Clinical Corner

Postural Supports and Restraints

Postural Supports and Restraints

The issue of restraints versus function versus postural supports is a large one! This month, Clinical Corner began to address the issue of restraints versus postural supports and personal assistance services devices. Future Clinical Corner articles will address issues such as how to minimize the use of devices that could be considered restraints on wheelchairs and when do we consider the effect of the device on an individual.

Posted on 2018-07-04


Selecting a Back Support Based on Seating Goals

Selecting a Back Support Based on Seating Goals

Last month’s Clinical Corner article focused on Selecting a Cushion Based on Seating Goals. The article highlighted the importance of conducting a thorough assessment and establishing goals for seating and mobility. Common goals of seating and mobility were outlined. These include: pressure management, positioning, function/stability, heat and moisture dissipation, impact and vibration dampening, comfort, or a combination of the goals. As I mentioned last month, both the cushion and the back support work together to achieve desired results. This month, let’s continue the discussion and focus on generic product parameters in back supports to help achieve client seating goals.

Posted on 2017-12-20


Selecting a Cushion Based on Seating Goals

Selecting a Cushion Based on Seating Goals

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.

Posted on 2017-11-24


Seat Elevation in Power Mobility

Seat Elevation in Power Mobility

Seat elevation in a power wheelchair is a lift of the seat pan on the vertical plane, as the picture below illustrates. Seat elevation raises and lowers the height of the seating system, without changing seat to back or seat to floor angles. While seat elevation can be prescribed with other power positioning features, such as power tilt, recline and elevating leg rests, the focus of this month’s Clinical Corner article will be solely on power seat elevation.

Posted on 2016-11-29


Practical Seating Considerations: Pelvic Rotation

Practical Seating Considerations: Pelvic Rotation

​So far with respect to practical seating considerations, I have written about pelvic obliquity, posterior pelvic tilt and anterior pelvic tilt. This month, I would like to focus on practical seating considerations for a client who presents with a pelvic rotation.

Posted on 2011-06-28


Practical Seating Considerations: Anterior Pelvic Tilt

Practical Seating Considerations: Anterior Pelvic Tilt

In last month's article, I wrote more on the practical seating considerations for posterior pelvic tilt. This month, I would like to focus on practical seating considerations for a client who presents with an anterior pelvic tilt.

Posted on 2011-05-27


Practical Seating Considerations: Posterior Pelvic Tilt

Practical Seating Considerations: Posterior Pelvic Tilt

In last month's article, I wrote about cushion considerations for seating a client with a pelvic obliquity. This month, I would like to continue with this practical approach to look at cushion considerations when seating a client with a posterior pelvic tilt.

Posted on 2011-03-30


Practical Seating Considerations: Pelvic Obliquity

Practical Seating Considerations: Pelvic Obliquity

In last month's article, I talked about the goals of seating and considerations for generic seating product parameters to achieve seating goals for your client. This month, I would like to take a practical approach so that you can see how choice of a cushion can help to achieve seating goals. Let's take the example of a client with a pelvic obliquity.

Posted on 2011-03-18


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