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10/9 Free CEU: Muscle Tone and Tone Management: General Positioning Strategies for Clients with Increased Tone

10/9 Free CEU: Muscle Tone and Tone Management: General Positioning Strategies for Clients with Increased Tone

Join OT Michelle Lange for this webinar with IACET CEUs provided by NRRTS as an authorized provider.


Attend on demand or Preregister for LIVE Seminar, 10/9 4pm MT

Course Overview

This course in our Muscle Tone, Tone, Management and Dynamic Seating Intervention series will discuss common wheelchair seating challenges present in people with increased muscle tone and movement disorders. If you haven't yet, it is recommended that you watch the first seminar prior to this one. The information in this seminar will be presented systematically and include common seating challenges at the pelvis, trunk, extremities, and head. Seating system interventions for each challenge will be presented.

Learning Objectives

The participant will be able to:

  • List 3 common positioning challenges seen at the pelvis and general intervention strategies.
  • List 3 common positioning challenges seen at the trunk and general intervention strategies.
  • List 3 common positioning challenges seen in the lower extremities and general intervention strategies.

Presenter Bio

Michelle Lange is an occupational therapist with over 35 years of experience and has been in private practice, Access to Independence, for over 15 years. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. She is the co-editor of Seating and Wheeled Mobility: a clinical resource guide. She is the former NRRTS Continuing Education Curriculum Coordinator and Clinical Editor of NRRTS Directions magazine. Michelle is a RESNA Fellow and member of the Clinician Task Force. Michelle is a RESNA certified ATP and SMS.

Two Ways to Attend this Free Seminar

Preregister for LIVE Seminar, 10/9 4pm MT


WATCH NOW: Attend This Seminar without Earning CEU Credits


WATCH NOW: Earn Free CEU with This Seminar

You will be sent an email with a link to the test. Please check your spam to ensure you receive it.

Contact Michelle Lange at with questions about the course.


NRRTSCE is certifying the educational contact hours of the program and by doing so is in no way endorsing any specific content, company, or product. The information presented in this program may represent only a sample of appropriate interventions. As an IACET Accredited Provider, The National Registry of Rehabilitation Technology Suppliers offers CEUs for its programs that qualify under the ANSI/IACET Standard. This course is approved

Course Testimonials

Elaine, T. Lu, PT, ATP

Salt Lake City, UT

“Great Seminar! I love Michelle’s insights and knowledge on seating/positioning and mobility issues.”

Dustin Warren, ATP

Wilmington, NC

“Thanks Michelle. Great info as always. I enjoy your courses. Thanks to Seating Dynamics as well!”


  1. Elaine Lu PT, ATP on June 6, 2023 at 4:30 pm

    Sound like a great webinar

    • Michelle Lange on June 8, 2023 at 10:55 am

      Thanks Elaine, hope you can join us!

  2. Melissa Bock on June 8, 2023 at 4:00 am

    Thank you, I am very interested in attending this webinar. I am currently supporting a person with accessing eye gaze technology however, the moment she is transferred into her moulded seating (prescribed and managed by an OT in another service), she hyperextends and slides down the seat (no contact of back with backrest except at scapula region). I recently asked the prescribing OT to come out to review and he stated that she is moving to achieve comfort and we cannot stop/restrict her from doing this. I do not agree with this as the reason she is moving out of her rigid seat is tone. I believe there are a number of strategies that could support better positioning (including transfer technique, review of moulded seating system, dynamic componentry) however I am not in a position to prescribe due to organisational boundaries.

    • Michelle Lange on June 8, 2023 at 10:57 am

      Melissa, thanks for your comment and thanks for sharing this complex scenario. I will email you directly and I’m happy to problem solve with you to find optimal solutions for this client.

    • Sharon Sutherland on July 6, 2023 at 1:06 pm

      Hi Melissa
      Love seeing your name here. A great discussion.
      I would also suggest examining the true range of hip mobility. I frequently see this same clinical presentation and upon examination the individuals hip limitations were not being respected in their molded seating for whatever reason. Translating into the movement having to take place further up the kinetic chain as you know. In the cases I see, the existing seat support to back supports do not line up with the individuals thigh to pelvic or thigh to trunk angles leaving the body with no choice other than to slide! hope this makes sense! greetings from Ireland☘️

      • Michelle Lange on July 6, 2023 at 1:25 pm

        Sharon, great point and so true!

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