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Dynamic Seating at the Legs

Determining Resistance: Dynamic Footrests – Update

Seating Dynamics Dynamic Footrests can move in up to 3 directions. First, the footrests can telescope, allowing movement downward. Second, the footrests can elevate, allowing the knee to extend and the foot to move forward. Third, the footplate can move into plantar and dorsi flexion, allowing ankle movement.

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Comfort vs. Pain in Funding Documentation

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.”

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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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Peanut Butter and Jelly: Dynamic Footrests and Securing the Feet

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

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.

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Preserving Joint Integrity through Dynamic Seating

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.

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