Adaptive Seating And Positioning Flashcards

1
Q

What are some aspects of comfort?

A
  • Allows for weight shifting
  • Appropriately selected for placement/ use
  • able to use for long periods
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2
Q

Results of discomfort

A
  • Anxiety
  • Diminished attention for functional tasks
  • Irritability
  • Fidgeting
  • Diminished ability to perform functional tasks
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3
Q

How often should position be changed?

A

Every 2 hours

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4
Q

You know someone is well supported if…

A
● Increased postural security 
● Decreased use of fixing postures 
● Proximal stability improves distal function 
● Prevention of contractures and
deformities
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5
Q

True or false: to allow functional performance, correct seating should hinder athetosis in children with CP.

A

False, help, do not hinder

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6
Q

A good adaptable chair should be able to…

A
● Adapt to functional
improvements/decline in function 
● Accommodate growth/weight gain 
● Frequent reassessment is essential 
● Adaptability to required function
throughout the day 
● Adaptation to seasonal clothing needs
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7
Q

What is posture?

A

DYNAMIC AND ACTIVE

● Ready for movement
● Constantly shifting and changing to move for function
● Alignment of body parts at a given
moment
● Options are essential to function in sitting

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8
Q

What is position?

A

STATIC INACTIVE

Describes position of seating components

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9
Q

Aspects of a good neutral posture/ home base

A
• Alignment
• Stability
• Balance
• Avoid end ranges (Fryette’s 3rd law)
• Diminished muscular effort required
for maintenance; not inactive:
springboard for other postures
• Varies between people
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10
Q

If there were to be an ideal neutral posture, what would it look like?

A
• Pelvis: upright, level (or slight APT)
• Trunk: upright with natural curves
• Hips and legs slightly apart
• Knees and ankles flexed to allow for
weight bearing on feet
• Head upright, midline (pupils aligned
with horizon)
• Shoulders relaxed (UE freedom)
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11
Q

What are the goals of a seating system?

A
  • Support the client in his/her neutral posture

* Give client postural options by supporting him/her in positions he/she requires for function

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12
Q

The position of comfort is the position of ________

A

Permanent deformity. If you change functional neutral position, you’re changing their ability to function.

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13
Q

What are a few special considerations for health issues when selecting a chair?

A

Diagnosis, progression and prognosis

Breathing issues and equipment

Cardiac/ circulatory issues (edema)

Seizures

Continence

Nutrition/ digestion

Medication side effects (arousal and tone)

Surgeries

Orthopedic deformities, osteoporosis, subluxations, dislocations

Orthotics

Skin condition

Sensation

Pain

Sight: limitations (and resulting habitual postures)

Hearing

Cognitive/perceptual/behavioral status

Allergies (latex)

Bodily Functions

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14
Q

Special considerations of transporting equipment

A
• Portability issues (folding, weight)
• Need for breakdown
• Storage
• Public transport
• Use on motor vehicles (safety
concerns, need for additional supports
• Strength requirements (affect
portability)
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