specialty programs

WheelChair Clinic and Orthotics Clinic Evaluations and Fittings

Children who are patients at PPT and who could benefit from a custom designed wheelchair or custom designed orthotic can participate in the monthly wheelchair and/or orthotics clinics.

Children may require the support of a specially designed seating and mobility system that will optimally promote function and mobility, while providing external support to maintain appropriate postural alignment and control. Custom seating and mobility for a child must be done with careful consideration of the rapid changes that a child will undergo over the course of the next 5 years (the usual funding cycle for custom wc’s), including growth, changes in strength and range of motion, as well as the changing social-emotional needs of the child and family.

Progressive Pediatric Therapy uses an interdisciplinary team approach for each evaluation. This team includes the child and family, a pediatric occupational or physical therapist, and a trained adaptive seating specialist or trained orthotist  This team of professionals works together to identify current and future equipment needs and goals.

The team provides a formal report with detailed recommendations for custom designed orthotics specifically designed to meet the needs of that child and family.
 
The team provides a formal report with detailed recommendations for custom manual and power wheelchairs, positioning equipment, or other related equipment. The evaluation includes a review of current mobility, environment, equipment, and transportation. Together with the family, we develop specific goals to help with positioning and mobility throughout the child’s natural environment. The team recommends equipment that will promote independence and mobility. During the evaluation, the team may assess the child’s need for other equipment such as bath chairs, standers, or feeding chairs.

Once the once the wheelchair or orthotics evaluation is completed, we send the formal report to the family, the referring physician, and to the child’s healthcare funding source. Once the custom wheelchair or other adaptive equipment or orthotics is received, the vendor and the therapist meet again with the child and family for the fitting, at which time adjustments and modifications are made to ensure that the child is appropriately positioned. We also train the family or caregivers on the equipment use, safe transfer techniques, and how to break it down for transportation in the car, if necessary.


Objectives of Custom Seating and Orthotics

  • Increase comfort and function
  • Decrease the progression of deforming forces on a growing body (i.e. contractures, scoliosis, etc.) through optimal postural alignment
  • Provide mobility and promote improved exploration and social interaction 
  • Encourage emerging motor and cognitive skills
  • Increase independence in self help skills and activities of daily living
  • Enhance breathing and digestion
  • Minimize pain and discomfort
  • Adjust for growth changes
  • Help carryover therapy goals
  • Be user-friendly, be child-friendly!

Children Who May Benefit


Our therapists evaluate all children, from newborn to eighteen, with a variety of diagnoses including cerebral palsy, spina bifida, traumatic brain injury, stroke, muscular dystrophy, osteogenesis imperfecta, cancer, amputation, and down syndrome.


“Juli's assertive approach to challenge Ty, born with Spina Bifida L5/S1, puts him on a path to mobility and independence, giving us hope for Ty's future.  She is an integral component to Team Titus.  I love medical professionals like Juli who truly care and love the work they do.” 

Angelica H.