Call us at 303-986-9300 and we can give you contact information about suppliers in your area.
Dynamic seating is a relatively new area of wheelchair seating. We have a number of resources available on this website, including links to articles, recorded webinars and a bi-monthly blog. You may also contact us for further information and product specific training needs.
Yes, if the client has started or changed a tone management program (medications, Baclofen pump or surgeries), a re-evaluation is indicated.
A good place to start is to seek out a wheelchair seating evaluation with a team of clinicians and suppliers who are familiar with dynamic seating options and applications. If you can’t find resources in your area, give us a call and we will be happy to help you identify someone in your area.
This, of course, depends on the funding source. However, with proper justification, dynamic seating is often approved. Look for sample justification wording for funding documentation on this website in the near future.
Medicare is a nationwide payer and funding dynamic components can be difficult. Please contact your local supplier or ATP for up to date funding requirements and assistance.
Medicaid varies from state to state and pays for dynamic components in many cases. A prior approval is often required before the product is ordered.
Insurance companies vary by company and specific plan. Dynamic seating is a rehabilitation product which many insurance carriers are not familiar with. Therefore you should contact a supplier who is familiar with your insurance requirements and can provide necessary documentation.
The resistance needs to be adequate enough to return a client to a starting position. Clients with significant extensor tone often need a firmer amount of resistance. Clients who need a lot of movement and rock tend to require light resistance. The Seating Dynamics Rocker Back includes a range of polymers to change the resistance without having to order more equipment. The Seating Dynamics footrests include a range of springs, also allowing for quick and easy resistance adjustment.
Research has been done on dynamic seating and we have a literature review available on request. More research is needed and Seating Dynamics is collecting case studies at this time.
It is important to ensure the client can return to upright after activating the dynamic component. If not, the component resistance can be changed. If this is not adequate to return the client to upright, dynamic options may not be appropriate.
It is also important to ensure the client return to an appropriate posture. For example, a client may return to upright after extending at the hips, but assume a posterior pelvic tilt. Individual manufacturer’s dynamic components work differently and may vary in ability to return the client to an optimal posture.
Some clients may experience increased extensor tone and/or postural insecurity and anxiety in response to dynamic movement. Decreasing the amount of movement may help.
Clinical goals include:
- To protect wheelchair and seating hardware from breakage
- To increase sitting tolerance and compliance
- To provide vestibular input
- To provide active range of motion
- To increase alertness
- To decrease agitation
- To increase function
- To increase strength and postural control
- To reduce active extension
- To reduce energy exertion
Dynamic seating is often used with clients who have increased muscle tone. The dynamic components absorb extensor forces that could otherwise lead to equipment breakage, decreased sitting tolerance, increased agitation, decreased function, further increases in extension and quite a bit of energy exertion.
Dynamic seating is also used with clients who seek out movement. Dynamic components provide vestibular input, increase alertness, decrease agitation and sometimes increase strength and postural control.