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Presented by
Andrew Heath
Mobility & postural Specialist
Everyday Mobility
Posture Recommendations
For Wheelchairs & Seating
SITTING!
ARE YOU SITTING COMFORTABLY?
Symmetrikit
What is tilt ?
 System which changes a persons
orientation in space while maintaining
fixed hip, knee and ankle angles
What is recline?
 system which changes a persons seat to
back angle
WHY USE TILT?
ADVANTAGE
 Effects of gravity can be reduced
(Collins 2005)
 Prevent sheer
 Aids a clients starting posture
when they are hoisted
 Aids clients comfort /functional
level(Collins 2005)
 -ve tilt can aid standing transfers.
 Pressure relief
 Help maintain head and eye
position
 Used to increase sitting tolerance
/breathing/speech
DISADVANTAGES
 -ve tilt can cause the client to
slide out of the chair!
 Makes the chair longer!
 Client fixed looking at he sky!
 Accessing surfaces - table
 Bladder
 Tray
WHY USE RECLINE?
ADVANTAGE
 Accommodate certain
postures better
 Can ease transfers
 Bladder
 Increase comfort
 Epilepsy
DISADVANTAGES
 Patients with spasticity
 Go beyond a clients
ROM
 Sheer
 Laterals move
Pressure Mapping
To Belt up or Not to belt up that is the question ?
Pressure Mapping
Pressure Mapping the Bed
Pressure Mapping
COMMON SEATING/POSTURAL MISTAKES
 NO CUSHION
 TWO CUSHIONS
 CUSHION DOWN THE BACK
 CUSHION ON THE WRONG WAY ROUND
 FOOTPLATES AT THE WRONG HEIGHT
 EQUIPMENT NOT WORKING
 INCORRECTLY FITTED/USE OF BELTS
 HOISTING INCORRECTLY
 CLIENTS SAT IN INAPPROPRIATE EQUIPMENT
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A Guide to better posture

  • 1. 1 Presented by Andrew Heath Mobility & postural Specialist Everyday Mobility Posture Recommendations For Wheelchairs & Seating
  • 3. ARE YOU SITTING COMFORTABLY? Symmetrikit
  • 4. What is tilt ? System which changes a persons orientation in space while maintaining fixed hip, knee and ankle angles What is recline? system which changes a persons seat to back angle
  • 5. WHY USE TILT? ADVANTAGE Effects of gravity can be reduced (Collins 2005) Prevent sheer Aids a clients starting posture when they are hoisted Aids clients comfort /functional level(Collins 2005) -ve tilt can aid standing transfers. Pressure relief Help maintain head and eye position Used to increase sitting tolerance /breathing/speech DISADVANTAGES -ve tilt can cause the client to slide out of the chair! Makes the chair longer! Client fixed looking at he sky! Accessing surfaces - table Bladder Tray
  • 6. WHY USE RECLINE? ADVANTAGE Accommodate certain postures better Can ease transfers Bladder Increase comfort Epilepsy DISADVANTAGES Patients with spasticity Go beyond a clients ROM Sheer Laterals move
  • 7. Pressure Mapping To Belt up or Not to belt up that is the question ?
  • 11. COMMON SEATING/POSTURAL MISTAKES NO CUSHION TWO CUSHIONS CUSHION DOWN THE BACK CUSHION ON THE WRONG WAY ROUND FOOTPLATES AT THE WRONG HEIGHT EQUIPMENT NOT WORKING INCORRECTLY FITTED/USE OF BELTS HOISTING INCORRECTLY CLIENTS SAT IN INAPPROPRIATE EQUIPMENT