Recent Articles

Power Mobility For Individuals who are Bariatric

25/09/2017

There are many factors when selecting a power wheelchair for an individual who is bariatric.  The considerations include the size available, weight capacity, finished width and weight, weight capacity of power seating functions, motors and associated maximum speed, electronics and batteries. 
 
 

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Understanding Seating Sizing

29/08/2017

This month, Clinical Corner has looked at the sizing of cushions, back supports and head support pads. By understanding how a manufacturer sizes seating products, the correct fit for an individual can be obtained. The correct fit is vital for comfort, function, posture, and skin integrity.

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Adaptive Sports

27/07/2017

There are many sports that can be played while using a wheelchair. Community organizations across Canada allow individuals of varying abilities to play different sports, including individual and team sports. Many of these sports are represented at the Paralympic level, with classification of abilities facilitating fairness in competition.

As always, please provide your comments, questions and suggestions regarding Clinical Corner. I look forward to hearing from you!

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Wheelchair Basketball

28/06/2017

This month, we have looked at the sport of wheelchair basketball, from the equipment and rules to the classification for parasport to ensure fairness in competition as participation in sport can facilitate overall health and well-being.

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Heat and Moisture Dissipation in Seating

30/05/2017

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

Rigidity in a manual wheelchair allows for greater efficiency of propulsion as the energy of propulsion is directed towards movement, rather than being lost in any flex in the wheelchair. There are numerous factors that can contribute to rigidity in a folding frame wheelchair, including the design of the cross-brace; the choice of seat saddle position in a modular frame wheelchair; the option of a fixed front end, particularly when combined with a flip-up platform; the use of a stabilizer bar; and the prescription of a firm back support.

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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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