Lowering Agitation in High Tone Individuals with Dynamic Seating – A Supplier Interview with JJ Waldrop

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

Supplier JJ Waldrop has worked for National Seating and Mobility in Richmond, Virginia for about 5 years now and has been using Dynamic Seating for even longer. He often works with Suzanne Eason, OT/L at St. Mary’s Home. JJ was kind enough to spend some time with me on the phone recently and we had a great conversation!

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A Dynamic Journey – a solution to wheelchair breakage and so much more

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

This blog addresses various aspects of Dynamic Seating – seating that provides movement in response to client forces. Just how do people actually find this solution? Well, many caregivers and health care professionals are working with a client who has broken their seating system, mounting hardware and/or mobility base. Wheelchair breakage may occur repeatedly over time. Each time something breaks, the client is at risk of injuring themselves and may not be able to use the wheelchair at all until repairs are made. It can be quite challenging to repeatedly submit for funding for these repairs, as well. As a result, someone close to this client starts looking for a solution. Continue reading

Dynamic Stories: Eddie and the Broken Wheelchair

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

One day while looking at the Seating Dynamics YouTube channel, I came across a video of a young man named Eddie using a dynamic back. We were able to contact his Mom, Megan, who was kind enough to speak with me by phone. Eddie is a 16 year old young man with the diagnosis of spastic cerebral palsy and epilepsy. Eddie went from a Kid Kart to a Zippie Iris and is now in a PDG Stellar with a Ride Designs back. He has been using a Seating Dynamics Dynamic Rocker Back interface since May of 2016. Continue reading

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

The Label Game – which clients use Dynamic Seating?

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

When I first began working with clients more than 30 years ago (yikes!), I saw many children with the diagnosis of cerebral palsy. Cerebral palsy is an umbrella diagnosis with many other diagnoses residing underneath. As the practice of medicine has progressed, many children have more specific diagnoses thanks to more advanced diagnostic technologies, such as MRIs.

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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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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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Dynamic Stories: Time to Rock and Not Roll

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

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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Dynamic Stories: An interview with Daniel’s Mom

Daniel is a 17 year old young man with the diagnosis of cerebral palsy. He has been successfully using dynamic seating for over 5 years now. He started with a Kids Rock dynamic manual wheelchair. He currently uses a tilt in space manual wheelchair with a dynamic rocker back and dynamic footrests. I sat down with his Mom, Mary, to ask her some questions.

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Clinical Indicators for Dynamic Seating – An Overview

 

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

Our last blog defined Dynamic Seating as movement which occurs within the seat and/or wheelchair frame in response to force from the client. Dynamic components absorb force which in turn assists the client back to a starting position. Now that we know what Dynamic seating is, when is its use indicated?

Dynamic seating can be used in numerous clinical applications. Here are some: Continue reading