Wheelchair Seating Surfaces, Cushions & Dynamic Seating

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

Can a Dynamic Back be used with any type of seat? Does the movement allowed by this component limit what seating surface can be used? This is an important consideration. A seat or cushion is typically designed to support the pelvis and provide pressure distribution when the client is in a static position. Dynamic seating gets things moving! Continue reading

Dynamic Seating: a cost benefit analysis

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

Whenever I recommend complex rehab equipment for a client, I need to be aware of the cost of my recommendations. Why? One reason is that my documentation must often include why something less costly will not meet the client’s needs. I often hear from team members who are considering Dynamic Seating interventions but are concerned about the cost of these components and if the equipment is justified, as a result.

Dynamic Seating has many clinical benefits for wheelchair users and those benefits are our primary justification. From there, I do believe we can look at the cost-benefit analysis and find additional justifications. Continue reading

Evaluation, Simulation and Dynamic Seating Trials

Recently a therapist asked me how she could recommend Dynamic Seating components if she didn’t actually try these with a client. Great question! It is not typically realistic to conduct Dynamic Seating trials as one would need to place Dynamic Seating components on a client’s wheelchair for trial and often the frame would need to be modified to accept these components. A similar situation occurs with molding seating. Molded seating cannot truly be simulated without a shape capture and/or providing the fabricated molded seating system. Instead, clinical reasoning is used to determine that molded seating is indicated.

Here are some suggestions for simulating a Dynamic Seating Trial to identify if Dynamic Seating would be appropriate during an evaluation:

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Phillip: an update on Dynamic Seating and Supporting Movement

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

Phillip is a 61 year old man who resides at the Mary Campbell Center in Wilmington, DE. We featured Phillip in a blog in October of 2017. I had the opportunity to work with Phillip in May of 2017 and recommended Dynamic Seating components at the knees, back, and head. I wanted to catch up with his physical therapist, Diana Hoopes, to see how he is doing. Diana graduated in 1975 from the University of Baltimore and later received her master’s degree in Special Education. Diana is retiring soon to spend time with her 11 grandchildren! She has worked at the Mary Campbell Center for many years and loves what she does.

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The 2019 International Seating Symposium

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

Every March, thousands of people working in the field of Seating and Wheeled Mobility come together for education, a chance to explore a massive and comprehensive exhibit area, networking, and catching up with old friends. The 2019 35th International Seating Symposium (ISS) in Pittsburgh did not disappoint, with over 2000 people from more than 35 countries in attendance. Continue reading

Let’s Get Together! Using Multiple Dynamic Seating Components

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

Dynamic Seating components are often used at the hips (dynamic backs), knees (dynamic footrests) and the neck (dynamic head supports). Dynamic components can be used individually, however combining these components can often maximize the impact Dynamic Seating can make and better meet the client’s needs. Continue reading

Dynamic Seating: What Does the Research Say? Part 3

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

Our last two blogs explored some of the published research that has been done on Dynamic Seating, demonstrating the effectiveness of this intervention for many of the clients using wheelchair technologies. This blog will review some additional research that has been presented at Wheeled Seating and Mobility conferences such as the International Seating Symposium, but has not been published. Although this information is not in the literature, it can still be helpful in directing our interventions.

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Dynamic Seating: What Does the Research Say? Part 2

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

Our last blog explored some of the research that has been done on Dynamic Seating, demonstrating the effectiveness of this intervention for many of the clients using wheelchair technologies. This blog will review 3 additional studies. Although these studies are now dated, the information is still relevant to our practice today. More studies are needed, however, to update the evidence we use to inform our practice. Continue reading