Adaptive leg and foot positioning can be achieved in the Rifton Activity Chair with a number of supports. Get your client's feet comfortably and firmly planted with the help of Sam Durgin, the chair's lead designer, who demonstrates use and adjustment of abductor, adductors, leg prompts, ankle straps, and the Rifton sandal system. A transcript is provided below for viewers with hearing disabilities.
[00:00:03.09] Caption: Leg and Foot positioning.
[00:00:09.07] Sam Durgin: Now I'd like to show you the upper leg and foot support systems that we offer with the Rifton Activity Chair. We'll start with the abductor. And this is very good for children who have problems with contractures, and you want something padded to put in between their legs, between their knees. The abductor mounts to a single button clip in the middle. You can adjust it in and out. We designed the shape of the abductor to suggest that this is not the way you hold the child in the chair, in some cases; you may find it appropriate to leave it in and do your transfer directly over the abductor.
[00:00:59.30] Sam Durgin: Some children have the opposite condition, and their legs tend to go out to the side, so we have adductors. These provide a definition of the front edge of the seat. There's a single button that I can press to mount this in. This provides a stop to both sides of the seat width. We have found this is very effective when used with the thigh strap, which we demonstrated earlier, to keep the legs down, and then contained within the width of the adductors.
[00:01:41.50] Sam Durgin: If you need to provide more definition of positioning than either the abductor or the adductor, we have the leg prompt, and this inserts into the same mounting block that the abductor came out of. So I have forward and back positioning and we have a nice padded cuff that can go around each leg and is very easy to release with a single buckle.
[00:02:16.07] Sam Durgin: Down on the footboard itself, we want to provide more options than we did before, so we're offering the ankle straps. Each ankle strap has a little pigtail with a plastic clip, and this mounts into this slot in the back edge of the footboard. I can very simply insert that into this slot, and that provides a tether to this padded ankle cuff, which again, has a buckle to secure the ankle of the child you're working with into the ankle prompt. The tether itself has an adjustment tab, and I can decrease or increase the amount of freedom of motion that we provide to the foot on that footboard.
Sandals & Wedges:
[00:03:14.05] Sam Durgin: If we want more detailed positioning than ankle straps can give, then we use the Rifton sandal system. It's the same sandal system that you see on the Rifton supine board and prone board. It's attached with these four knobs for which we have provided these insert nuts. I am going to tilt the chair forward so you can see more of the footboard area.
[00:03:50.50] Sam Durgin: There are a total of eight holes in here to enable you to get some angle adjustment on the sandals, and some lateral positioning. For example, I am positioning this one rotated outwards on the inside hole in the back, and the inside hole in the front.
[00:04:22.10] Sam Durgin: There's a quick release lever on the side of each sandal that you can use to remove the sandal or to insert a wedge if you need a wedge. The wedge has the same kind of lever on it, and you can either provide an angle toward the back or toward the front. Just simply insert the blade into the center of the sandal base, and clip the white lever. I could put a wedge on both sides. In the case of some children who may have different leg lengths you may choose to put both wedges on one side and build up the height of the one sandal to accommodate that leg length discrepancy. So these are the sandals and wedges positioning options, and the upper leg control options that we offer.