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Dynamic Seating and Durability

Dynamic Seating: a cost benefit analysis

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.

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Dynamic Stories: Kylie’s Shoes

Kylie and I have known each other for a long time. This young woman lives in Wyoming and works in the theatre. Kylie has cerebral palsy and has used a power wheelchair and speech generating device since a young age. She has recently started using dynamic seating. I spoke with Kylie and her mom, Chele, by phone.

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Dynamic Stories: Time to Rock and Not Roll

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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Will my client break the Dynamic Seating?

Dynamic Seating is often used to prevent equipment breakage, specifically the wheelchair frame and seating system. The Dynamic components absorb strong, repeated, sudden, and/or sustained forces, hence protecting vulnerable areas of the seating and mobility base. This was addressed in two prior Blogs (Dynamic Seating to Prevent Equipment Breakage, part 1 and part 2). But what about the Dynamic Components themselves? Just how durable are these?

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