Scope Annual Report 2015-2016 1 Scope’S Divisions Services Provided to People with a Disability
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Guidelines for Use of Durable Medical Equipment for Persons with Spinal Cord Injury & Dysfunction
Guidelines for Use of Durable Medical Equipment For Persons with Spinal Cord Injury & Dysfunction 2010 Guidelines for Use of Durable Medical Equipment For Persons with Spinal Cord Injury & Dysfunction Acknowledgements We thank those who gave time and effort to this project for sharing their expertise willingly to enhance the lives of those with spinal cord injury or dysfunction. Contributing Authors: (alphabetical order) Karyn Baig, PT, DPT Alexis Kahn, MS, OTR/L Staff Physical Therapist Shriners Hospital for Children 1199 Pleasant Valley Way 3551 North Broad Street Kessler Institute for Rehabilitation Philadelphia, PA 19140 West Orange, NJ 07052 Isa McClure, MAPT * Katherine Burkett, MS, OTR/L Clinical Specialist, Physical Therapy Staff Occupational Therapist Kessler Institute for Rehabilitation Shriners Hospital for Children 1199 Pleasant Valley Way 3551 North Broad Street West Orange, NJ 07052 Philadelphia, PA 19140 M.J. Mulcahey, PhD, OTR/L * Christina Calhoun, MSPT Director of Rehabilitation & Clinical Research Clinical Research Specialist/Physical Therapist Shriners Hospitals for Children Shriners Hospital for Children 3551 N.Broad Street, 8th Floor 3551 North Broad Street Philadelphia, PA 19140 Philadelphia, PA 19140 Cynthia Nead, COTA/L Kathleen L. Dunn, MS, RN, CRRN, CNS- Senior COTA BC Occupational Therapy Clinical Nurse Specialist & Rehabilitation Case Kessler Institute for Rehabilitation Manager 1199 Pleasant Valley Way Spinal Cord Injury Center (128) West Orange, NJ 07052 VA San Diego Healthcare System 3350 La Jolla Village Dr. San Diego, CA 92161 Richard Nead, BAEd, CRDS Clinic Manager Jill Garcia, MS, OTR/L, ATP Kessler Institute for Rehabilitation 1199 Pleasant Valley Way Senior Occupational Therapist Kessler Institute for Rehabilitation West Orange, NJ 07052 1199 Pleasant Valley Way West Orange, NJ 07052 Laure Rutter, RN, BSN SCI Program Coordinator Amanda Horley, MOT, OTR/L Shriners Hospital for Children Shriner’ Hospital for Children 3551 North Broad Street 3551 North Broad Street Philadelphia, Pa. -
A Systematic Review of Supported Standing Programs
Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach 3 (2010) 197–213 197 DOI 10.3233/PRM-2010-0129 IOS Press Review Article A systematic review of supported standing programs Leslie B. Glickman∗, Paula R. Geigle and Ginny S. Paleg1 University of Maryland School of Medicine, Department of Physical Therapy and Rehabilitation Science, Baltimore, MD, USA Accepted 1 February 2010 Abstract. Objective: The routine clinical use of supported standing in hospitals, schools and homes currently exists. Questions arise as to the nature of the evidence used to justify this practice. This systematic review investigated the available evidence underlying supported standing use based on the Center for Evidence-Based Medicine (CEBM) Levels of Evidence framework. Design: The database search included MEDLINE, CINAHL, GoogleScholar, HighWire Press, PEDro, Cochrane Library databas- es, and APTAs Hooked on Evidence from January 1980 to October 2009 for studies that included supported standing devices for individuals of all ages, with a neuromuscular diagnosis. We identified 112 unique studies from which 39 met the inclusion criteria, 29 with adult and 10 with pediatric participants. In each group of studies were user and therapist survey responses in addition to results of clinical interventions. Results: The results are organized and reported by The International Classification of Function (ICF) framework in the following categories: b4: Functions of the cardiovascular, haematological, immunological, and respiratory systems; b5: Functions of the digestive, metabolic, and endocrine systems; b7: Neuromusculoskeletal and movement related functions; Combination of d4: Mobility, d8: Major life areas and Other activity and participation. The peer review journal studies mainly explored using supported standers for improving bone mineral density (BMD), cardiopulmonary function, muscle strength/function, and range of motion (ROM). -
Online Abuse and the Experience of Disabled People
House of Commons Petitions Committee Online abuse and the experience of disabled people First Report of Session 2017–19 Report, together with formal minutes relating to the report Ordered by the House of Commons to be printed 8 January 2019 HC 759 Published on 22 January 2019 by authority of the House of Commons Petitions Committee The Petitions Committee is appointed by the House of Commons to consider e-petitions submitted on petition.parliament.uk and public (paper) petitions presented to the House of Commons. Current membership Helen Jones MP (Labour, Warrington North) (Chair) Martyn Day MP (Scottish National Party, Linlithgow and East Falkirk) Michelle Donelan MP (Conservative, Chippenham) Steve Double MP (Conservative, St Austell and Newquay) Luke Hall MP (Conservative, Thornbury and Yate) Mike Hill MP (Labour, Hartlepool) Catherine McKinnell MP (Labour, Newcastle upon Tyne North) Damien Moore MP (Conservative, Southport) Paul Scully MP (Conservative, Sutton and Cheam) Liz Twist MP (Labour, Blaydon) Daniel Zeichner MP (Labour, Cambridge) Powers The powers of the Committee are set out in House of Commons Standing Orders, principally in SO No. 145A. These are available on the internet via www.parliament.uk. Publications Committee reports are published on the Committee’s website and in print by Order of the House. Committee staff The current staff of the Committee are David Slater (Clerk), Lauren Boyer (Second Clerk), Kate Anderson (Petitions and Communications Manager), James Clarke (Petitions and Engagement Manager), Zoe Hays (Senior -
RESNA Position on the Application of Wheelchair Standing Devices RESNA Position on the Application of Wheelchair Standing Devices
RESNA Position on the Application of Wheelchair Standing Devices Rehabilitation Engineering & Assistive Technology Society of North America 1700 N. Moore Street, Suite 1540 Arlington, VA 22209 Phone: 703-524-6686 Fax: 703-524-6630 Approved by RESNA Board of Directors March 2007 RESNA Position on the Application of Wheelchair Standing Devices RESNA Position on the Application of Wheelchair Standing Devices Clinical experience suggests that wheelchair users often experience painful, problematic and costly secondary complications due to long term sitting. Standing is an effective way to counterbalance many of the negative effects of constant sitting 1,2. Standers integrated into wheelchair bases enhance the beneficial effects of standing since they allow for more frequent, random and independent performance of standing than in persons who use standing devices outside of a wheelchair base. Integration of this feature into the wheelchair base also enables standing to enhance functional activities. It is RESNA’s position that wheelchair standing devices are often medically necessary, as they enable certain individuals to: Improve functional reach to enable participation in ADLs (Activities of Daily Living (i.e. grooming, cooking, reaching medication) Enhance independence and productivity Maintain vital organ capacity Reduce the occurrence of Urinary Tract Infections Maintain bone mineral density Improve circulation Improve passive range of motion Reduce abnormal muscle tone and spasticity Reduce the occurrence of pressure sores Reduce the occurrence of skeletal deformities, and Enhance psychological well being. Special precautions must be exercised when utilizing standers, in order to avoid the risk of injury, such as fractures. A licensed medical professional (i.e. physical or occupational therapist) must be involved with the assessment, prescription, trials and training in the use of the equipment. -
Standing Systems
MEDICAL POLICY STANDING SYSTEMS Policy Number: 2014T0210N Effective Date: August 1, 2014 Table of Contents Page Related Policies: DME, Orthotics, Ostomy BENEFIT CONSIDERATIONS………………………… 1 Supplies, Medical Supplies, COVERAGE RATIONALE……………………………… 2 and Repairs/Replacement APPLICABLE CODES………………………………….. 2 DESCRIPTION OF SERVICES................................. 2 CLINICAL EVIDENCE………………………………….. 3 U.S. FOOD AND DRUG ADMINISTRATION………… 5 CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)………………………………………. 5 REFERENCES………………………………………….. 5 POLICY HISTORY/REVISION INFORMATION…….. 6 Policy History Revision Information INSTRUCTIONS FOR USE This Medical Policy provides assistance in interpreting UnitedHealthcare benefit plans. When deciding coverage, the enrollee specific document must be referenced. The terms of an enrollee's document (e.g., Certificate of Coverage (COC) or Summary Plan Description (SPD) and Medicaid State Contracts) may differ greatly from the standard benefit plans upon which this Medical Policy is based. In the event of a conflict, the enrollee's specific benefit document supersedes this Medical Policy. All reviewers must first identify enrollee eligibility, any federal or state regulatory requirements and the enrollee specific plan benefit coverage prior to use of this Medical Policy. Other Policies and Coverage Determination Guidelines may apply. UnitedHealthcare reserves the right, in its sole discretion, to modify its Policies and Guidelines as necessary. This Medical Policy is provided for informational purposes. It does not constitute medical advice. UnitedHealthcare may also use tools developed by third parties, such as the MCG™ Care Guidelines, to assist us in administering health benefits. The MCG™ Care Guidelines are intended to be used in connection with the independent professional medical judgment of a qualified health care provider and do not constitute the practice of medicine or medical advice. -
(SPIRES): a Functional Standing Frame Programme
Logan et al. Pilot and Feasibility Studies (2018) 4:66 https://doi.org/10.1186/s40814-018-0254-z STUDY PROTOCOL Open Access Standing Practice In Rehabilitation Early after Stroke (SPIRES): a functional standing frame programme (prolonged standing and repeated sit to stand) to improve function and quality of life and reduce neuromuscular impairment in people with severe sub-acute stroke—a protocol for a feasibility randomised controlled trial Angie Logan1* , Jennifer Freeman1, Bridie Kent2, Jillian Pooler3, Siobhan Creanor4,5, Jane Vickery4, Doyo Enki5, Andrew Barton6 and Jonathan Marsden1 Abstract Background: The most common physical deficit caused by a stroke is muscle weakness which limits a person’s mobility. Mobility encompasses activities necessary for daily functioning: getting in and out bed, on/off toilet, sitting, standing and walking. These activities are significantly affected in people with severe stroke who typically spend most of their time in bed or a chair and are immobile. Immobility is primarily caused by neurological damage but exacerbated by secondary changes in musculoskeletal and cardiorespiratory systems. These secondary changes can theoretically be prevented or minimised by early mobilisation, in this case standing up early post-stroke. Standing up early post-stroke has been identified as an important priority for people who have suffered a severe stroke. However, trials of prolonged passive standing have not demonstrated any functional improvements. Conversely, task- specific training such as repeated sit-to-stand has demonstrated positive functional benefits. This feasibility trial combines prolonged standing and task-specific strength training with the aim of determining whether this novel combination of physiotherapy interventions is feasible for people with severe stroke as well as the overall feasibility of delivering the trial. -
“File on 4” – “Paralympic Sport – Fair Play?”
BRITISH BROADCASTING CORPORATION RADIO 4 TRANSCRIPT OF “FILE ON 4” – “PARALYMPIC SPORT – FAIR PLAY?” CURRENT AFFAIRS GROUP TRANSMISSION: Tuesday 19th September 2017 2000 – 2040 REPEAT: Sunday 24th September 2017 1700 - 1740 REPORTER: Jane Deith PRODUCER: Paul Grant EDITOR: Gail Champion PROGRAMME NUMBER: PEM46000661/AAA - 1 - THE ATTACHED TRANSCRIPT WAS TYPED FROM A RECORDING AND NOT COPIED FROM AN ORIGINAL SCRIPT. BECAUSE OF THE RISK OF MISHEARING AND THE DIFFICULTY IN SOME CASES OF IDENTIFYING INDIVIDUAL SPEAKERS, THE BBC CANNOT VOUCH FOR ITS COMPLETE ACCURACY. “FILE ON 4” Transmission: Tuesday 19th September 2017 Repeat: Sunday 24th September 2017 Producer: Paul Grant Reporter: Jane Deith Editor: Gail Champion ACTUALITY AT RACE TRACK RACE OFFICIAL: On your marks! [GUNFIRE] DEITH: We’re at the last competition in the season for British Wheelchair Racing and Athletics. The track’s next to Stoke Mandeville Hospital and its spinal injuries centre. ACTUALITY – CHEERING AND BELL RINGING DEITH: The first patients to come here were injured in the Second World War. They were put under the care of neurologist, Dr Ludwig Guttman. In 1948, on the opening day of the London Olympics, he launched the annual Stoke Mandeville Games. EXTRACT FROM ARCHIVE MAN: There’s a big sporting occasion and at Stoke Mandeville we’re shown once again that even a spinal injury needn’t stop you from joining in. - 2 - DEITH: To start with, it was mostly field events. MAN: Some of these lads, like this javelin thrower, look tougher in their wheelchairs than most of us do out of them. DEITH: The Games sowed the seed for the Paralympics, first held in Rome in 1960, and now the third largest sporting event in the world. -
Standing Wheelchair
Standing Wheelchair Bianca Bisa, Chieh Yu, Hsin-Fu Chen Steinhardt Occupational Therapy What is “Standing Wheelchair”? ● a.k.a ”Standing Chair“ ● assistive technology similar to standing frame ● allows wheelchair user to raise the chair from seated to standing position ● supports the person in standing position ● enables interaction with people and objects at eye level ● Help people increase quality of life in PHYSICAL and SOCIAL areas. ● Decrease possibility of secondary diseases. (i.e. Pressure sore and Urinary tract infections) Why “Standing Wheelchair”? Why don’t we choose traditional wheelchair instead? Potential Disadvantages of traditional wheelchair: ● Quality of Life (QoL) ● Secondary diseases (i.e. pressure sore, UTI) ● Limits in social activities and some kinds of sport activities ● Psychosocial problems Diagnosis and users People with mild to severe physical disabilities: 1) Spinal cord injury 2) Traumatic brain injury 3) Cerebral palsy 4) Muscular dystrophy 5) Multiple sclerosis 6) Stroke 7) Spina Bifida 8) Rett Syndrome 9) Post-polio syndrome Types of Standing Wheelchair 1. Manual operation 2. Power-operated wheels with manual lifting mechanism 3. Fully power-operated Benefits ● Health Benefits ● Lifestyle Benefits Health Benefits ● Improve circulation ● Reduce skin breakdown ● Improve respiratory capacity ● Reduce urinary tract infections (UTI's) ● Strengthen long bones ● Reduce spasticity ● Improve bowel function Lifestyle BENEFITS ● Improve independence among users ● Increase self-esteem ● Increase social-interaction ● Enjoy greater opportunities for employment ● Improve overall quality of life (QoL) http://thestandingcompany.com/pressure-sores/2866386 Contraindications of Standing Wheelchair ● Existing contractures ● sitting for a very long time(X-rays,bone density) ● Bone Mineral Density(BMD), osteoporosis ● postural hypotension ● sacral shearing Motivation Motivation is an very important component in occupational therapy. -
Standing up • Full-Time Employee with Permobil to Complications of SCI/D ISS 2016 Ginger Walls, PT, MS, NCS, ATP/SMS Regional Clinical Education Manager Permobil
2/8/2016 Disclosure • Ginger Walls, PT, MS, NCS, ATP/SMS Standing Up • Full-time employee with Permobil to Complications of SCI/D ISS 2016 Ginger Walls, PT, MS, NCS, ATP/SMS Regional Clinical Education Manager Permobil @2015, Permobil, Inc. @2015, Permobil, Inc. Learning Objectives Common Secondary Conditions with SCI Skin breakdown At the conclusion of this activity, the participant will be able to: ↑ obesity & adipose tissue ↑ Cardiovascular disease risk 1. Participants will be able to identify 3 common secondary Are these Bone density complications complications of health conditions associated with SCI/D. Musculoskeletal wear & tear 2. Participants will be able to identify 3 benefits of standing SCI or of Bowel dysmotility chronic sitting? for persons with SCI/D as evidenced by the research. Bladder infections 3. Utilizing the ICF model, participants will be able to discuss Pulmonary Insufficiency 3 evidence-based benefits for body structure/function, Depression functional activities, and/or participation offered by a ↓ function wheelchair-based standing device. ↓ participation @2015, Permobil, Inc. @2015, Permobil, Inc. Accelerated Aging: Interactions Relevant to Aging with SCI Trajectory where the rate and the effects of aging are 1. Current chronologic age accelerated 2. Age at injury Health conditions occur earlier and/or more frequently 3. Duration of injury than would otherwise be observed, leading to a narrow 4. Age cohort –social, economic, and margin of health. medical context around an • Due to physiologic changes due to SCI and impairments that lead to immediate and long term effects on the body individual’s SCI • Susceptibility of those with SCI to numerous medical conditions that – Medical advances impart a health hazard – Access to care and equipment • Disproportionate % of deaths as a result of preventable causes, – ADA 25 year anniversary including septicemia Groah, et al. -
Disabled People's Experiences of Targeted Violence and Hostility
Research report: 21 Disabled people’s experiences of targeted violence and hostility Chih Hoong Sin, Annie Hedges, Chloe Cook, Nina Mguni and Natasha Comber Office for Public Management Disabled people’s experiences of targeted violence and hostility Chih Hoong Sin, Annie Hedges, Chloe Cook, Nina Mguni and Natasha Comber Office for Public Management © Equality and Human Rights Commission 2009 First published Spring 2009 ISBN 978 1 84206 123 7 Equality and Human Rights Commission Research Report Series The Equality and Human Rights Commission Research Report Series publishes research carried out for the Commission by commissioned researchers. The views expressed in this report are those of the authors and do not necessarily represent the views of the Commission. The Commission is publishing the report as a contribution to discussion and debate. Please contact the Research Team for further information about other Commission research reports, or visit our website: Research Team Equality and Human Rights Commission Arndale House The Arndale Centre Manchester M4 3AQ Email: [email protected] Telephone: 0161 829 8500 Website: www.equalityhumanrights.com You can download a copy of this report as a PDF from our website: www.equalityhumanrights.com/researchreports If you require this publication in an alternative format, please contact the Communications Team to discuss your needs at: [email protected] Contents Page List of abbreviations i Acknowledgements ii Executive summary iii 1. Introduction 1 1.1 Aims and objectives of the research 1 2. Methodology 4 2.1 Literature review 4 2.2 Stakeholder interviews 5 2.3 Interviews with disabled people 5 2.4 Reading this report 7 3. -
Systematic Review and Clinical Recommendations for Dosage Of
Paleg and Livingstone BMC Musculoskeletal Disorders (2015) 16:358 DOI 10.1186/s12891-015-0813-x RESEARCH ARTICLE Open Access Systematic review and clinical recommendations for dosage of supported home-based standing programs for adults with stroke, spinal cord injury and other neurological conditions Ginny Paleg1* and Roslyn Livingstone2 Abstract Background: Sitting for more than 8 h a day has been shown to negatively impact health and mortality while standing is the recommended healthier alternative. Home-based standing programs are commonly recommended for adults who cannot stand and/or walk independently. The aim of this systematic review is to review effectiveness of home-based standing programs for adults with neurological conditions including stroke and spinal cord injury; and to provide dosage guidelines to address body structure and function, activity and participation outcomes. Methods: Eight electronic databases were searched, including Cochrane Library databases, MEDLINE, CINAHL and EMBASE. From 376 articles, 36 studies addressing impact of a standing intervention on adults with sub-acute or chronic neurological conditions and published between 1980 and September 2015 were included. Two reviewers independently screened titles, reviewed abstracts, evaluated full-text articles and rated quality and strength of evidence. Evidence level was rated using Oxford Centre for Evidence Based Medicine Levels and quality evaluated using a domain-based risk-of-bias rating. Outcomes were divided according to ICF components, diagnoses and dosage amounts from individual studies. GRADE and the Evidence-Alert Traffic-Lighting system were used to determine strength of recommendation and adjusted in accordance with risk-of-bias rating. Results: Stronger evidence supports the impact of home-based supported standing programs on range of motion and activity, primarily for individuals with stroke or spinal cord injury while mixed evidence supports impact on bone mineral density. -
Introduction to the Four Developmental Disabilities
Introduction to the Four Developmental Disabilities Division of Developmental Disabilities Participant Guide Equal Opportunity Employer/Program Equal Opportunity Employer/Program under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Title II of the Genetic Information Nondiscrimination Act (GINA) of 2008, the Department prohibits discrimination in admissions, programs, services, activities, or employment based on race, color, religion, sex, national origin, age, disability, genetics, and retaliation. The Department must make a reasonable accommodation to allow a person with a disability to take part in a program, service, or activity. For example, this means if necessary, the Department must provide sign language interpreters for people who are deaf, a wheelchair accessible location, or enlarged print materials. It also means that the Department will take any other reasonable action that allows you to take part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you will not be able to understand or take part in a program or activity because of your disability, please let us know of your disability needs in advance if at all possible. To request this document in alternative format or for further information about this policy, contact: 602-542-6825 TTY/TDD Services: 7-1-1. Free language assistance for DES services is available upon request. Copyright © 2018 Department of Economic Security. Content may be used for educational purposes without written permission but with a citation to this source Instructor Information Date of Training Instructor Name Phone Email Instructor Name Phone Email Instructor Name Phone Email Table of Contents Welcome ............................................................................................................