Rusk RehabilitationElaine V. Toskos MAOTR/L, ATP, CAPSClinical Specialist Seating & Mobility Program

Wheeling in the City-Accessibility and Environmental Considerations Across the Globe

Rusk RehabilitationSpecialty Programs

Rusk RehabilitationSpecialty Programs- Seating & Mobility

1

2

3Elaine VivianneToskos MAOTR/L© March 2016

Source: Accessible Icon Project

The Centers for Disease Control and Prevention estimated that:

• One in five Americans—about 53 million people—has a disability of some kind.

• 33 million Americans have a disability that makes it difficult for them to carry out daily activities; some have challenges with everyday activities, such as attending school or going to work, and may need help with their daily care.

• 2.2 million people in the United States depend on a wheelchair for day-to-day tasks and mobility.

• 6.5 million people use a cane, a walker, or crutches to assist with their mobility. Last Updated Date: 11/30/2012

www.nichd.nih.govwww.w3.org

ISO International Symbol of AccessAccessible Icon Project

“More than 45 years after it was first

created, the handicap symbol is

getting a significant redesign,

at least in New York" (July 2014)

www.washingtonpost.com

Accessible Icon Project

Source: Accessible Icon Project

4

5

6

day, Jun4, 2015

International Classification of Functioning, Disability and Health (ICF)The International Classification of Functioning, Disability and Health, known more commonly as ICF, is a classification of health and health-related domains.

As the functioning and disability of an individual occurs in a context, ICF also includes a list ofenvironmental factors.

www.who.int/classifications

ICF puts every person in a context:

functioning and disability are results of the interaction

between the health conditions of the person and their

environment.

International Classification of Functioning, Disability and Health (ICF)The International Classification of Functioning, Disability and Health, known more commonly as ICF, is a classification of health and health-related domains. As the functioning and disability of an individual occurs in a context, ICF also includes a list of environmental factors.

• The International Classification of Functioning, Disability and Health (ICF) is a framework for organizing and documenting information on functioning and disability (WHO 2001). It conceptualizes functioning as a ‘dynamic interaction between a person’s health condition, environmental factors and personal factors.’• The ICF provides a common language for disability. The international framework standard to describe and measure health and disability.• It recognizes the role of environmental factors in the creation of disability, as well as the role of health conditions (Üstün et al. 2003).• Functioning and disability are understood as umbrella terms denoting the positive and negative aspects of functioning from a biological, individual and social perspective. • ICF clarifies that we cannot, for instance, infer participation in everyday life from medical diagnosis alone. In this sense ICF is etiology-neutral: if a person cannot walk or go to work it may be related to any one of a number of different health conditions. By shifting the focus from health condition to functioning, the ICF places all health conditions on an equal footing, allowing them to be compared, in terms of their related functioning, via a common framework.

For instance, arthritis has been found to have very high frequency among people in Australia with a health condition and with a disability; that is, arthritis accounts for much of the disability in the population. In contrast, conditions such as autism, dementia, Down syndrome and cerebral palsy are much higher ranked in terms of the likelihood of severe disability (AIHW 2004).

• The ICF covers the entire life span. • Health has been defined in the WHO Constitution as ʻa state of complete physical, mental, and social well-being and not merely the absence ofdisease or infirmity’ (Constitution of the World Health Organization, WHO 1948).• The ICF provides a scientific, operational basis for describing, understanding and studying health and health-related states, outcomes and determinants.

www.who.int/classifications

ICF puts every person in a context:

functioning and disability are results of the

interaction between the health conditions of the

person and their environment.

The Human Activity Assistive Technology (HAAT) model has four components:HumanActivity

Assistive TechnologyContext

Cook and Hussey's Assistive Technologies: Principles and Practice!By Albert M. Cook, Janice Miller Polgar

The activity is the fundamental element of the HAAT model

Activities are categorized within three basic performance areas:

ADL Work and productive activities

Play & leisure activities

The three integrated factors exist exist within the context

7

8

9

The Human Activity Assistive Technology (HAAT) model has four components:HumanActivity

Assistive TechnologyContext

Occupational competence gives a dynamic context to the understanding of

human abilities and how a person changes and adapts his or her engagement in activity in response to environmental demands and

his or her own abilities

Cook and Hussey's Assistive Technologies: Principles and Practice!By Albert M. Cook, Janice Miller Polgar

The activity is the fundamental element of the HAAT model

Activities are categorized within three basic performance areas:

ADL Work and productive activities

Play & leisure activities

The three integrated factors exist exist within the context

DYKERBEACHPARK

WESTCHESTER

THE BRONX

Q

QUEENSBROOKLYN

J a m a i c aB a y

Ha

r l em

Ri v e r

Ea s t R i v e r

E a s t Ri v e r

Lo

ng

I

sl a

nd

So

u

nd

Hu

ds

on

Ri

ve

r

4

AirTrain stops/terminal numbers

7

58

2

1

Q72Q47

M60 SBS

M60 SBS

M60 SBSM60 SBSQ47Q48Q70 LtdQ72

Q70 Ltd

Q48

Q10

Q10

B15Q10

AIRTRAIN JFK

AIRTRAIN JFK

Q3

Q3

Q70 Ltd

LIRR

LIRR

LIRR

LIRR

LIRR

Met

ro-N

orth

Metro-North

Metro-North

Met

ro-N

orth

LIRR

PATH

PATH

Amtrak

Amtra

k

Amtrak

Amtrak

NJTransit Amtrak

PATH

Bowling Green4 5

Broad St J Z

Rector StR

World TradeCenter

E

DeKalb AvB Q R

Hoyt St2 3

Clark S

t2 3

Union StR

Carroll S

tF G

Bergen

St

F G

Broad St J Z

York St

F

CityHallR

Rector StR

Franklin St1

Canal St1

Prince StN R

Houston St1

14 St A C E

50 St1

50 StC E

59 StColumbus Circle

A B C D 1

66 St Lincoln Center

1

72 St1 2 3

79 St1

86 St1

96 St1 2 3

103 St1

CathedralPkwy

(110 St )1

116 St ColumbiaUniversity

1

137 StCity

College1

145 St1

157 St1

175 StA

181 StA

190 StA

Dyckman St A

238 St1

Norwood205 StD

Mosholu Pkwy4

Bedford Pk BlvdLehman College

4

Kingsbridge Rd4

Fordham Rd4

Allerton Av2 5

183 St4

Burnside Av4

176 St4

Mt Eden Av4

170 St4

174 St2 5

Bronx ParkEast

2 5

Pelham Pkwy2 5

Freeman St2 5

Simpson St2 5

E 180 St2 5

West Farms Sq

E Tremont Av2 5

167 St4

161 St

Yankee Stadium

B D 4

Van Cortlandt Park242 St

1

Lexington

Av/63 St

F

14 St–U

nion Sq

LN

QR

4 5 6

L

NQ

R

3 Av

L 1 Av

L

8 St-NYUN R

Christopher St

Sheridan Sq1

Canal StJ N QR Z 6

Canal StA C E

Spring St6

Spring StC E

W 4 St Wash Sq A B C D E F M

8 Av

L

QueensPlaza

E MR

69 St7

52 St7 46 St

Bliss St 740 St

Lowery St

733 St-Rawson St

7

61 StWoodside

7 Q70 Ltd LGA Airport

36 StMR

90 St–Elmhurst Av7

Junction Blvd 7 Q72 LGA Airport

103 St–Corona Plaza7

111 St 7 Q48 LGA Airport

Elmhurst

Av

MR

Grand Av

Newtown

M

R Woodhaven Blvd

M

R 63 D

r–Rego Park

M

RQ72

LGA Airp

ort

Forest Hills

71 Av

E F MR

75 Av

EF Bria

rwood

Van W

yck Blvd

E F

Sutphin BlvdF

Parsons Blvd F

169 StF

Jamaica

Van Wyc

kE

Kew Gard

ens

Union Tpke

E

F67 Av

M

R

21 StQueens-

bridgeF

39 AvNQ

Steinway StMR

46 St M

R

Northern Blvd

MR

65 St

MR

74 St–Broadway

Q70 Ltd LGA Airport 7

82 St–Jackson Hts7

36 AvNQ

30 AvN Q

Astoria BlvdN Q

AstoriaDitmars Blvd

N Q

Court Sq-23 StE M

6 Av L 14 St

1 2 3

18 St1

14 St F M

23 StF M

23 St1

23 StC E

23 StN R

33 St6

Hunters Point Av7 LIRR

Vernon BlvdJackson Av

7

21 StG

Queensboro Plaza

N Q 7

Court SqG 7

68 StHunter College6

77 St6

86 St4 5 6

96 St6

103 St6

110 St6

Central ParkNorth (110 St) 2 3

116 St6

72 StB C

81 St–Museum of Natural History B C

86 St B C

96 StB C

103 StB C

Cathedral Pkwy(110 St)B C

116 StB C

125 StA B C D

125 St2 3 M60 SBS LGA Airport

125 St4 5 6

135 StB C

135 St2 3

116 St2 3

3 Av138 St6

Brook Av

6

Cypress Av

6

E 143 St

St Mary’s St

6145 StA B C D

191 St1

Bedford Pk BlvdB D

Kingsbridge RdB D

Fordham RdB D

182–183 StsB D

Tremont Av B D

174–175 StsB D

170 StB D

Morris Park5

Pelham Pkwy5

Burke Av2 5

Gun Hill Rd 2 5

219 St 2 5

225 St2 5

233 St2 5

Nereid Av2 5

Wakefield 241 St2

Gun Hill Rd5

Baychester Av5

EastchesterDyre Av5

167 StB D

E 149 St6

Longwood Av6

Hunts Point Av6

Whitlock Av6

Elder Av6

Morrison Av Soundview 6

St Lawrence Av6

Castle Hill Av6

Zerega Av6

Middletown Rd6

Buhre Av6

Pelham Bay Park6

Parkchester6

181 St1

155 S

t

B

D15

5 St

C

163 St–Amsterdam Av C

145 St3

149 S

t–Grand

Concourse

2 4 5

Harlem148 St3

57 StF

57 St-7 AvN Q R

49 StN Q R

7 AvB D

E

28 St1

28 St N R

28 St6

23 St6

Astor Pl 6

BoweryJ ZEast

BroadwayF

2 Av

F

Bleecker St

6 B’way–

Lafayette

St

BD

F M

Essex

St

F

J MZ

Delance

y St

Grand St B D

Prospect AvR

25 StR

36 StD N R

45 StR

53 StR

59 StN R

8 Av

N

Fort Hamilto

n

PkwyN

New Utre

cht Av

N 18 Av

N20

AvN

Bay Pkwy

N

Kings

HwyN

Avenue U N86 St

N

62 St

D

71 St

D

79 St

D

18 Av D

20 Av D

Bay Pkwy

D 25 AvD

Bay 50 StD

Coney IslandStillwell Av

D F N Q

55 St

D

50 St

DFort Hamilto

n

PkwyD

9 Av

DDitm

as Av

F

18 Av

F

Avenue I

F

Bay

PkwyF

Bay Ridge AvR

77 StR

86 StR

Bay Ridge95 St

R

Jay St MetroTechA C F R

Jay St MetroTechA C F R

Lafayette AvC

ParkPlS

Fulton StG

Smith

9 Sts

F G

4 Av–

9 St

F GR 7 A

vF G

15 St

Prosp

ect Park

F G

Fort HamiltonPkwy

F G

Church AvF G

Avenue N

F Avenue P

FKings H

wy

F

Avenue U

F

Avenue X

FNeptune Av

F

West 8 StNY AquariumF Q

Ocean PkwyQ

Brighton BeachB Q

Sheepshead Bay

B Q

Neck Rd

Q

Avenue U

Q

Kings Hwy

B Q

Avenue M

Q

Avenue J

Q

Avenue H

Q

Newkirk Plaza

B Q

Cortelyo

u Rd

Q

Beverle

y Rd

Q

Church Av

B QFlatbush

Av

Brooklyn

Colle

ge

2 5

Newkirk Av

2 5

Beverly

Rd

2 5

Church Av

2 5

Winthrop St

2 5

Sterling St 2 5

President St 2 5

CanarsieRockaway PkwyL

East 105 StL

Aqueduct North Conduit Av

A

Aqueduct RacetrackA

Van Siclen AvCLiberty

AvC

Ozone ParkLefferts BlvdA

111 StA

104 StA

Rockaway Blvd A

88 St A

80 StA

Grant AvA

Euclid AvA C

Shepherd AvC Howard Beach

JFK Airport AAtlantic Av

L

Alabama AvJ Z

New Lots Av L B15 JFK Airport

Crescent StJ Z

Norwood Av Z rush hrs, J other times

Cleveland St J

Bushwick Av

Aberdeen St

L

Wilson Av

L

DeKalb Av

LJe

fferso

n St

L

Flushing Av

JMLorim

er St

JMBro

adway

G

Nassau Av

G

Greenpoint Av

G

Lorimer S

t

L Graham

Av

L Grand St

L Montrose

Av

L Morg

an Av

L

Livonia Av L

Sutter

AvL

Nostrand Av

A CFranklin Av

CS

Kingston

Throop Avs

C

Utica Av

A C

Ralph Av

C

Chauncey St

Z rush hours,

J other times

MyrtleWyckoff AvsL M

Halsey St

J Gates Av

Z rush hours,

J other times

Kosciuszko St

JMyrtle Av

J MZ

Central Av M

Seneca AvM

MyrtleWilloughby Avs G

Flushing Av

GMarcy Av

J MZ

Metropolitan Av G

Bedford Av

L

Fresh Pond RdM

Halsey

St

L

Rockaway

AvC

Broad

way

Junc

tion

A

CJ L Z

Parkside AvQ

Prospect Park B Q S

Botanic Garden S

Clinton

Washington AvsG

Classon AvG

Hewes

St J M

Bedford

Nostrand AvsG

Clinton

Washington Avs

C

HoytSchermerhorn

A C G

Kingston Av3

Franklin Av

2 3 4 5

BroadwayN Q

Knickerbocker Av M

Middle VillageMetropolitan AvM

Forest AvM

High StA C

Atlantic Av–Barclays Ctr B Q 2 3 4 5 LIRR

Whitehall StSouth FerryR

Bowling Green4 5

Wall St4 5 Wall St

2 3

Fulton St

Chambers St1 2 3

Park Place 2 3

Chambers StJ ZBrooklyn BridgeCity Hall 4 5 6

Chambers St A C

Atlantic

Av–Barc

lays C

tr

DN

RLIR

R

Bergen

St2 3

7 Av

B Q

Nevins St2 3 4 5

Borough H

all

2 3 4 5

Court StR

Grand A

rmy

Plaza

2 3Eas

tern Pkw

y

Brookly

n Muse

um2 3

34 StPenn

Station A C E LIRR

42 StPort AuthorityBus Terminal

A C E Times Sq-42 St

N Q R S 1 2 3 7Grand Central42 StS 4 5 6 7 Metro-North

47–50 StsRockefeller CtrB D F M

34 StPenn

Station1 2 3 LIRR

34 StHerald Sq

B D FM N Q R

42 StBryant PkB D F M

5 Av 7

Lexington Av/53 St E M

59 St 4 5 6

51 St 6

Lexington Av/59 StN Q R

5 Av/53 StE M

5 Av/59 StN Q R

125 St1

168 St A C 1 A C

Dyckman St1

Inwood207 St

A

215 St1

3 Av–149 St2 5

Woodlawn4

Marble Hill225 St1

231 St1

75 St–Elderts Ln Z rush hours, J other times

Cypress Hills J

85 St–Forest Pkwy J

Woodhaven Blvd J Z

104 St Z rush hours, J other times

111 StJ

121 St Z rush hours, J other times

Sutphin BlvdArcher AvJFK AirportE J Z LIRR

Jamaica179 StF

Jamaica Center Parsons/ArcherE J Z

Jackson Hts

Roosevelt Av

E F MR Q70 Ltd LGA Airport

Q47 LGA Airport (Marine Air Term only)

FlushingMain St

7

Nostrand Av3

Crown HtsUtica Av3 4

Saratoga Av 3

Rockaway Av 3

Junius St 3

Pennsylvania Av3

Van Siclen Av3

New Lots Av3

Sutter Av–Rutland Rd3

A C J Z2 3 4 5

Westchester Sq East Tremont Av 6

Intervale Av 2 5

Prospect Av 2 5

Jackson Av 2 5

Mets–Willets Point7 Q48 LGA Airport

Van Siclen Av Z rush hrs, J other times

138 St–GrandConcourse4 5

M60 SBSLGA Airport

M60 SBSLGA Airport

M60 SBSLGA Airport

Rector St1

Cortlandt St1

Cortlandt St R

South Ferry1

World TradeCenter

E

207 St 1

rushhours

rushhours

S

Rooseve

lt

Isl

and

F

Beach44 StA

Beach 36 StA

Beach 25 StA

Far RockawayMott Av

A

Broad Channel

A S

Beach 67 StA

Beach 60 StA

Beach 90 StA S

Beach 98 StA S

Beach 105 StA S

Rockaway ParkBeach 116 St

A S

Stat

en Is

land

Fer

ry

summer only

QUEENSMIDTOWNTUNNEL

MARINE PARKWAY-

GIL HODGESMEMORIALBRIDGE

CR

OS

S B

AY

VE

TER

AN

S’

ME

MO

RIA

L

BR

IDG

E

HENRY HUDSO

N

BRIDG

E

HUGH L. CAREY TUNNEL

BRIDGE

VERRAZANO-NARROWS

BR

IDG

E

RO

BE

RT

F K

EN

NE

DY

THROGS NECK BRIDGE

GEO. WASHINGTONBRIDGE

LINCOLN TUNNEL

HOLLAND TUNNEL

MANHATTAN BRIDGE

BROOKLYN BRIDGE

QUEENSBORO BRIDGE

BRONX-W

HITESTONE

BRIDGE

MA

LC

OL

M X

BL

VD

(LE

NO

X A

V)

NOSTRAND AV

BR

OA

DW

AY

BROADWAY BRIDGE

ST

NIC

HO

LA

S A

V

BR

OA

DW

AY

BR

OA

DW

AY

BROAD

WAY

SE

VE

NT

H A

V

VA

RIC

K S

T

L IVONIA

AV

WEST

CH

ESTE

R A

V

E 138 ST

LE

XIN

GT

ON

AV

PA

RK

AV

S

LA

FA

YE

TT

E S

T

EASTERN PARKWAY

SO

UT

HE

RN

BL

VD

WESTC

HE

ST

ER

AV

S

OU

TH

ER

N B

LV

D

ES

PL

AN

AD

E W

HITE P

LAIN

S RD

JER

OM

E A

V

MANHATTAN AV

UNION AV

LAFAYETTE AV

WEST END LINE

DELANCEY ST

BROADWAY

FULTON ST

JAMAIC

A AV

MYRTLE AV

VAN SINDEREN AV

WYCKOFF AV

BUSHWICK AV

N 7 ST

HOUSTON ST

R U TGERS ST

JAY

ST

S

MIT

H S

T

NINTH ST

MCDONALD AV

CULVER LINE

MCDONALD AV

FO

UR

TH

AV

86 ST

NEW

UTR

ECH

T AV

FO

UR

TH

AV

53 ST

HILLSID

E AV

41 AV 63 ST

SIX

TH

AV

FLATBUSH AV

E 15 ST

BRIGHTON LINE

E 16 ST

GR

AN

D C

ON

CO

UR

SE

QUEENS BLVD

QUEENS BLVD

ARCHER AV

LIBERTY A

V

PITKIN AV

FULTON ST

FULTON ST

CH

UR

CH

ST

S

IXT

H A

V

GREENWICH AV

EIG

HT

H A

V

CE

NT

RA

L P

AR

K W

ES

T

ST

NIC

HO

LA

S A

V

FO

RT

WA

SH

ING

TON

AV

BRO

ADW

AY

FO

UR

TH

AV

61 ST SEA BEACH LINE 63 ST

WEST 8 ST

BROADWAY

31 ST

60 ST

BROAD

WA

Y

BR

OA

DW

AY

BR

OA

DW

AY

QUEENS BLVD

ROOSEVELT AV

FLATBUSH AV

WILLIAMSBURG BRIDGE

14 ST

42 ST

PA

LIS

AD

E A

V

IND

EP

EN

DE

NC

E A

V

HE

NR

Y H

UD

SO

N P

KW

Y

BROAD

WAY

231 ST

IRWIN AV

VAN CORTLANDT

PARK SO

MO

SH

OLU

PKW

Y

FORDHAM RD

PELHAM PKWY

CR

OT

ON

A

AV

PR

OS

PE

CT

AV

E 169 ST

180 ST

TREMONT AV

E TREMONT AV

WE

BS

TE

R A

V

BA

INBR

IDGE

TH

IRD

AV

225 ST

BRUCKNER EXPWY

BRUCKNER

EXPW

Y

ELDER AV

ST LAWRENCE AV

WHITE PLAINS RD

WHITE PLAINS RD

SOUNDVIEW AV

CASTLE HILL AV

ZEREGA AV H

UTCHINSON PKW

Y

ALLERTON AV BURKE AV

222 ST

233 ST

MIDDLETOWN RD

BR

OA

DW

AY

AM

ST

ER

DA

M A

V

FT

WA

SH

AV

RIV

ER

SID

E D

R

RIV

ER

SID

E D

R

145 ST

135 ST

AM

ST

ER

DA

M A

V FIF

TH

AV

5 A

V

MA

DIS

ON

AV

M

AD

ISO

N A

V

PA

RK

AV

TH

IRD

AV

3 A

V

SE

CO

ND

AV

2 A

V

2 AV

1 AV

FIR

ST

AV

1 A

V

AL

LE

N S

T

YO

RK

AV

WE

ST

EN

D A

V

72 ST

CO

LU

MB

US

AV

66 ST 66 ST

12 AV

WE

ST S

T

WE

ST S

T

53 ST

E 8 ST

FD

R D

R

GRAND ST

E BWAY

SOUTH S

T

WATE

R ST

ASTORIA BLVD

NORTHERN BLVD

DITMARS BLVD

111 ST

112 ST

ST

EIN

WA

Y S

T

LONG ISLAND EXPWY

HORACE HARDIN

G EXPW

Y

LONG ISLAND

EXPWY

36 ST

30 AV

GR

EEN

PO

INT

AV

21 ST

JUNCTION BLVD

JEWEL A

V

UTOPIA PKW

Y

PARSONS BLVD

KISSENA BLVD

MAIN ST

HILLSIDE AV

JAMAICA A

V

SUTPHIN BLVD

111 ST

LINDEN B

LVD LEFFERTS BLVD

MERRICK BLVD

METROPOLITAN AV

METROPOLITAN AV

NASSAU AV

BEDFORD AV

FLUSHING AV

FOREST AV

WOODHAVEN BLVD

MYRTLE AV

JAC

KIE

RO

BIN

SO

N P

AR

KW

AY

WILSON AV

BUSHWICK AV

MYRTLE AV

BERGEN ST

BERGEN ST

LIBERTY A

V

HIC

KS

ST

HE

NR

Y S

T

9 ST

UNION ST CHURCH A

V

PROSPECT AV

OCEAN PKWY

CONEY ISLAND AV

9 AV

FO

RT

HAM

ILTO

N PKW

Y

PARKSIDE A

V

WIN

THROP ST

NOSTRAND AV

AV Z

EMMONS A

V

AV U

FLATBUSH AV

WASHINGTON

UTIC

A AV

UTIC

A AV

86 ST

KIN

GS

HW

Y

FIF

TH

AV

39 ST

REMSEN AV

AV M

FLA

TLA

ND

S A

V

AV H

OCEAN AV

BE

DFO

RD

AV

BEDFORD AV

NOSTRAND AV

VAN SICLEN AV

PENNSYLVANIA

AV

CR

OS

S B

AY

BLVD

CR

OS

S B

AY

BLV

D

PARSON

S BLVD

WH

ITESTON

E E

XP

WY

CANAL ST

CANAL ST SPRING ST

T R A M W A Y

HOUSTON ST

3 AV

BOW

ERY W 4 ST E 4 ST

BLEECKER ST

BLEECKER ST

23 ST

12 AV

23 ST

50 ST 50 ST

59 ST CENTRAL PARK SOUTH

79 ST

125 ST

116 ST

96 ST

86 ST

UNIVERSITY HTS BR

UNION TURNPIK

E

CLEARVIEW EXPWY

163 ST

FR

ED

ER

ICK

D

OU

GL

AS

S B

LV

D

AD

AM

CL

AY

TO

NP

OW

EL

L B

LV

D (7A

V)

VAN WYCK EXPW

Y

SEAGIRT BLVD

BE

AC

H C

HANNEL D

R

RO

CK

AW

AY

BE

AC

H B

LVD

KIN

GS

HIG

HW

AY

82 ST

VE

RN

ON

BL

VD

BE

AC

H C

HA

NN

EL

DR

RO

CKAW

AY PT

BLV

D

HAMILTON BRIDGE

WASHINGTON BRIDGE

CROSS BRONX EXPWY

BAYCHESTER AV

9 AV

10 AV

11 AV

GR

AN

D A

V

SpuytenDuyvil

Riverdale

UniversityHeights

MorrisHeights

Harlem125 St

Melrose

Yankees-E153 St

Tremont

Fordham

Botanical Garden

WilliamsBridge

Woodlawn

Wakefield

LongIslandCity

9 St

14 St

23 St

33 St

Christopher St

Hunterspoint Av

Woodside

Mets–Willets Point

Flushing

ForestHills

JamaicaKewGardens

Hollis

Auburndale Bayside DouglastonGreatNeck

LittleNeck

MurrayHill

Broadway

Inwood

LocustManor

FarRockaway

East NY

Nostrand Av

MarbleHill

WTC

VANCORTLANDT

PARK

BRONXZOO

PELHAMBAY

PARK

ORCHARDBEACH

CENTRALPARK

WASHINGTONSQUARE PARK

METROPOLITANMUSEUMOF ART

RANDALLSISLAND

JAVITSCENTER

RIVERBANKSTATE PARK

INWOODHILL PARK

FORT TRYONPARK

UNITEDNATIONS

WTC Site9/11 Memorial

FLUSHINGMEADOWSCORONA

PARK

PROSPECTPARK

BROOKLYNBOTANICGARDEN

FORT GREENEPARK

GREEN-WOODCEMETERY

LAGUARDIAAIRPORT

JFKINTERNATIONAL

AIRPORT

JAMAICABAY

WILDLIFEREFUGE

GATEWAYNATIONAL

RECREATIONAREA–

JAMAICA BAY

EASTRIVERPARK

BROOKLYNBRIDGEPARK

KISSENAPARK

CUNNINGHAMPARK

MARINEPARK

FLOYDBENNETT

FIELD

JUNIPERVALLEY

PARKFOREST

PARK

RIVERSIDE PARK

HUDSON RIVER PARK

HIGHBRIDGEPARK

JACOBRIIS

PARK

LIBERTYISLAND

ELLISISLAND

NEW YORKTRANSIT MUSEUM

southbound only

except

n-bound

southbound

southbound only

6

Sexcept

7

2 3 and north-bound 4 5

BROOKLYN

MANHATTAN

QUEENS

THEBRONX

FINANCIALDISTRICT

BATTERY PARK CITY

CHINATOWN

LITTLE ITALYSOHO

TRIBECA

GREENWICHVILLAGE

CHELSEA

WESTSIDE

UPPEREASTSIDE

UPPERWESTSIDE

EASTHARLEM

HARLEM

WASHINGTONHEIGHTS

EASTVILLAGE

LOWEREAST SIDE

NOHO

RIVERDALE

KINGSBRIDGE

HIGH-BRIDGE

FORDHAM

TREMONT

MORRISANIA

THE HUB

HUNTS POINT

RIKERSISLAND

MOTT HAVEN

SOUNDVIEW

PARKCHESTER

CITYISLAND

BAYCHESTER

CO-OPCITY

EASTCHESTER

ASTORIA

LONGISLAND

CITY

ROOSEVELTISLAND

JACKSONHEIGHTS

CORONA

FLUSHING

HILLCREST

FRESHMEADOWS

JAMAICAESTATES

JAMAICA

HOLLIS

QUEENSVILLAGE

KEWGARDENS

KEWGARDENS

HILLS

RICHMONDHILL

FORESTHILLS

REGO PARK

MIDDLEVILLAGE

GLENDALEWOODHAVEN

OZONEPARK

HOWARD BEACHEASTNEWYORK

OCEAN HILL-BROWNSVILLE

CANARSIE

EASTFLATBUSH

MIDWOOD

BENSONHURST

FLATBUSH

PARKSLOPE

REDHOOK

GOVERNORSISLAND

CARROLLGARDENS

FLATLANDS

ROCKAWAYPARK

BREEZYPOINT

SHEEPSHEADBAY

BRIGHTONBEACH

CONEY ISLAND

BAY RIDGE

BOROUGHPARK

SUNSETPARK

BROOKLYNHEIGHTS

WILLIAMSBURG

FORT GREENE

GREENPOINT

BEDFORD-STUYVESANT

CROWNHEIGHTS

BUSHWICK

RIDGEWOOD

MASPETH

DUMBO

NAVYYARD

MTA

Sta

ten

Isla

nd R

ailw

ay

Grasmere

St. George

Tompkinsville

Stapleton

Clifton S51

Old Town

Dongan Hills

Jefferson AvGrant City

S51/81

New Dorp

Oakwood Heights S57

Bay Terrace

Great KillsS54 X7 X8

Eltingville

Annadale S55

Huguenot S55 X17 X19

Prince's Bay S56

Pleasant Plains

Richmond ValleyNassauS78

AtlanticS78

Tottenville S78

RICHMOND TERRACE

VICTORY BLVD

VA

ND

ER

BIL

T A

V

ARTHUR KILL RD

STATEN ISLAND EXPRESSWAY VERRAZANO-NARROWS BRIDGE

FOREST AV

HY

LA

N

B

LVD

HYLAN BLVD

AR

TH

UR

KIL

L R

D

WE

ST

SH

OR

E E

XP

WY

RIC

HM

ON

D A

V

SILVERLAKEPARK

SNUG HARBORCULTURAL CENTER

COLLEGE OFSTATEN ISLAND

SEAVIEW

HOSPITALSTATENISLANDMALL

NEWSPRINGVILLE

PARK

LA TOURETTEPARK

GREATKILLSPARK

CLOVELAKESPARK

STATENISLAND

PORTRICHMOND

WEST NEWBRIGHTON

MARINERSHARBOR

FOXHILLS ROSEBANK

CASTLETONCORNERS

BULLSHEAD

CHELSEA

WESTERLEIGH

TODTHILL

NEWDORPBEACH

WOODROWROSSVILLE

CHARLESTON

ARDENHEIGHTS

FRESHKILLS

RICHMONDTOWN

TOTTENVILLEBEACH

The subway operates 24 hours a day, but not all lines operate at all times. Call our Travel Information Center at 511 for more information in English or Spanish (24 hours) or ask an agent for help in all other languages (6AM to 10PM).

To show service more clearly, geography on this map has been modified.

visit www.mta.info

Key

December 2014

Full time servicePart time service

All trains stop (local and express service)

Local service onlyRush hour line

extension

Free subway transferFree out-of-system subway transfer (excluding single-ride ticket)

Terminal

Bus or AIRTRAINto airport

Accessiblestation

Additional expressservice

Normal service

Commuter rail service

Bus to airport

StationName

A B

New York City Subwaywith bus and railroad connections

Police

M60

© 2014 Metropolitan Transportation Authority

This map depicts weekday service.On weekends and late nights, these routes change:

Auburndale

Weekends

Late nights (midnight to 6am, daily)

42 St

No service-use CDQ

Delancey St/Essex St–

Metropolitan Av

Jamaica Center–Chambers St

57 St/7 Av–Coney Island

Dyre Av–Bowling Green

No service-use ADQ

No service-use A

Localservice

Local inBrooklyn

Local, 207 St–Far Rockaway.

Euclid Av-LeffertsBlvd Shuttle

Myrtle Av–Metropolitan Av

Shuttle

No service-use 7

Localservice

57 St/7 Av–Coney Island

local

Local via LowerManhattan

36 St–95 St,BrooklynShuttle

Dyre Av–E180 StShuttle

148 St–Times Sq/42 St

Local, Woodlawn–New Lots AvSkips Hoyt St

1904Of 468 stations in NYC subway system only 82

can be accessed by wheelchair users

www.mta.info

10

11

12

Subway

SubwayAutoGate

Atlanta

Subway

13

14

15

Subway

Subway“Rumble strips” along the platform edge are required by ADA.

SubwayCourtesy campaign

16

17

18

Subway

Atlanta

SubwayGaps between platform and cars are wide and uneven.

Subway

19

20

21

Subway/RailwaySwitzerland- MobiLift

Subway/Railway

Japan

22

23

24

Subway/Railway

Taxi

London has 100% wheelchair-accessible taxis including landmark BlackTX4 & swivel seat transfer assist.

There are 572 yellow taxis and 809 green borough NYC taxis that can take wheelchairs That is just 4.2% and 14% of the fleets, respectively.

TaxiThe $0.30 surcharge to each trip in a yellow taxi to assist in achieving the Cityʼs goal of a 50% wheelchair accessible taxi fleet by the year 2020.

No matter the question, the answer is always money!

25

26

27

Taxi

Taxi

www.EZlitecruiser.com

TaxiTaxi with meter for low vision

28

29

30

BusAll MTA buses are fully ADA-compliant.

Zurich- Tram

Bus

31

32

33

Bus

Access-a-RideThe MTA offers a door-to-door option for disabled persons, Access-A-Ride.

Access-a-Ride

34

35

36

Access-a-Ride

www.evrider.comStand N Ride

Appropriate equipment is the right equipment for that person for the activity.

Appropriate equipment may or may not be complex.

www.troxelhelmets.comGrand Prix Classic

Pavements, Curb cuts & City streetsWheeling in the city

SoHo Orlando

37

38

39

City Strong

Wheeling in the CitySeating Functions needed to augment mobility

Low VisionTactile Guidance Pavements

40

41

42

Used to provide tactile input thru the feet.Vibration and sound thru a walking cane.Friction & vibration thru wheelchair wheels.

Low Vision

Guidance PavementsWho does it Better?

JapanThe paving was first introduced in a street in Okayama city, Japan, in 1967.

GreeceDon't need to speak it to decipher the comments in red!

43

44

45

Guidance Pavements

Indianapolis

RampsRatios 1:12 ADA- Public & Government Buildings

2:12 Private & Residential 3:12 Unoccupied

RampsPre War Buildings

46

47

48

Ramps

Ramps

49

50

51

Ramps

Ramps

52

53

54

Bathing

Sliding Transfer Bench with Swivel Padded Seat Sammons Preston

Bathing

MultiChair 6000- Nuprodx

55

56

57

MultiChair 6000 w/tilt - Nuprodx Tub Transfer System- Shower Buddy

Bathing

Custom iBar MultiChair 6000- Nuprodx

58

59

60

Accessibility

Accessibility

Travel

61

62

63

Travel

http://mywheelchaircaddy.com

SeQual Eclipse concentrator packwww.oxygenconcentratorstore.com

wheelchair caddy

Travel

The next best thing!

Travel

64

65

66

City moms

Activity 24/7 Perspective

My favorite things...

67

68

69

Instructions

Repairs

My favorite things

My favorite things

9

4

21

3

8

5

6

7

ADDITIONAL MEASUREMENTS FOR BARIATRIC CLIENTS

Current weight:____________ Weight history:____________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

1. Back of knee /calf to back of buttocks (seat pan depth) ____________

2. Back of knee/calf to thoracic-lumber trunk (for seat depth) ____________

3. Seat pan to under forearm (armrest height) ____________

4. Seat pan to top of gluteal tissue (lower aspect of back support height) ____________

5. Width at toes (lateral aspect) ____________

6. Width from lateral calf to lateral calf (at widest aspect) ____________

7. Overall hip width ____________

8. Lateral elbow to lateral elbow ____________

9. Back of head scapula ____________

My favorite things

70

71

72

My favorite things

Guldmann ramp kit

Guldmann threshold ramp

My favorite things

aggreko-cable protectors

Rubber 5”rise ramp kitwww.1800wheelchair.com

My favorite things

Guldmann portable ramp

73

74

75

My favorite things

DecPac mini

PVI Slide Rule

My favorite thingsCarabiner clips

My favorite things

zip ties

kwiktwistwww. kwiktwist.com

Schwalbe Marathon Reflective- Kevlar City Tirewww.wiggle.com

76

77

78

My favorite things

Sugruwww. amazone.com

Self- Fusing Tapeswww.amazon.com

My favorite things

gloves for lifehttp://glovesforlife.com

My favorite things

Detecto portable wc scaleswww.detecto.com/

79

80

81

Medline Disposable 6-Point U-Slingswww.1800wheelchair.com

My favorite things

HoyerInvacareMedline

Prism Comfort recline slingwww.prismmedical.ca

My favorite things

My favorite things

Capacita-The Accessible Game Controllerwww.DIYAbility.org

82

83

84

Acknowledgments

Questions?

Thank You!elaine.toskos@nyumc.org

85

86

87