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

FAQ: Can Dynamic Seating Be Used on any Wheelchair?

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

Did you know that Seating Dynamics has a very comprehensive list of Frequently Asked Questions? You can find this list by ‘hovering’ over the Dynamic Seating tab on our website. One of our FAQs is “Can dynamic seating be used on any wheelchair?”

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Dynamic Stories: Kylie’s Shoes

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

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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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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Dynamic Stories: An Interview with Robert’s Parents

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

Robert is a Dynamic Seating old-timer. This 27 year old man has been using Dynamic Seating for about 10 years now. I had the privilege of speaking with Robert’s parents, Jeffrey and Mary Elizabeth, on the phone recently.

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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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Can I get this paid for? Part 3: Dynamic Footrests

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

Our last blog provided suggested wording to be used in documentation to obtain successful funding for the Dynamic Rocker Back. In this blog, we will look at specific wording for various applications of the Dynamic Footrests.

These examples do not replace competent evaluation. Choose the wording that matches an individual’s specific needs and modify accordingly to reflect a specific client’s needs. I find it helpful to begin with a brief definition, as reviewers are often unfamiliar with this technology. For example:

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Preserving Joint Integrity through Dynamic Seating

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

Daniel is a teenage boy with the diagnoses of cerebral palsy and seizures. He has significantly high muscle tone and has had varied success with tone management over the years. If his feet are not strapped to the footplates, he extends at his knees and his feet are then hanging far in front of the footplates. This increases the turning radius of the wheelchair, places his lower legs at risk of injury, and leads to a loss of position of his pelvis. As a result, his feet have been strapped into shoeholders for most of his life. This positioning has kept his feet on the footplates, but has created other issues. Continue reading

3 Reasons to Provide Movement at the Knee

Dynamic seating at the kneeMichelle L. Lange, OTR/L, ABDA, ATP/SMS

Wheelchair footrest hangers are generally static. If the client is able to extend at the knees, the feet move forward off the footplates. This is fine for clients who can easily move their foot back onto the footplate. If the client’s feet tend to leave the footplates and the client cannot return to this starting position, we often add in foot straps and/or shoeholders to maintain this position.

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