Dynamic seating is appropriate for children and adults who would benefit from movement within the wheelchair. Please refer to “Who would benefit from using dynamic seating” above.
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
Call us at 303-986-9300 and we can give you contact information for suppliers in your area.
Dynamic seating is a relatively new area of wheelchair seating. We have a number of resources available on this website, including links to articles, recorded webinars and a bi-monthly blog (see the Resources Tab above). You may also contact us for further information and product specific training needs.
If the medical change has resulted in a difference in how the dynamic seating responds to the client, then re-evaluation is indicated. For example, a client who has started or changed a tone management program may require an elastomer with less resistance.
A good place to start is to seek out a wheelchair seating evaluation with a team of clinicians and suppliers who are familiar with dynamic seating options and applications. If you can’t find resources in your area, give us a call and we will be happy to help you identify someone in your area.
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.
The client should be able to move the component and readily return to a starting position. If the component does not move, less resistance may be required. If the component moves, but does not return to a starting position readily, more resistance may be required.
Research has been done on dynamic seating and we have a literature review available under Downloadable Information. More research is needed and Seating Dynamics is collecting case studies at this time.
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.