Posts Tagged ‘Dynamic Footrests’
Phillip receives his Seating Dynamics components!
Phillip has a many Seating Dynamics dynamic seating elements as part of his wheelchair. Watch the video to see Phillip’s reaction!
Continue ReadingSample Letter of Medical Necessity for Dynamic Components Used to Prevent Breakage and Diffuse Muscle Tone
This sample medical justification wording for specific Dynamic Seating components which may be used in documentation, such as a Letter of Medical Necessity.
Continue ReadingSeating Dynamics Dynamic Footrests Diffuse Tone and Respond Individually
Spencer has cerebral palsy and very strong extensor tone. His Dynamic Footrests move in response to his extension and diffuse his tone. Without Dynamic Footrests, Spencer ‘stands’ in his wheelchair! He also does not move the same on both sides of his body. The Seating Dynamics Dynamic Footrests move in response to each leg, regardless of the degree of force or movement.
Continue ReadingSeating Dynamics Dynamic Telescoping Footrest for Wheelchair Movement
Some clients may benefit from a telescoping feature in their wheelchair footrest. This client may have very tight hamstrings which limit active knee extension. The telescoping feature can absorb and diffuse force. Knee extension, in combination with the telescoping feature, follows the natural arc of movement which occurs when the knee is straightened.
Continue ReadingDynamic Seating for People with Cerebral Palsy
Dynamic Seating is 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. Dynamic Seating is frequently used to prevent equipment breakage, prevent client injury, diffuse extensor tone, and provide movement. For people with cerebral palsy who use a wheelchair, Dynamic Seating is a great option for many reasons.
Continue ReadingPhillip – A Case Study of Dynamic Seating Used to Provide Movement
Phillip is an adult with developmental disabilities. He lives at the Mary Campbell Center in Wilmington, DE. He has increased muscle tone throughout his body. Phillip is non-ambulatory and nonverbal. He seeks out movement and tends to rock with his entire body in his manual wheelchair for much of the day.
Continue ReadingAmber is excited to receive her new Dynamic Footrests!
Amber currently uses a Seating Dynamics Dynamic Rocker Back interface (DRBi) and has just added the Seating Dynamics Footrests. Learn more about the Dynamic Rocker Back interface and footrests at http://www.seatingdynamics.com
Continue ReadingDetermining if Dynamic Footrests are Appropriate
In general, if a client has moderate to significant extension and/or has a history of equipment breakage, Dynamic Footrests may be appropriate. You may note that the client is extending at the knees, exerting significant force on the footplates, or actually leveraging off of the footplates and elevating the pelvis clear off of the seating…
Continue ReadingDaniel – Managing High Tone Through Dynamic Seating
Daniel is a 15-year-old young man with the diagnosis of cerebral palsy and seizures. Daniel has high tone in his extremities and low tone in his trunk and neck. His tone is so extreme that he has broken components of his wheelchair frame in the past as well as dislocated both of his elbows and…
Continue ReadingEvaluation, Simulation and Dynamic Seating Trials
Recently a therapist asked me how she could recommend Dynamic Seating components if she didn’t actually try these with a client. Great question! It is not typically realistic to conduct Dynamic Seating trials as one would need to place Dynamic Seating components on a client’s wheelchair for trial and often the frame would need to be modified to accept these components. A similar situation occurs with molding seating. Molded seating cannot truly be simulated without a shape capture and/or providing the fabricated molded seating system. Instead, clinical reasoning is used to determine that molded seating is indicated.
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