Determining Resistance: Dynamic Footrests

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

Our last blog discussed how to determine the correct resistance for a Dynamic Rocker Back interface (DRBi). When a client moves within their seating system, the elastomers in the DRBi compress and the stored energy helps to return the client to upright. Various elastomers are available to provide the most appropriate level of resistance for an individual.

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Clinician Interview: Brain Power!

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

I had the privilege to present with a group of colleagues on Dynamic Seating at the International Seating Symposium last year. One of my co-presenters was Suzanne Eason, OT/L who works at St. Mary’s Home in Virginia. Suzanne is very interested in the impact of movement on brain development. I recently had a conversation with my friend.

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Peanut Butter and Jelly: Dynamic Footrests and Securing the Feet

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

In a recent blog, we discussed how, just like Bread and Butter, use of a Dynamic Back requires the use of a Pelvic Positioning Belt to maintain the position of the pelvis during movement of the Dynamic Back. Well, just like Peanut Butter and Jelly, use of Dynamic Footrests requires the feet to be secured in order for client forces to activate this dynamic component.

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Bread and Butter: Dynamic Backs and Pelvic Positioning Belts

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

Just like Bread and Butter, Dynamic Backs and Pelvic Positioning Belts go together. Dynamic Backs are designed to allow movement at the pelvis and torso in response to client force and then return the client to a neutral starting position. A key component is the pelvic positioning belt, which is designed to maintain the pelvis in as neutral a position as possible in relation to the seating system. When that seating system moves, the pelvic belt is even more critical in maintaining pelvic position.

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Dynamic Stories: Time to Rock and Not Roll

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

Phillip is a mover and a shaker – literally! This adult with developmental disabilities likes to move. He lives at a residential facility in Delaware. Years of rocking in his manual wheelchairs have left a trail of destruction. He has broken seating systems, mounting hardware, and wheelchair frames as a result of repeated and often strong movements. Phillip is currently using a tilt in space manual wheelchair with a linear back and an off-the-shelf cushion. When he rocks, he tends to move the entire chair across the room, so the staff lock the wheels. The result? He rocks with such force that the solid tires have repeatedly broken where they contact the wheel locks!

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Dynamic Stories: An interview with Daniel’s Mom

Daniel is a 17 year old young man with the diagnosis of cerebral palsy. He has been successfully using dynamic seating for over 5 years now. He started with a KidRock dynamic manual wheelchair. He currently uses a tilt in space manual wheelchair with a dynamic rocker back and dynamic footrests. I sat down with his Mom, Mary, to ask her some questions.

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