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Adaptive Design

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Adaptive Design Association of New York City is our mentor and champion. In 2015 Alex Truesdell, Director of Adaptive Design Association, received the MacArthur prize for her innovative work in this field.


  This video, by Blind Lyle Films, was a finalist in the YouTube Best NonProfit Video Contest, 2013 !


In addition to prosthetics and orthotics, we are able to provide custom adaptive equipment such as standing tables, adapted seats, trays, easels, and wheelchair adaptations.

  • Jean-Pierre
    Alicia and family check fit of tray and insert with Jean-Pierre
  • Britany
    Measuring Britany for a seat.
  • Kit and father measure Dana and decide of supports for her standing table. Dana used the table for 1 1/2 years and then had it extended for growth.

Many children come to our clinic with complex positioning needs.  Frequently individuals who do not walk have no wheelchair or other seating, or have a wheelchair that does not fit or is in poor repair.  Using  recycled materials, we are able to adapt wheelchairs, construct seats to use at home or school, and fabricate standing tables.

A child needs a seat in order to use her hands, eat with her family, attend school, and position her head and eyes for interacting with others.  Lack of proper seating leads to scoliosis, contractures, and further disability.

A standing table allows a child to interact at the level of other children, to experience upright posture, and to prepare for ambulation.  The benefits of standing are well documented, including improved respiration and digestive function, stronger bones due to weight-bearing, development of normal muscle patterns, and psychological well-being.

  • Tamia
    Tamia enjoys playing in an upright position in her standing table
  • Domenica
    Domenica can be comfortable and use her hands in a wheelchair insert made for her

Often an ill-fitting wheelchair can be made fully functional with the addition of a flat seat, lateral supports, foot support, seat belt, tray, or headrest.

  • Luiggi
    Checking the fit for Luigi’s seat
  • Evaluation
    Evaluation requires assessment of movement, skills, and desires, with participation of family and team
  • group construction
    Health workers and families work together
  • Families celebrate
    Families celebrate the completion of their projects
  • Shelf projects
    OT students assist with projects for home
  • elders
    Friends work on picture frames
  • group of elders
    Conclusion of a 2-day workshop: a job well done!

The best adaptations are simple, durable, attractive, and appropriate to the activities in each setting.   We use corrugated cardboard for most projects.  Corrugated cardboard is easier to cut, bend and shape than wood or plastic.  Multi-layered corrugated cardboard is also very strong, lightweight, durable, attractive when finished, and environmentally responsible. The cost is low and the material is readily available.  Families and other clinic visitors frequently get involved in the construction and decorating details that make each project unique and beautiful.

  • Nolan and Scott
    Engineering students redesign stander for easier transport
  • Domenica learns to walk with little walker
  • Angie’s adapted seat
  • Construction with cardboard
  • Tais now can stand up
  • Friends help decorate a seat

Recently the Adaptive Design Workshop has taught short cardboard carpentry classes to elders living in the community.  These individuals have a lifetime of hands-on work, art and craft experience, and enjoyed making household items and gifts.

Check out this blog at Adaptive Design Forum: Who’s your mother?