independent dressing

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independent dressing
2012-03-25 15:22:08
independent dressing

independent dressing
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  1. physical requirements:
    child should be ready to dress and undress himself when:
    he knows the parts of his body & is aware ofhimself in space

    can name or recognize his clothes, helping himrelate his clothes to the parts of his body onn which they go

    had suffricient balance to enable him to sit leaning forward freely and to reach out with his arms relying only occasionally on one arm for balance

    can reach out with arms straight and grasp,maintaining grasp regardless of the position of his arms

    develope corrodinaiton and manipulative abilities to use his hands for dressing
  2. physical difficulities
    by CP child when dressing and undressing
    difficulty looking at what he is doing-difficulty paying attention(distractable)

    insufficient balance when he starts to use both hands is the result of abnormal tone, presence of primitive reflexes

    poor bilateral use of hands- decrease in functional abilities of arms (difficulty manipulating clothes)

    decrease in fine motor coordination-difficulty with fasteners

    poor grasp

    poor sensory processing: tactile, vestibular, proprioception
  3. ***independent dressing may be accomplished by:
    modifying the positions used

    adapting the clothing

    use of adaptive equipment
  4. dependent dressing
    needs to be done using all the handling techniques we have discussed
  5. the spastic child
    needs to be handled slowly

    talk in a quiet low tone

    inhibit the tone using relaxation techniques before and during the dressing process
  6. increased ext tone
    dress while positioned in flexion
  7. increased flexor tone
    dress while positioned in extension
  8. the floppy child
    can be hgandled with quicker movements

    and utilization of stretch to facilitate tone

    you must provide stability and control
  9. the athetoid child
    needs to be handled providing proximal stability as well as distal control.
  10. dressing is usually very pleasant exp
    for both mother and child.

    with normal baby the mother chatters spontaneously to him while dressing and undressing and the child will babble back.

    if the child doesn't babble back or can't respond, the mother may stop talking and dress the child in silence.
  11. social time
    interaction-clothes for different weather

    cognitive skills

    bring back to a pleasant experience
  12. move garment
    not limbs

    keep relaxing while undressing

    remove clothes slowly, not to facilitate
  13. gather all clothes
    before the process

    donning (on) dof (off)

    moved involved limb in 1st, then uninvolved 2nd

    take off uninvolved 1st, then involved

    bunch up socks, legs of pants

    looser clothes are easier
  14. dressing is a
    balance challenge

    take fasteners away

    get dressed in alternative positions

    adapt the clothing

    adaptive equipment
  15. points of control
    • athetoid child:
    • needs extra held at knees when dressing

    • spastic
    • keep trunk forward to prevent ext. tone