Equipment and home program training
Understanding Equipment and home program training
Assistive equipment fitting and training ensures that children who require mobility devices — such as walkers, wheelchairs, standing frames, gait trainers, or orthotic devices — have properly fitted equipment and know how to use it safely and effectively. Poorly fitted equipment can cause pain, skin breakdown, postural deformities, and reduced function, while well-fitted equipment enhances mobility, independence, and participation in daily life.
Pediatric physical therapists evaluate each child's physical needs, functional goals, and growth trajectory to recommend appropriate equipment. Once equipment is obtained, the therapist fits it precisely, trains the child and family on its use, and monitors for needed adjustments as the child grows. Equipment needs are reassessed regularly because children grow quickly and their functional abilities may change over time with therapy, surgery, or disease progression.
What Equipment Fitting and Training Includes
Your child's therapist evaluates the type of equipment best suited to your child's needs and writes a letter of medical necessity for insurance. Once the equipment arrives, the therapist adjusts every component — seat height, footrests, armrests, trunk supports, and headrests — to achieve optimal alignment. The therapist teaches your child how to operate the device and trains family members on safe transfers, folding and transport, and daily maintenance.
Caring for Your Child's Equipment at Home
Inspect equipment daily for loose bolts, worn tires, frayed straps, or damaged padding. Clean equipment regularly according to manufacturer instructions. Do not adjust equipment settings without guidance from the therapist, as improper adjustments can affect posture and safety. Schedule follow-up appointments for equipment reassessment at least every six months or sooner if your child has a growth spurt, reports discomfort, or has a change in function.
When to Contact Your Care Team
Contact your child's physical therapist if the equipment no longer fits properly, if your child has redness or skin breakdown at contact points, or if the device is not functioning correctly. Report any increase in pain, changes in posture, or new difficulty using the equipment. Notify the therapist if your child outgrows the device or if functional abilities have changed enough to warrant a different type of equipment. Call 911 if your child is injured during a fall from equipment, if the equipment tips over causing a head injury, or if any emergency situation arises where the child cannot be safely removed from the equipment.
This educational resource is provided by CarePine Home Health for informational purposes. Always follow the individualized care plan developed by your healthcare team. If you have questions or concerns about your condition, contact your care team or call CarePine at 888.507.2997.
Medical Disclaimer: This information is intended for educational purposes only and does not replace professional medical advice. Always consult your physician or home health care team for personalized medical guidance.