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Mary Wardell
Instructor
| Joined: | Sun Jan 14th, 2007 |
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| Posts: | 13 |
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Posted: Sat Jun 20th, 2009 01:36 am |
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| Ditto for me on the diaper harness. I tend to use it only as an introduction to the treatment modality as it can be applied while the parent is holding the child without additional stress. But once the child is okay with the treatment and can tolerate application of the harness I move onto that and pad accordingly. I also am a big proponent of early weight bearing and gait training and introduce the BWST around 12 months if appropriate.
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plor
Instructor
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Posted: Tue May 26th, 2009 05:01 pm |
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The diaper harness makes me crazy too. I think it needs an adjustable groin area (maybe just a velcro overlap), since the groin section is far too long for most kids who have the tiny girth that requires the diaper option. I've been debating for years about just slicing and sewing mine. Right now I just fold the harness over in the groin section to get the lower strap over the greater troch. If you can get the harness that low there will be less of an opportunity to sit. But maybe I should get off my ischial tuberosities and start cutting and sewing?
I am all for starting little ones on the walkable over the treadmill as soon as they are candidates for LE weightbearing/standing with support. Learning to walk can be diminished by fixed standing and walking is more beneficial for those developing hips.
But I do agree, Andrew, that efficiency in loading that small person into that tiny harness is key, to allow time for both pre and post NDTing (not to mention NMESing and Ktaping...never enough hours)
plo'r
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nkarman
Instructor
| Joined: | Sat Jul 15th, 2006 |
| Location: | New York USA |
| Posts: | 48 |
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Posted: Mon Mar 23rd, 2009 10:17 pm |
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If you have a motorized actuator (not on all of the walkables), it is helpful to ply with the amount of support while the child is walking. Mixing it up a bit helps them to use their legs for support a bit more. If they still hang on the harness, I direct my assistance to promoting knee extension and hip extension in stance for more active weight bearing support.
NK
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jencmaine
Instructor
| Joined: | Sun Jun 11th, 2006 |
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| Posts: | 12 |
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Posted: Wed Mar 21st, 2007 04:52 am |
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I've started using the smaller harness as well with egg crate to take up some space and keep the top strap loose. It's actually been working!!
Even for the little ones!
Thanks
Jen Corbeil
Maine
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Andrew M. Ball, PT, DPT, PhD
Instructor
| Joined: | Tue Dec 26th, 2006 |
| Location: | Charlotte, NC |
| Posts: | 7 |
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Posted: Wed Mar 21st, 2007 02:36 am |
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I'm personally not much of a fan of the diaper harness either. I prefer to use the small harness and just use the lower two "belts" leaving the top one loose. I've found that this works rather well. Also, I don't tend to use the litegait with kids much younger than 18 months.
It's not that it can't be done, and that wasn't always my position. I've just found over the past (sheesh, it's been almost 10 years now) of using BWSTT systems, that up until that point, I find that the time spent getting the kid into the unit is time better spent upon neurodevelopmental transition training.
That's not much of an evidence-based answer, I know --- but it IS based upon my best evidence to date --- experiential it may be.
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jencmaine
Instructor
| Joined: | Sun Jun 11th, 2006 |
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| Posts: | 12 |
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Posted: Wed Mar 14th, 2007 06:59 pm |
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Hi
for anyone using the diaper harness
I find it "too" supportive and often am finding the little ones are sitting and it's much more difficult to obtain that weight bearing in standing. They are weight bearing on their ischial tubs vs. their feet!!
Are others have any trouble with this?
I wonder if there's a different design that could be looked into with less material posteriorly. I do try my small harness on some of the smaller ones but that's still too big for many of the preemies?!?
Thanks
Jen Corbeil
Maine (it's 64* today!)
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