Which clients benefit from dynamic seating by diagnosis?

As dynamic seating is often used by clients who have increased muscle tone, clients with the following diagnoses often benefit from this technology:

  • Cerebral palsy
  • Traumatic brain injury
  • Spinal cord injury (when spasms are present)
  • Huntington’s Chorea
  • Other diagnoses where increased tone is present

As dynamic seating is also frequently used by clients who seek out movement, clients with the following diagnoses may benefit as well:

  • Cerebral palsy
  • Developmental disabilities
  • Sensory processing disorder (when a wheelchair is also required)
  • Other diagnoses where the client seeks out movement

Is funding available for dynamic seating?

This, of course, depends on the funding source. However, with proper justification, dynamic seating is often approved. Download sample justification wording for funding documentation on this website under Downloadable Information.

Medicare is a nationwide payer and funding dynamic components can be difficult. Please contact your local supplier or ATP for up-to-date funding requirements and assistance.

Medicaid varies from state to state and pays for dynamic components in many cases. A prior approval is often required before the product is ordered.

Insurance companies vary by company and specific plan. Dynamic seating is a rehabilitation product which many insurance carriers are not familiar with. Therefore you should contact a supplier who is familiar with your insurance requirements and can provide necessary documentation.

When is dynamic seating not clinically indicated?

It is important to ensure the client can return to upright after activating the dynamic component. If not, the component resistance can be changed. If this is not adequate to return the client to upright, dynamic options may not be appropriate.

It is also important to ensure the client return to an appropriate posture. For example, a client may return to upright after extending at the hips, but assume a posterior pelvic tilt. Individual manufacturer’s dynamic components work differently and may vary in ability to return the client to an optimal posture.

Some clients may experience increased extensor tone and/or postural insecurity and anxiety in response to dynamic movement. Decreasing the amount of movement may help.