Dynamic Stories: Time to Rock and Not Roll

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Phillip is a mover and a shaker – literally! This adult with developmental disabilities likes to move. He lives at a residential facility in Delaware. Years of rocking in his manual wheelchairs have left a trail of destruction. He has broken seating systems, mounting hardware, and wheelchair frames as a result of repeated and often strong movements. Phillip is currently using a tilt in space manual wheelchair with a linear back and an off-the-shelf cushion. When he rocks, he tends to move the entire chair across the room, so the staff lock the wheels. The result? He rocks with such force that the solid tires have repeatedly broken where they contact the wheel locks!

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Dynamic Seating To Provide Vestibular Input, Part 1

DRB installed on Epic.jpg Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Dynamic Seating moves in response to client forces. Many clients move, not due to increased extensor tone, but rather for the explicit purpose of moving. We all tend to seek out movement. We are wired to move and movement has so many benefits. Movement can calm, arouse, work muscles and provide comfort by varying our position. From a sensory standpoint, movement provides vestibular input.

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