Positioning For Function

POSITIONING FOR FUNCTION (4 OR 6 HOURS)
This course will systematically address common positioning challenges of the pelvis, trunk, lower extremities, upper extremities and the head. Positioning strategies, including primary seating surfaces and secondary supports, will be presented in a functional context. Mounting options for assistive technology access methods and devices will also be presented. Case studies will be used throughout and audience participation is encouraged.

WHAT’S INSIDE YOUR SEAT? (2 HOURS)
A key part of a wheelchair seating system is the seating surface itself. The seat provides postural support, stability, pressure distribution and relief, as well as comfort for maximum sitting tolerance. Seating surfaces vary in construction including the seating materials, upholstery, shape, and specific modifications. This course will address matching seat features with specific client needs, including how to customize the seat itself. Case studies will be included.

WE’VE GOT YOUR BACK! (2 HOURS)
The wheelchair back meets many needs. A lower back may be used to promote manual wheelchair self-propulsion for a client whose postural support needs are minimal. Used at the correct seat to back angle and with the right shape, a back can help the client achieve and maintain upright sitting. A back can provide pressure distribution and support when asymmetries of the spine and rib cage are present. This course will present a spectrum of wheelchair backs to meet a variety of postural support needs. Specific features with clinical applications will be discussed. Case studies will be included.

3 WAYS TO KEEP YOUR CLIENT’S HEAD UP (2 HOURS)
You’ve positioned the client. You’ve tried every head support available. And yet your client spends most of their time looking at their lap. This course will discuss various strategies to optimize head position. First, we will explore strategies beyond the head support, including specific positioning interventions and addressing visual issues. Second, we will explore posterior head supports in depth, matching specific features to client needs. Third, we will explore other options which may be required if posterior support alone is inadequate, including anterior head support. Case studies will be used throughout.

WHEELCHAIR SEATING AND SECONDARY SUPPORTS: ARE WE PROMOTING FUNCTION OR TYING THE CLIENT DOWN? (2 HOURS)
All wheelchair seating systems have some sort of seat and back surface. We may add some lateral supports, as well, such as lateral trunk supports. But what about those secondary supports? Supports such as pelvic belts, anterior trunk supports, and ankle straps are often seen as limiting movement and function-and sometimes even labeled as a restraint. This course will explore secondary supports and appropriate clinical applications. We will also discuss what to do when secondary supports are required and team members have restraint concerns. Case studies will be included.