1. Mounting Assistive Technology Devices to Wheelchairs Michelle L. Lange, OTR, ABDA, ATP/SMS

2. Mounting AT to Wheelchairs Speech Generating Devices (SGDs) Larger Smaller (less than 5 lbs) Computers Notebooks Tablets Power wheelchair access methods Switches Evaluation mounts Permanent mounts Other Assistive Technology devices Cell phones M. Lange 11.2012

3. Poll #1 Are you working with Mounting Systems? I recommend them I mount them Nope I would like to! M. Lange 11.2012

4. Terminology Frame Clamp attaches to frame and is designed to fit a specific shape and diameter M. Lange 11.2012 Mounting plate Tubing and joints Frame clamp

5. Terminology Horizontal and/or vertical sections of tubing with or without joints dictate final position of mount M. Lange 11.2012 Mounting plate Tubing and joints Frame clamp

6. Terminology Mounting Plate connects the mount to the AT device. A device adaptor may be required. M. Lange 11.2012 Mounting plate Tubing and joints Frame clamp

7. Terminology SGDs must have an adaptor plate on the device, as well M. Lange 11.2012 Device Adaptor Mounting Plate

8. Why Mount? Access Direct Head Mouse Eye Gaze Visual Regard Security Falling Theft M. Lange 11.2012

9. How Do I Get Started? Device Type Device Placement Mount Placement M. Lange 11.2012

10. How Do I Get Started? Device Type Which device? What mounting plate will be required? Will a device adaptor be required for the device itself? Choose appropriate mounting category M. Lange 11.2012

11. How Do I Get Started? Device Placement Determine approximately where the device needs to be placed For optimal visual regard and access Within boundaries of wheelchair so device doesn’t get bumped i.e. through doorways Not blocking client’s view of Communication partner Blackboard Where they are propelling MWC or driving PWC M. Lange 11.2012

12. How Do I Get Started? Mount Placement Where will the frame clamp be placed based on desired device placement? Place above tilt Avoid moveable parts Ensure mount can move out of the way for transfers Fold, swing-away or remove Ensure mobility base will not tip over from weight of mount and device if to the side during transfers M. Lange 11.2012

13. Ordering Help Some Mounting manufacturers offer additional help For example, take photos from several directions holding the device where you want it in relation to the wheelchair They will spec out what you need! REHAdapt VMS M. Lange 11.2012

14. Questions? M. Lange 11.2012

15. MOUNTING SPEECH GENERATING DEVICES M. Lange 11.2012

16. Mounting: SGDs M. Lange 11.2012 Larger devices include: Dynavox Maestro PRC ECO, Essence Tobii Smaller devices include: Dynavox Xpress PRC Accent Saltillo NovaChat series Dynavox

17. Mounts for Larger SGDs Larger devices are bigger in dimension and weight Usually not a weight limit due to variety of configurations and usage Devices accessed by eye gaze always require a heavier capacity mount due to both weight and height requirements M. Lange 11.2012

18. Mounts for Heavier SGDs Blue Sky Designs CJT Enterprises Daedalus Dynavox Prentke Romich REHAdapt M. Lange 11.2012

19. Blue Sky Designs Mount n Mover M. Lange 11.2012

20. Specifications Pros: Allows the user to independently move the mount in various positions for transfers and access. It can be especially helpful with Eye Gaze technologies. Supports wide range of wheelchair frame sizes Supports wide range of SGDs M. Lange 11.2012

21. Specifications Cons: Heavy Bulky Large frame clamp Does not fold Cost $710-1300 M. Lange 11.2012

22. CJT Enterprises M. Lange 11.2012 Profiler Profiler Angular

23. Specifications Pros: Fits most frames Many options for placement on frame Supports wide range of devices M. Lange 11.2012 Profiler

24. Specifications Cons: Heavy Bulky Large frame clamp Does not fold Cost: $856-1400 Standard and Super versions M. Lange 11.2012

25. Profiler Angular M. Lange 11.2012 Can attach under the seat pan or behind seat back

26. Daedalus Rigid Folding Locking Swing Away Rear Folding Positioner M. Lange 11.2012

27. Specifications Pros Wide variety of frame clamps, including custom sizes, locking clamp for tilt frames, side clamp for placement on seat rail Clamp takes up little space on frame Supports many devices Folding version M. Lange 11.2012

28. Specifications Cons Heavy Pin in frame clamp can slip during tilt if locking clamp is not used Cost $600 - 1100 M. Lange 11.2012

29. Rigid M. Lange 11.2012 Rigid Lighter than others Simple Less costly

30. Folding M. Lange 11.2012 Folds away to side Allows transfers without base tipping Device is facing out – risk of damage

31. Rear Folding M. Lange 11.2012 Very heavy Non-removable Allows device to remain on chair out of the way, even during transport

32. Locking Swing Away Allows client to pull down on cable and push mount to the side for independent transfers Can be difficult to operate M. Lange 11.2012

33. Positioner M. Lange 11.2012 Different joints than other Daessy mounts Less bulky More planes of adjustment at joints

34. DynaVox M. Lange 11.2012 ConnectIT Made by REHAdapt

35. Specifications Pros Lighter weight than other mounts in this category Fits most frames Frame clamp is small Tubes flow through joints for increased adjustability M. Lange 11.2012

36. Specifications Cons: Only supports Dynavox products Does not fold Cost: $1100 base M. Lange 11.2012

37. Prentke Romich M. Lange 11.2012 Wheelchair Mounting Kit (WCMK) Basically a Daessy Rigid Mount

38. Specifications Pros: Simple Easy to mount Less costly than some other options M. Lange 11.2012

39. Specifications Cons: Rigid with little adjustment Heavy Only supports PRC products Cost $675 M. Lange 11.2012

40. REHAdapt Monty 3D M. Lange 11.2012

41. Specifications Pros: Lighter weight than other mounts in this category Fits most frames Small frame clamp Tubes flow through joints for more adjustability Works with a variety of devices 3 positions for transfers Knob or tool adjustment versions M. Lange 11.2012

42. Specifications Pros: Folding version (3DK) Heavy duty version for eye gaze systems (3D eye) M. Lange 11.2012

43. Specifications Cons Pin can slip during tilt without Swivel Joint with lever (not included on standard 3D) Cost $755 - 1100 M. Lange 11.2012

44. Mounts for Smaller SGDs Smaller in dimension and weight If client uses excessive force against the device and/or mount, a heavier mount may be indicated Generally lack the height available in heavier mounts i.e. for eye gaze M. Lange 11.2012 Nova Chat 7

45. Mounts for Smaller SGDs CJT Enterprises Daedalus REHAdapt M. Lange 11.2012

46. CJT Enterprises M. Lange 11.2012 ProLite

47. Specifications Pros: Holds up to 5 lbs Smaller and lighter than standard mounts M. Lange 11.2012

48. Specifications Cons: Some frames require larger frame clamp Cost: $565.00 M. Lange 11.2012

49. Daedalus M. Lange 11.2012 M series Mini Adjustable Mount Mini Folding Mini Rigid Mini Adjustable

50. Specifications Pros: Smaller and lighter than standard mounts Holds up to 10 lbs 3 versions M. Lange 11.2012 Mini Folding

51. Specifications Cons: Heavier than many other mounts in this category Cost: $900 M. Lange 11.2012 Mini Rigid

52. REHAdapt Tablet Mount Supports other device adaptors for smaller SGDs M. Lange 11.2012 With SuperClamp

53. Specifications Pros: Smaller and lighter than standard mounts Versions include knob (QS) or tool adjustment Frame clamps for most size frames SuperClamp for unusual sizes Device adaptors and mounting plates for most lightweight SGDs, including tablet based devices M. Lange 11.2012 QS version

54. Specifications Cons: None that I have come up with…yet Cost: $275-355 M. Lange 11.2012 IC version for wheelchair

55. Questions? M. Lange 11.2012

56. MOUNTING COMPUTERS Notebook/Laptop Tablet M. Lange 11.2012

57. Mounting Notebooks AES Blue Sky CJT Enterprises Daedalus M. Lange 11.2012

58. Mounting: SGDs AES Multi- adjustable Support Arm 12” x 9 1/8” platform M. Lange 11.2012

59. Specifications Pros: Swings away Universal clamp fits most frames M. Lange 11.2012

60. Specifications Cons: No custom frame clamps Large frame clamp Cost: $893.00 base M. Lange 11.2012

61. Blue Sky Designs Mount ‘N Mover M. Lange 11.2012

62. CJT Enterprises Profiler Angular M. Lange 11.2012

63. Daedalus Daessy series M. Lange 11.2012

64. Questions? M. Lange 11.2012

65. Poll #2 Are you being asked to mount Tablets? All the time! Occasionally Never M. Lange 11.2012

66. Mounting Tablets REHAdapt Stealth M. Lange 11.2012

67. Mounting Tablets There are an ever increasing amount of Tablet mounts Some do not hold their position well or offer adequate positioning, so are not included here M. Lange 11.2012

68. REHAdapt Tablet Mount Pros: Versions include knob or tool adjustment Frame clamp fits most size frames SuperClamp available for unusual sizes Various tablet mounting plates available M. Lange 11.2012

69. REHAdapt Cons: None that I have come up with yet… Cost: $275-355 M. Lange 11.2012

70. Stealth Products Tablet Mount Pros: Various links can be added or removed to achieve desired position Adjustable mounting plate holds various size tablets Swing away option M. Lange 11.2012

71. Stealth Products Cons: Heavy Cost: $375 Gatlin style $555 Standard M. Lange 11.2012

72. Questions? M. Lange 11.2012

73. MOUNTING POWER WHEELCHAIR ACCESS METHODS M. Lange 11.2012

74. Mounting: Power Wheelchair Access Methods Swing away joystick mounts Trays Head Supports Swing away boom arms Bibs Goosenecks & LocLine M. Lange 11.2012

75. Swing away joystick mounts M. Lange 11.2012 Stealth

76. Eclipse Tray Proximity switches Fiberoptic switches M. Lange 11.2012 Stealth

77. Hand tray HMC mini joystick MEC mini joystick M. Lange 11.2012 Stealth

78. Head Supports Proximity array Can be placed in a variety of headrests Suboccipital pad increases stability and provides a template M. Lange 11.2012 Stealth

79. Boom Arm M. Lange 11.2012 Stealth

80. Bib Mounts Bib for joysticks M. Lange 11.2012 Stealth

81. Goosenecks & LocLine M. Lange 11.2012 ASL and Stealth

82. Goosenecks & LocLine M. Lange 11.2012 Stealth

83. Questions? M. Lange 11.2012

84. MOUNTING SWITCHES M. Lange 11.2012

85. Switch Mounting Switch assessment often requires temporary mounting to determine optimal switch types and locations Once switch types and locations are determined, permanent mounting is required AbleNet M. Lange 11.2012

86. Mounting Criteria Temporary mounting for evaluation: Attaches to a variety of surface shapes and sizes Adjustability for precise positioning Ability to attach more than one switch type Fast M. Lange 11.2012

87. Mounting Criteria Permanent switch mounting: Precise position(s) Required adjustability vs. maintaining position Need to swing away for transfers or when not in use M. Lange 11.2012

88. Evaluation Mounts Designed to quickly and temporarily secure a switch in a location to determine final placement for a client Mount to a variety of surfaces, typically using a Super Clamp frame clamp Move in a variety of planes Tighten without tools Switches can be Velcroed or more permanently attached to a mounting plate M. Lange 11.2012

89. Evaluation Mounts Movable arms Goosenecks Others M. Lange 11.2012

90. Movable Arms Universal clamp that attaches to a variety of shapes and sizes Knob or lever releases or tightens three ball joints Mounting plates AbleNet M. Lange 11.2012

91. Clamps Super clamp Universal Clamp Wheelchair clamp AbleNet M. Lange 11.2012

92. AbleNet Universal Switch Mounting System Movable Arms M. Lange 11.2012

93. Movable arms: floor mount Great for mounting at floor level when there is not a surface to clamp to AbleNet M. Lange 11.2012

94. Latitude ARM Quick release levers Universal plate connector 360 degree of rotation Standardized Base Interface AbleNet M. Lange 11.2012

95. Hover AbleNet Very lightweight Made of carbon fiber Can adjust each joint individually 3 joints M. Lange 11.2012

96. Evaluation Mounting M. Lange 11.2012

97. Evaluation mounting M. Lange 11.2012

98. Evaluation Mounting M. Lange 11.2012

99. Movable Arm Adaptive Switch Labs Switch Mounting Kit M. Lange 11.2012

100. Goosenecks Mounting clamps vary Flexible arm that can be bent where needed Mounting plates vary Do not hold position as well AbleNet M. Lange 11.2012

101. Other Spec switch on strap base Can wrap around headrest Can wrap around hand AbleNet M. Lange 11.2012

102. Questions? M. Lange 11.2012

103. Permanent Switch Mounting Universal Hands Head Feet Lower extremities Upper extremities M. Lange 11.2012

104. Permanent Switch Mounting Designed to mount a switch in a specific location for consistent access and security Typically adjusted by tool Many seating components can be modified to mount switches in specific body locations M. Lange 11.2012

105. Universal Permanent Switch Mounts Daedalus Stem System REHAdapt MCM series M. Lange 11.2012

106. Daedalus Stem System Pros: Sturdy Many configurations available Cons: Adjustable by tool only (pro and con) M. Lange 11.2012

107. REHAdapt MCM Series Monty Control Mount Pros: Various size frame clamps Various switch adaptors/plates Knob or tool adjusted joints Cons: None…yet Cost: $220-295 M. Lange 11.2012

108. Hands: switch mounting Horizontal Vertical Under tray Finger placement M. Lange 11.2012

109. Hands: horizontal placement Dycem Velcro Industrial Velcro Permanent attachment Screws into tray or other surface Important to have available holes or taps to prevent damage to switch AbleNet Easy Mount Base M. Lange 11.2012

110. Hands: vertical placement If switches are required to be placed vertically at the edges of a tray, L brackets can be used If switches are needed by the armrest without a tray, try this ASL M. Lange 11.2012

111. Hands: placement under tray Industrial Velcro underneath a tray using proximity switches ASL M. Lange 11.2012

112. Hands: finger placement Fiberoptic switches are generally small and require precise placement relative to the arm Placement may be within a tray or armtrough Aspen Seating custom armtrough M. Lange 11.2012

113. Hands: finger placement Otto Bock armtrough ASL fiberoptic M. Lange 11.2012

114. Head: switch mounting Behind head Sides of head Chin Eye Mouth M. Lange 11.2012

115. Head: side Stealth headrest M. Lange 11.2012

116. Head: rear and side Stealth headrest M. Lange 11.2012

117. Head: side Stealth headrest M. Lange 11.2012

118. Head: side Stealth headrest M. Lange 11.2012

119. Head: side Stealth headrest Stabilizing against the lateral spot pad M. Lange 11.2012

120. Head mounted access methods M. Lange 11.2012 fiberoptic pneumatic ASL

121. Head: chin ASL Headset Fiberoptic switch M. Lange 11.2012

122. Head: chin Chin Switch and mount Possum M. Lange 11.2012

123. Head: eyebrow Switch on visor Words + M. Lange 11.2012

124. Feet: switch mounting Above foot (dorsiflexion) Below foot (plantar flexion) Sides of foot M. Lange 11.2012

125. Feet: switch mounting Above foot (dorsiflexion) Lateral chest pad swing away hardware Mount one side to bottom of footplate Other side holds switch above foot AEL M. Lange 11.2012

126. Feet: switch mounting Below foot (plantar flexion) Simple rectangular hardware Removable solution AES M. Lange 11.2012

127. Feet: switch mounting Sides of foot “L” bracket mounted under footplate M. Lange 11.2012

128. Lower Extremities: switch mounting Medial knee Lateral knee Superior knee M. Lange 11.2012

129. Lower Extremities: switch mounting Medial knee Usually needs to swing away for transfers Medial knee abductor hardware Velcro switch to pad Remove padding and attach to hardware Other Convaid AEL M. Lange 11.2012

130. LEs: medial knee Swing away joystick mount and L bracket Bodypoint M. Lange 11.2012

131. LEs: Medial knee Custom solution Kydex Velcro Hardware Fabricated by Aspen Seating M. Lange 11.2012

132. LEs: lateral knee Knee adductor hardware Velcro to pad Remove pad and attach to round plate underneath AEL M. Lange 11.2012

133. LEs: lateral knee Combination of 2 lateral knee abductors and a USMS M. Lange 11.2012

134. Lateral Knee Abductor pad removed AEL M. Lange 11.2012

135. LEs: Superior Knee Must swing away for transfers Swing away joystick mount Attach switch to underside of tray Gooseneck over knee M. Lange 11.2012 AbleNet

136. Upper Extremities: switch mounting Above shoulder Behind elbows Forearms M. Lange 11.2012

137. Upper Extremities: switch mounting Above shoulder Must swing away for transfers Possibly off of headrest, if hardware is available Shoulder retractor hardware AEL M. Lange 11.2012

138. Upper Extremities: switch mounting Behind elbows Elbow block hardware L bracket off back of tray Motion Concepts M. Lange 11.2012

139. Upper Extremities: switch mounting Forearms Similar to vertical hand placement ASL M. Lange 11.2012

140. Questions? M. Lange 11.2012

141. Poll #3 Do you use any of the following? (mark all that apply) Evaluation switch mounts Permanent switch mounts Seating components to mount switches Custom mounts M. Lange 11.2012

142. MOUNTING OTHER ASSISTIVE TECHNOLOGY DEVICES Displays Cell Phones M. Lange 11.2012

143. Assistive Technology mounting Display mounts May be more secure and adjustable than standard display mounts M. Lange 11.2012 ASL/Stealth

144. Cell Phones Mounting for access, visual regard and security M. Lange 11.2012

145. Cell Phones REHAdapt Stand alone or attaches to Tablet Mount M. Lange 11.2012

146. Cell Phones Stealth Products Can be attached to Tablet mount, as well Stand alone mount swings away Adjusts to hold a variety of phone sizes M. Lange 11.2012

147. Questions? M. Lange 11.2012

148. TABLE MOUNTS M. Lange 11.2012

149. Table Mounts Generally used when the client is not in a mobility base and is at a work surface Sometimes used for device evaluation M. Lange 11.2012

150. Table Mounts Blue Sky Designs CJT Enterprises Daedalus Dynavox REHAdapt M. Lange 11.2012

151. Blue Sky Designs Mount ‘n Tilter $299-374 Table Clamp $99 M. Lange 11.2012

152. CJT Freedom Table Stand $410 M. Lange 11.2012

153. Daedalus Desk Mount $390-655 M. Lange 11.2012 Clamp desk mountVertical desk stand

154. Dynavox Desktop Mounts DeskClamp Mounts $905 M. Lange 11.2012

155. REHAdapt TS-XL Table Stand TS-DC Table Stand $445-485 M. Lange 11.2012

156. Questions? M. Lange 11.2012

157. OVER BED/FLOOR MOUNTS M. Lange 11.2012

158. Over Bed/Floor Mounts Can be used by a client in bed or in another base, such as a recliner Also useful in evaluation center to accommodate various bases If used with an electric hospital bed, ensure device angle can be changed to match client angle M. Lange 11.2012 Daedalus

159. Over Bed/Floor Mounts CJT Enterprises Daedalus Dynavox REHAdapt M. Lange 11.2012

160. CJT Enterprises Adjustable Rolling Floor Mount $900 M. Lange 11.2012

161. Daedalus Rolling Mounts $700-1000 M. Lange 11.2012

162. Dynavox Rolling Floor Stand Mount $945 M. Lange 11.2012

163. REHAdapt FS Floor Stand $985-1485 M. Lange 11.2012

164. Poll #4 Do you recommend Table Mount or Rolling Mounts? Table Mounts Rolling Mounts Neither M. Lange 11.2012

165. Questions? M. Lange 11.2012

166. Thank You! M. Lange 11.2012

167. Contact Information: Michelle L. Lange, OTR, ABDA, ATP/SMS MichelleLange@msn.com www.atilange.com M. Lange 11.2012