and other items from rolling off. The tray fits into the mount of the existing wheelchair tray, but also rests on the wheelchair arms which bear most of the weight of the machine. The attachment of the existing mount stops the tray from tipping forward with the weight of the machine. The tray was designed to fit around the controls of the powered wheelchair to enable the user to get as close to the sewing machine as possible. The edges of the tray that rest on the wheelchair arms were angled with a smooth grade to prevent the user from bumping her arms. TITLE: Painting and Sewing Aids. JOURNAL: TAD Journal. REF: Volume 24, Number 4, Summer 2004: P. 8-10. PAGES: 4 (including cover).

  420. WHEELED CHAIR BASE

    --- CUSTOM ADAPTATION --- PURPOSE: To adapt a positioning chair for an individual with cerebral palsy to provide mobility. A base plate made of 12 millimeter (mm) plywood with a rounded cutout to accommodate the user's legs for foot propulsion was created. The original chair legs were shortened and the angles were fastened with horizontal bolts screwed to the base. Braked casters with polyurethane tires were attached to the underside of the base. In a final step, armressts similar to those found on office chairs were added to the chair to provide arm support and aid in seated balance. DIMENSIONS (DxW): The base is 620 x 600 millimeters and the cutout is 200 x 360 millimeters. The chair sits 325 millimeters above the floor and the armrests are 210 millimeters above the seat. The wheels are 75 millimeters in diameter. TITLE: Wheeled Chair Base. JOURNAL: TAD Journal. REF: Volume 25, Number 1, Autumn 2005. P. 12. PAGES: 2 (including cover).

  421. WRIST STRETCHER

    -------- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a customized adapted wrist stretcher for an individual with multiple sclerosis. The individual’s multiple sclerosis has progressed to a point where she cannot use her right arm and has limited dexterity in her left. It is important that she retain as much flexibility as possible so she can pick up objects and operate her electric wheelchair. To help the individual maintain her flexibility her physiotherapist has recommended that she stretch her arm and fingers each day. The adaptation was based on a previous wrist stretcher design in which the wrist stretcher has a base and a hinged section used for the stretching, which can be set at various angles depending on the degree of stretch that is required. In this case, the dimensions included the need for the hinged section to be adjustable from zero to almost 90 degrees. The wrist stretcher baseboard and hinged section was made from plywood, and attached together. Eight stop wedges were added on the opposite end of the baseboard from where the individual sit, with a 40 millimeter leading edge separations. A propping tongue was then added to the back of the hinged section, holding the stretch board in any one of the seven available positions, which are numbered. The areas where the individual’s arm and fingers rest were padded for comfort. The individual uses the board up to an hour a day to exercise her fingers and arm. Her husband sets it up on a table next to her wheelchair with a weight on her forearm and a tie to hold her wrist in place. The angle of the stretch will vary according to how flexible her fingers are that day. TITLE: Wrist stretching. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: p. 13. PAGES: 2 with cover.

Products distributed by Technical Aid to the Disabled (TAD) (listed alphabetically)

  1. WALKING FRAME MODIFICATIONS

    --- CUSTOM ADAPTATION --- PURPOSE: To provide custom adaptation to a walking frame for an individual with rheumatoid arthritis. The current walking frame provided to the individual by the hospital had several issues. The individual’s arms are quite short and slender, and the armrests were set too wide for her; therefore, her arms were not at the right angle and the sides of the armrests were cutting into her. The existing vinyl cover and foam padding on the armrests was removed, the armrests were repositioned inwards, and the sides cut down. Protective edging was placed on the raw edges, a thick layer of foam was added, and then sheepskins covers (purchased by the individual) were placed on the armrests. In addition to comfort, the frame was adapted to carry plates of food and hot drinks from the kitchen to the dining area or to a chair in a lounge room. A timber tray was made which fits onto the front bar of the frame. Because the frame is not attached to the frame in any way, it can be easily removed when the frame is folded up to go in a car. The tray does not have any catches that would make it difficult to manipulate. It slides under the armrests and rests on the front bar. Additionally, the tray has a lip on the side facing the individual and a hole at the front so that a hot drink can be rested safely—thus removing chances of items falling off and causing injury. TITLE: Staying at home. JOURNAL: TAD Journal. REF: Volume 29, Number 1, March 2009: pp. 14-15 PAGES: 3. (including cover).

See Technical Aid to the Disabled (TAD) products that are no longer available.

 
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