Feeding and toileting devices for a child with arthrogryposis.

ABSTRACT

Patients with arthrogryposis multiplex congenita have many problems with activities of daily living because of limited upper and lower extremity joint motion and muscle strength. Feeding and toileting are two activities frequently performed at home and at school that may require one or two people to assist the child. A feeding device and a toileting ramp made from readily available materials have improved a child's independence at home and at school, have been of cosmetic and psychological value, and have minimized the need for assistance by one or more people. The feeding device may also be used for writing and art activities. No future dental problems are anticipated with the use of the feeding device over a period of time. Fabricating and training time with the feeding device is about one hour for each process. The fabricating and training time with the toileting ramp is lengthier with several hours required for each process. Patients with extensive involvement from burns or muscular dystrophy can also benefit from use of the feeding device.