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FAQ: When is Dynamic Seating NOT Clinically Indicated?

Are there instances when Dynamic Seating is NOT indicated for a client? A while back, a colleague of mine stated, “why wouldn’t we let a client move?” We are wired to move and seek out movement for a variety of reasons. Personally, I’m not a big fan of sitting still.

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Dynamic Seating and the Restraint Debate

There are times when a wheelchair seating and mobility team, after careful evaluation and problem-solving, makes specific recommendations – only to hear that these well thought out interventions may be considered to be a restraint. So just what is considered a restraint and how does this affect Dynamic Seating?

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Dystonia and Dynamic Seating

Many clients with increased muscle tone also display dystonia. Dystonia is “characterized by involuntary, patterned, sustained, or repetitive contractions of opposing muscles, resulting in abnormal twisting body movements and abnormal postures”.

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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.

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