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Looking for Room to Grow

February 1, 2015 by Jeff Auter

Meet the Client

Client:
Addison, 8 1/2 years old

Diagnosis:
SMA /Werdnig-Hoffman disease

Major Goal:
A transportable, growable wheelchair for a growing girl.

Traditionally, children with spinal muscular atrophy (SMA) have been issued strollers with full recline capability as a mobility option — strollers such as the EaSyS or Kimba with full recline and full leg extension capability. These, however, do not have much growth potential for children past 7 years of age, after which these children have to use reclining manual wheelchairs as their only option.

In February 2014, Addison, age 8 ½, came into National Seating& Mobility’s Milwaukee office for an evaluation to replace her current EaSyS stroller. She met with Sean Auter and me to determine what could be done to grow her existing stroller base until a new wheelchair option could be decided upon. She was 55″ in height and weighed 50 lbs. The parents had done a very creative job in extending the EaSyS support platform using PVC pipe tubing to accommodate Addison’s height. When Addison was in public, her nurse walked in front of her, as her head stuck out 23″ longer than the stroller’s front casters. The nurse did this to prevent people from walking into Addison during outings.

Defining a Successful System

SMA: Room to GrowSMA: Room to Grow

Jeff & Sean Auter

The new system also had to allow for growth in length and changeable positions of her hip and knees. Several years ago, Sean and I would have gone into our back warehouse where our fabrication shop is and modified a wheelchair frame ourselves to fit someone like Addison and the requirements she has. We would have done welding and custom fabrications to hand-make a system for Addison. But in today’s world, working with a manufacturer makes things serviceable and allows duplication in the future on a worldwide level. We drew up a couple of stick figures showing Addison from a top and a side view. We identified the angles that we needed to be adjustable and also gave the dimensions for this to be created. Most manufacturers told us that a conventional reclining wheelchair was the only option, but they did have limited customization, which came at great cost.

SMA: Room to Grow

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