Notes on suitability of Throne Rails for various Disabilities
THRONE TOILET RAIL – WRAPAROUND FOR STROKE CUSTOMERS
The Wraparound Toilet Rail benefits the Stroke patient with the aftermath of muscle weakness to one side of the body. As the paralysis or weakness effects either side of the body the Wraparound Rail model enables the user to grip the rail with their unaffected good hand and work it around the top rail, maintaining support while turning their body in order to lower on to the toilet.
This Rail helps eliminate the chance of falls.
THRONE TOILET RAIL – WRAPAROUND FOR MULTPLE SCLEROSIS SUFFERERS
The Wraparound Toilet Rail gives the MS patient considerable support. If using a wheel chair, a front approach transfer to the toilet is required. The model rail provides bi’-lateral support, and hand contact with the Rail can be maintained while the patient is turning in order to lower themselves onto the toilet. When seated the patient has full trunk support to sides and back.
RHUMATOID ARTHRITIS – STANDARD OR SLOPED IS SUITABLE
Either the Standard or Sloped Rails (with adjustable handles) will benefit anyone with Rheumatoid Arthritis whilst toileting. It enables the user rail support close to the body. This makes it easier for them to lever themselves up from the toilet where painful joints are involved.
CEREBAL PALSEY PATIENTS – WRAPAROUND GRAB RAIL
It has been demonstrated that the Wraparound Rail greatly benefits the CP users providing them full trunk support to their sides and back. Being rigidly fixed to the toilet bowl it allows secure hand grip. If unable to secure a hand grip, users have hooked their arms over and under the top rail. This has enabled the users a secure seated position with the rail resting on the inside hinge of the elbows. This hold steadies the body. Thigh and leg movements can be stabilised also with the use of the nylon lap sash which attaches to the lower rail behind the metal bracket that rests on the toilet bowl. This holds the patient comfortably and safely across the thighs whilst seated on the toilet.
The Rails provide privacy and dignity for the CP user.
HIP & KNEE REPLACEMENT
The Standard, Splayed, Sloped Toilet Rails are recommended for use after surgery. If the toilet needs to be elevated, a Throne Toilet Spacer can be used with the rails by placing under the toilet seat and on top of the toilet bowl giving the patient the elevation and safety whilst toileting. The Rails offer bilateral support with the weight being taken on the arms for easing down and lifting from the toilet.
Depending on the severity of the scoliosis, it has been demonstrated that the Wraparound Toilet Rail offers the user full trunk and hand rail support. If only bi-lateral support is needed other Throne models can be considered.
Either the Standard, Splayed (for wider people) or the Sloped Toilet Rails offer much the same benefits to access the toilet. They provide bilateral support for lowering onto or when rising from the toilet. The user can be confident in having added safety by using these rails.
The Standard Rail or Splayed rails suit most people who are living independently. They provide the necessary bilateral hand support for lowering onto and rising from the toilet. (The Splayed Toilet Rail is for the larger bodied person). These Rails have the distinct advantage of being close to the body where they are needed. They are fixed rigidly to the toilet bowl. No wall or floor mounts required.
Depending on the injury, the full range of Throne toilet rails and Spacers offer support to promote healing. The Sloped Toilet Rail benefits a wide range of users and injuries having adjustable height handles that can rotate 360 % allowing the user to position the handles forward or backwards, sideways and even lock across their front preventing falls from the toilet .
Throne Rails and Step for Children
Two models of Throne Toilet Rails have been developed for children, viz. Standard & These have been designed to fit onto the junior toilet pan which measures 3Ocm (approx) across the widest section of the pan. The junior pan is generally found only in pre schools.
The Throne Step can be attached to all Throne Rails i.e. both Child and adult Rails.
The Step has two height adjustment settings.
Generally when a child progresses from pre- school to primary school where no junior pans have been installed, the OT or prescriber will recommend an adult
Standard or Wraparound Rail.
If a Child’s Rail is to be installed on a standard sized pan the horizontal part of the side brackets need to be shortened otherwise they protrude from under the toilet.
This is a simple modification which can be organised before the Rail is despatched from the warehouse.
Child’s Rails are too small to be used by adults. A Child’s rail would only be installed in the child’s home if a toilet can be dedicated to the child. In other words the home needs to have two toilets.