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Dynamic Seating and the Restraint Debate

There are times when a wheelchair seating and mobility team, after careful evaluation and problem-solving, makes specific recommendations – only to hear that these well thought out interventions may be considered to be a restraint. So just what is considered a restraint and how does this affect Dynamic Seating?

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Missy Ball, PT, MT, ATP

PhysioBall Therapy, LLC Metairie, LA “Seating Dynamics has excellent dynamic products that are compatible with many frames. In my experience, the dynamic back and footrests have prevented frame damage, allowed for extension of the client but with return of pelvis to effective sitting posture, reduced pressures on back, buttock and foot area, and reduced agitation…

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Preserving Joint Integrity through Dynamic Seating

Daniel is a teenage boy with the diagnoses of cerebral palsy and seizures. He has significantly high muscle tone and has had varied success with tone management over the years. If his feet are not strapped to the footplates, he extends at his knees and his feet are then hanging far in front of the footplates. This increases the turning radius of the wheelchair, places his lower legs at risk of injury, and leads to a loss of position of his pelvis. As a result, his feet have been strapped into shoeholders for most of his life. This positioning has kept his feet on the footplates, but has created other issues.

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