Jordan Joslin is an ATP/SMS, CRTS in Erie, PA who works for National Seating & Mobility. He was kind enough to spend some time with me on the phone recently to discuss his experiences with Dynamic Seating.
Dynamic Seating moves in response to client forces. Many clients move, not due to increased extensor tone, but rather for the explicit purpose of moving. We all tend to seek out movement. We are wired to move, and movement has so many benefits.
The forces from extension on a static wheelchair seat and frame can be so strong as to cause damage to equipment. Hardware used to mount the seating system and components (such as a head support), are particularly susceptible to damage.
Many clients with increased muscle tone also display dystonia. Dystonia is “characterized by involuntary, patterned, sustained, or repetitive contractions of opposing muscles, resulting in abnormal twisting body movements and abnormal postures”.
Many clients who benefit from Dynamic Seating specifically benefit from movement at the neck. This may include clients who forcefully extend at the neck or who bang against the head support repeatedly, often in conjunction with a total body rocking movement.
Dynamic Seating can assist with preventing client injury for those who exert sustained or intermittent force against seating components. These forces can lead to pain, joint and bone injuries, and possibly even concussions. Dynamic Seating absorbs forces, preventing these injuries.
John was shaken as a baby and has a brain injury, hydrocephalus, and uncontrolled seizures (Lennox Gestaut syndrome). Learn how Dynamic Seating helps him move, stay safe and reduce equipment breakage to his wheelchair.
Macara McGregor works at St. Amant, a center for adults and children with disabilities. Many residents live at the center, short or long term, and others attend day programs or the private school.
Many clients using wheelchair seating have increased muscle tone. This can lead to active extension, particularly at the hips, knees, and neck.