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---- CUSTOMIZED ADAPTATION --------- PURPOSE: To create a custom adapted pram (stroller) for a mother with cerebral palsy. The individual chose a pram that was heavy in the front so that it did not require any extra weight or other anti-tilt mechanisms. However the pedal brakes were still a problem, as the individual could not lift her foot to operate them without the risk of falling over. The brakes were converted to a hand operation while making sure that the changes didn’t interfere with the ability to fold the pram. The two brake handles were adapted from a walking frame by heating and flattening them to the right shape to fit the walker. Then a cable was added to create a new braking mechanism which fits over the wheel assembly. When the handles are in neutral position the pram travels normally, when they are pushed down this operates a brake lever which squeezes onto the tires to lock the wheels, and when they are pulled up they operate like normal cable brakes, applying the brakes levers to slow or stop the pram. To simplify the brake operation, the rear wheels are locked in a straight-a-head position, using the locking device supplied with the pram. This stops the wheels rotating and damaging the brake mechanism. Another issue was that the individual was unable to push down on the back of the pram to raise the front wheels when she needs to go over a curb. In this instance she needs to go around to the front of the pram and lift it from there. To solve this problem an extended 650 millimeter strap was added that goes around the user and the pram. This enables the user to go around to the front of the pram while still attached to it, which is also useful if she needs to tend to the baby. The standard 300 millimeter strap, which is now mandatory for all prams, also remains attached to the pram handlebar. The extra lead provides confidence that if the individual accidently trips, lets go of the pram, the pram will not roll away. TITLE: Keeping balance. JOURNAL: TAD Journal. REF: Volume 30, Number 2, April 2010: pp. 8-10. PAGES: 4 with cover.
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