Course Overview

Dynamic footrests can provide several types of movement, but the appropriate configuration depends on the individual wheelchair user’s range of motion, movement patterns, and clinical needs. In this Seating Dynamics Quick Class, Michelle Lange, OTR/L, ATP/SMS, explains how to determine which dynamic footrest movements may be indicated. The course reviews telescoping, knee extension, plantar/dorsi flexion, and footplate rotation, along with the clinical considerations for each option. Viewers will also learn why mat assessment, pelvic position, lower extremity alignment, and securing the feet are important when configuring dynamic footrests.

Course Objectives

After viewing this Quick Class, participants will be able to:

• Identify the four movement options available with Seating Dynamics Dynamic Footrests.
• Explain when telescoping-only movement may be appropriate for a client with limited active knee extension.
• Describe how tight hamstrings can affect knee extension and pelvic position.
• Explain why knee extension should be assessed while maintaining the pelvis in a neutral position.
• Describe how combined telescoping and knee extension follow the natural arc of lower extremity movement.
• Explain how plantar/dorsi flexion can absorb forces generated at the ankle.
• Recognize when plantar/dorsi flexion may not be appropriate, such as when a client wears a static AFO that prevents ankle movement.
• Describe how rotating footplates can accommodate active external rotation of the feet during lower extremity extension.
• Explain why securing the feet to the footplates is important for activating dynamic footrest movement.
• Understand how dynamic footrests can absorb and diffuse forces while supporting sitting tolerance, positioning, and movement.