On February 5th, I was able to shadow PT on two physical therapy visits with Child A and Child B once again. Having a period of one month in between these two visits allowed me to see even further progress that they have made over a short period of time. These were my observations:
Child A – 15 months old; low muscle tone
PT spent the beginning of this physical therapy session working with Child A to stay in a hands and knees position. Instead of this being his usual way of moving around, he uses his head to scoot across the carpet while he lies on his back. In this position, he also arches his back and pushes off of the ground to gain movement. PT works with him on lifting upright on his arms and stomach so that it will transition into him moving around on his hands and knees as opposed to the position he currently prefers. She helps support him while she has him slowly move forward on his hands and knees.
PT places a mirror underneath Child A and holds him in the same hands and knees position that he was in before. Looking down at his reflection, Child A is interested enough to push upright in order to see his face, helping him stay held up on both of his outstretched arms for a longer period of time than usual. He enjoys looking at his own reflection but he needs to be a little further away from it to see it, so this helps keep him from laying down flat on top of it. In addition to the support that she is giving him with her own hands, PT has wrapped a “super wrap” around his hip and upper thigh area. It is a stretchy, bandage-like fabric wrap that holds his legs together and helps him stay a little more rigid.
Child B – 2 years (+ a few months) old; high muscle tone
PT started the therapy session by taking out a product called Theratogs and carefully putting it on Child B. Theratogs, designed by a physical therapist for children with neuromotor issues, is a garment that physically aids the child when it is worn. It comes in different parts so that it is easy to put on and remove, as well as so that it can be used on the areas of the body that require it most.
PT uses the medical device with Child B since it keeps him grounded, which allows him to be more patient during the physical therapy session. He is able to work for a longer period of time and it helps increase his stability throughout the session. It also helps him with his hip rotation alignment when he is put in to a kneeling position.
Product Scale Testing.
In addition to just observing this session, I was also able to bring my first full-scale foam prototype of the first of the three final designs to test it for scale. The model was created the same way my previous scaled model was made; I designed the form on CAD, split it into stackable layers using Autodesk 123D Make, then used the CNC router to cut the shapes out of 1″ thick sheets of pink foam. I stacked the piecess together using spray adhesive then proceeded to carve and sand it into its final form.
Child A, who is 28.5″ tall, is the perfect age and size to use as a scale reference for the model, so I brought it to the physical therapy session for him to interact with. Once I placed it next to him, I immediately saw that the model was a lot smaller than I had anticipated it to be. Although I was still happy with the form, I knew that there were a few modifications that were to come so that the scale could be perfected towards its user.
The first modification to the full scale piece was that the thicker end, which is the end that the child’s head would be leaning on, needed to be widened. This would create a larger surface area that would be resting on the floor, increasing the design’s stability and making it sturdier and safer for a child to interact with. In addition, the entire piece need to be both lengthened and widened so that it could accommodate a child. Seeing it not only in full scale, but also next to a child in the age range of my user group, allowed me to gain a better sense of scale.
One great part of seeing Child A interact with the foam model was when he started crawling around it and playing with it. He was interested in its inviting, curvy form and continuously grabbed on to it. This made me see that although it is designed based on a specific developmental stage, its minimal form allows it to be used beyond that for different purposes during playtime.