Recent Articles

Selecting a Cushion Based on Seating Goals

24/11/2017

The assessment is the foundation for all that follows in seating and mobility.  Conducting a thorough assessment that includes an interview and hands-on component, in addition to understanding the client’s desired outcomes and expectations, is the first step in determining goals for seating and mobility.  Once the goals for seating have been established, generic product parameters can be selected to match the goals for seating and mobility.  This month’s Clinical Corner article will review the common goals of seating and mobility and offer considerations to facilitate achieving those goals through seating.  Although both the cushion and back support work together to achieve desired results, the focus of this month’s article will be on cushion selection.  Back support selection based on seating goals will be the topic of a future Clinical Corner article. 

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Anniversary 2017

30/10/2017

If it’s October, it’s time for a Clinical Corner article that celebrates another anniversary with Sunrise Medical Canada.  This month marks 7 years that I have been with Sunrise Medical. Time flies!! Allow me to share some reflections of the past year with you. 

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Power Mobility For Individuals who are Bariatric

25/09/2017

In 2015, I wrote a 3-part Clinical Corner series on seating and mobility considerations for individuals who are bariatric. Here are links to the articles:
 

 
This month, let’s revisit this general topic with a focus on considerations for power wheelchairs for these individuals. 
 

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Understanding Seating Sizing

29/08/2017

Getting the right fit is important in seating and mobility.  The fit of the seating system can affect comfort, function, posture, and skin integrity.  This month, Clinical Corner will focus on how to understand seating sizing for cushions, back supports and head supports.  A few “tricks of the trade” will be shared so that clinicians can better understand how to request the correct size of seating for an individual. 

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Adaptive Sports

27/07/2017

Last month’s Clinical Corner article addressed parasport and focused in particular on Wheelchair Basketball. See Wheelchair Basketball for the full article. This month, let’s continue our look at adaptive sports for individuals who use wheelchairs.

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Wheelchair Basketball

28/06/2017

Last summer, Clinical Corner looked at two different sports for individuals who are wheelchair users – handcycling and wheelchair tennis. See Wheelchair Tennis and Handcycling for the full articles. This month, let’s continue our look at parasport with a focus on wheelchair basketball.

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Heat and Moisture Dissipation in Seating

30/05/2017

Many of the early Clinical Corner articles were written about seating and positioning. Some of the articles included:


With the summer months approaching, it is a good opportunity for us to re-visit wheelchair seating and to consider how seating can affect heat and moisture dissipation for individuals who use wheelchairs. While there are many factors that affect one’s risk for skin breakdown, moisture can contribute to the risk of skin breakdown for some individuals. Choice of materials, design and covers will influence the potential for heat and moisture build-up and/or dissipation in wheelchair cushions. The same can be said for back supports as well.

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Enhancing Rigidity in Folding Wheelchairs

25/04/2017

The Clinical Corner article, Manual Mobility: The Basics, describes the different categories of manual wheelchairs, known generically as transport, standard, custom folding, custom rigid and tilt-in-space. It was noted that the more rigid the wheelchair, the easier it is to propel the chair as rigidity decreases flex in the frame of the chair. The ideal is that all of the energy of propulsion is translated into movement as any frame flex is lost movement. The more rigid the wheelchair, the more efficient the propulsion can be. This is one of the reasons that custom rigid wheelchairs are selected for individuals. Sometimes, however, an individual requires a custom folding wheelchair to suit their needs. In this case, it is important to understand how rigidity can be enhanced in a folding frame wheelchair in order to optimize efficient propulsion. (Recall that rolling resistance also effects efficiency of propulsion. See the Clinical Corner article, Rolling Resistance in Manual Wheelchairs, for more on rolling resistance.) This month’s Clinical Corner article will look at some of the ways in which rigidity can be enhanced in a custom folding wheelchair.

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Taking a Second Look

21/03/2017

In September of 2015, I wrote an article for Clinical Corner, entitled “Best Practices in Seating and Mobility Assessments”.  As outlined in that article, the following concepts were found to be necessary for best practices in seating and mobility assessments: experience; hands-on techniques; skills; technology; resources; self-directed learning; follow-up; and consumer relationships.1  The article expanded on each of the concepts.  Click here for a link to the article.   This month, let’s take a second look at some of the best practices in seating and mobility assessments, specifically technology and resources.  Let’s also consider why we should take a second look at products and technology.
 

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Putting Evidence into Practice for Power Positioning

28/02/2017

Last month’s Clinical Corner article addressed The Evidence on Tilt, Recline and Elevating Leg Supports. The article reviewed the clinical benefits of tilt, recline and elevating leg supports and summarized the research findings with respect to angles required for redistributing and relieving pressure through tilt and/or recline. This month, let’s look at the practical application of power positioning. For what reasons do individuals use their power positioning features? How often are individuals completing pressure relieving movements through power positioning? How can technology assist individuals with pressure management?

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The Evidence on Tilt, Recline and Elevating Leg Supports

24/01/2017

Past Clinical Corner articles have addressed Dynamic Tilt and Pressure Distribution and Weight Shifting and Pressure Management. The article,Dynamic Tilt and Pressure Redistribution from October 2012, addressed clinical indications for tilt-in-space wheelchairs and the research related to dynamic tilt and pressure redistribution. The article,Weight Shifting and Pressure Management 2.0 from February 2016, addressed recommendations on duration and frequency of repositioning for pressure ulcer prevention based on clinical practice guidelines.

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