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Clinical Indicators for Dynamic Seating – An Overview


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

Our last blog defined Dynamic Seating as movement which occurs within the seat and/or wheelchair frame in response to force from the client. Dynamic components absorb force which in turn assists the client back to a starting position. Now that we know what Dynamic seating is, when is its use indicated?

Dynamic seating can be used in numerous clinical applications. Here are some:

  • To protect the client from injury
  • 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 used in two main clinical scenarios. First, for clients with increased muscle tone, dynamic components absorb extensor forces that could otherwise lead to client injury, equipment breakage, decreased sitting tolerance, increased agitation, decreased function, further increases in extension and quite a bit of energy exertion. Second, for clients who seek out movement, dynamic components provide vestibular input, increased alertness, decreased agitation and sometimes increased strength and postural control.

Dynamic seating is being applied to a wide variety of clinical scenarios. Watch for future case study blogs!


  1. Elaine T Lu, PT, ATP on June 10, 2016 at 11:13 pm

    Very interesting concepts. Would love to know more. I often see highly involved patients who could utilize dynamic seating. Would also like to know coding to assist in the documentation. I am working on a web based EHR for functional mobility and device documentation to assist with providing the appropriate equipment to patients with mobility needs.

  2. Michelle Lange on August 31, 2016 at 1:34 am

    Elaine, thanks for your comment. If you are looking for further information, please check out some of the articles and on-demand webinars listed on the Provider’s Page on this website. We would be happy to provide information on coding. Can you please submit a message in the box in the upper right hand of this page, “Get in touch with Seating Dynamics” so we have your contact information? We can then contact you privately with coding information and any other information you require. Thanks!

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