Lowering Agitation in High Tone Individuals with Dynamic Seating – A Supplier Interview with JJ Waldrop

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

Supplier JJ Waldrop has worked for National Seating and Mobility in Richmond, Virginia for about 5 years now and has been using Dynamic Seating for even longer. He often works with Suzanne Eason, OT/L at St. Mary’s Home. JJ was kind enough to spend some time with me on the phone recently and we had a great conversation!

Continue reading

Wheelchairs, Fashion & Dancing – A Clinician Interview with Judy Garber

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

Judy

Judy Garber has worked with Skills of Central Pennsylvania for 37 years; 35 of which she has worked with wheelchairs. “I worked in the same office as someone who would repair wheelchairs and I filled in for him when he was on vacation.” Skills of Central PA supports a number of group homes in four regions.

Judy has been using Dynamic Seating since about 2013 and really likes it. She is mostly using Dynamic Seating to prevent breakage which she was seeing at wheelchair backcanes and footrests. Judy also works with clients who love to dance! The Dynamic Seating allows the clients to move without breaking their frames due to excessive forces from increased muscle tone.

Continue reading

A Dynamic Journey – a solution to wheelchair breakage and so much more

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

This blog addresses various aspects of Dynamic Seating – seating that provides movement in response to client forces. Just how do people actually find this solution? Well, many caregivers and health care professionals are working with a client who has broken their seating system, mounting hardware and/or mobility base. Wheelchair breakage may occur repeatedly over time. Each time something breaks, the client is at risk of injuring themselves and may not be able to use the wheelchair at all until repairs are made. It can be quite challenging to repeatedly submit for funding for these repairs, as well. As a result, someone close to this client starts looking for a solution. Continue reading

Maintaining Head Support Position – let’s do the math!

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

I see a lot of clients for head positioning in their wheelchair seating system. This requires a thorough seating assessment, as well as providing the best product. Even if I choose what I believe to be the very best head support for a client, I find that maintaining the position of that support is a challenge. I continually find that the hardware has moved, often resulting in a sub-optimal head position for the client.

Continue reading

Dynamic Head Support Hardware: Choosing Tilt and Recline Resistance

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

The Dynamic Head Support Hardware absorbs client forces and then returns the client to an upright and neutral head position. The purpose of this dynamic component is to protect the client from harm, prevent the mounting hardware from breaking, and to reduce overall extension tone. This hardware can be used with nearly any head pad to best meet an individual’s needs. Continue reading

Determining Resistance: Dynamic Footrests – Update

This blog was originally posted in February 2018. We are posting this update with some new information and recommendations!

Seating Dynamics Dynamic Footrests can move in up to 3 directions. First, the footrests can telescope, allowing movement downward. Second, the footrests can elevate, allowing the knee to extend and the foot to move forward. Third, the footplate can move into plantar and dorsi flexion, allowing ankle movement.

Continue reading

Dynamic Stories: Eddie and the Broken Wheelchair

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

One day while looking at the Seating Dynamics YouTube channel, I came across a video of a young man named Eddie using a dynamic back. We were able to contact his Mom, Megan, who was kind enough to speak with me by phone. Eddie is a 16 year old young man with the diagnosis of spastic cerebral palsy and epilepsy. Eddie went from a Kid Kart to a Zippie Iris and is now in a PDG Stellar with a Ride Designs back. He has been using a Seating Dynamics Dynamic Rocker Back interface since May of 2016. Continue reading

Comfort vs. Pain in Funding Documentation

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

If I go to the doctor for any reason, someone on staff always asks if I am in pain and, if so, what level of pain I’m in. Pain is a big deal. Beginning in the 1990’s, increased attention was given to pain and it was even dubbed the ‘fifth vital sign.” Continue reading