Recent Articles

The Steps to Wheelchair Provision

16/12/2015

Let’s finish the trilogy on assessments by looking at the overall process of wheelchair provision, of which assessment is only one step, by taking a broader look at all the steps that go into providing an appropriate wheelchair for an individual

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More on Seating and Mobility Assessments

24/11/2015

In September, I wrote about Best Practices in Seating and Mobility Assessments. If you missed that article, click here.

This month, we will take a more detailed look at the information that should be gathered during the seating and mobility assessment. It must be remembered that the assessment is just one step in the overall process of wheelchair provision.1 A future article of Clinical Corner will address the additional steps identified in the Rehabilitation Engineering & Assistive Techology Society of North America (RESNA) Wheelchair Services Provision Guide.

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Another Anniversary!

26/10/2015

Has it really been a year since I wrote the article, Happy Anniversary …, in which I marked my 4 year anniversary with Sunrise Medical? This month I celebrate my 5 year anniversary with Sunrise Medical. Where does the time go?

Like I did in last year's anniversary post, I thought I would reflect upon the past year and share some thoughts - both professional and personal - with you.

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Best Practices in Seating and Mobility Assessments

23/09/2015

Conducting a thorough assessment is vital to ensuring an optimal seating and mobility prescription for a client, but what are the best practices in seating and mobility evaluations? A study conducted by Mary Isaacson, EdD, OTR/L, ATP, published in Assistive Technology, sought to answer that question.1

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The Science of Manual Tilt Mechanisms

28/08/2015

Have you ever sat in a chair and tried balancing yourself by tilting backwards onto the back two legs of the chair? Perhaps you held onto the table in front of you and used your arms to push yourself backwards to find the balance point? You may remember doing this when you were a child in either grade school or high school. Some o fyou may have experienced going past the tipping point and having the chair fall behind you, or if you were lucky enough, you quickly recovered bu moving your weight forward to prevent falling backwards. (I am not recommending anyone try this while sitting in a chair - it can be dangerous and you can fall backwards and get hurt! I just realize that it is something I have done in my youth and I have seen my own children do it too – and, of course, I cautioned them against it.)

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Wheelchair Head Supports Part 1

24/06/2015

This month, let's think about head supports for individuals who use wheelchairs. Essentially, there are 3 circumstances under which we may be considering head supports for individuals - for people who do not have good head control and require head support when seated upright; for people who have good head control when seated upright, but require support of the head when using a tilt or recline feature in seating; and for people who remain seated in a wheelchair in transit and who are required by the transportation provider to have a head support affixed to the wheelchair while the individual is in transit.

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Seating and Mobility Considerations for Individuals who are Bariatric - Part 2: Assessment and Seating

22/04/2015

Last month, we started a discussion on seating and mobility considerations for individuals who are bariatric.  I wrote about body shape and that it is a person’s unique shape and weight distribution that must be evaluated when assessing for seating and mobility.  (If you missed last month’s article, click here for Part 1.)   Let’s continue the discussion.

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Seating and Mobility Considerations for Individuals who are Bariatric - Part 1: Body Shape

30/03/2015

This month, let's start a discussion on seating and mobility considerations for individuals who are bariatric. According to Mosby's Medical Dictionary, bariatrics is "the field of medicine that focuses on the treatment and control of ovesity and diseases associated with obesity"1. The first thing to remember when working with individuals who are bariatric is that there is no "one size fits all". This month's article will focus on body shape. People come in different shapes and sizes and it is a person's unique shape and weight distribution that must be evaluated when assessing for seating and mobility.

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Wear in Wheelchair Cushions 2.0

25/02/2015

In May 2012, I wrote an article for my Clinical Corner blog, titled “Wear in Wheelchair Cushions”. If you missed that post, you may click on the following link to read the article. I continue to receive questions on how to determine when a wheelchair cushion requires replacement so I thought it would be a good idea to revisit this topic. This month, I will update the discussion on wear in wheelchair cushions by reviewing research that has been published since my blog article was posted.

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WC20 and Secondary Postural Supports When Traveling in Motor Vehicles

21/01/2015

Last month, we looked at Wheelchair Tie downs and Occupant Restraint Systems (WTORS) and the previous month, we looked at WC19 - the voluntary standard for wheelchairs used as seats in motor vehicles. Let's continue our look at the factors that enhance safety for individuals who remain seated in their wheelchairs while travelling in motor vehicles. Specifically, we will look at WC20, which is the voluntary standard related to seating devices for use in motor vehicles, and we will look at some of the recommendations from the Guidelines for Use of Secondary Postural Support Devices by Wheelchair Users During Travel in Motor Vehicles.

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