Self-Regulation (full body paralysis)
The 'Broken CCTV' is an adaptation I made for individuals who have severe scoliosis, cerebral palsy and/or unique seating such as a strong recline in a wheelchair or bed (near full body paralysis in some cases). Some individuals due to their positioning or limitations on their movement are not able to see their hands at work. This adaptation allows the individual to engage in sensory, recreational or work activities by observing their hands through a strategically placed camera feeding a monitor positioned in their visual field.
The secondary benefit to this adaptation is that individuals may be able to provide themselves with safe and appropriate self-stimulation to assist them in self-regulation.
The body requires a certain amount of stimulation and many individuals who have this degree of lack of movement may experience long periods of little to no sensory input. This adaptation allows them to create sensory input at their own pace, as needed and for some individuals is an activity that allows for both achieving a calm focus and enjoyment.
Another benefit of this kind of feedback is that the visual feedback may provide motivation to want to learn to move their hands in new ways. I have experienced many individuals learning to use adapted scissors, painting, manipulating sensory toys and even making selections through pointing. Various tablets can also be equipped with an external monitor to work with digital content.
Movement-Tracking Trapese Music
Adaptive Use Musical Instrument is a program developed by the Deep Listening Institute. It is sofware that uses a webcam to track head movement that triggers the keys of a virtual music keyboard.
Some individuals are not able to move their arms in a seated or lying position or when their muscles are at rest. This adaptation allows the individual to have free range and seems to allow arm movement much more easily.
(Check with a qualifed OT or PT before implementing)
I have found with some individuals who have severely limited body movement (Near full body paralysis in some cases) that they may have very few ways of stimulating the environment at all and therefore cannot see their effect on the environment. I believe that having no access to observing cause and effect would cause a person to lack a feeling of autonomy and certainly a lack of control. It also leaves them fully dependent on others to provide them with stimulation.
With the strategies on this page I was searching for ways that individuals with full body paralysis could self-stimulate for leisure and to meet their sensory quota at their own pace and with no expectations.
I have observed several individuals with this adapted equipment and get the sense that they are a better judge of how much sensory input they can take at a time. They will often engage for a few moments, stop and take a break and start when they are ready again.
Alternative baton adaptation (wrist or finger flick)