Seating and Positioning Flashcards
You are working with a child with cerebral palsy who has high muscle tone and tends to slump to one side when sitting. What seating adjustment might you make?
a) Increase the width of the seat base
b) Add lateral supports to the chair
c) Use a soft, unstable seat surface
d) Remove any back support
B
During therapy, a child with Down syndrome struggles with balance while sitting. What is a useful seating adjustment?
a) Decrease the height of the chair
b) Increase the width of the seat base
c) Remove any seat back support
d) Tilt the chair forward slightly
B
A preschooler with low muscle tone struggles to maintain an upright seated posture for more than a few minutes. What is an appropriate seating strategy?
* a) Use a seat with a deep backrest for full support
* b) Position the child on a narrow-base stool
* c) Allow the child to sit on the floor without support
* d) Remove all back supports to encourage core engagement
A
A child with spastic quadriplegia needs support during feeding activities. What is the most important factor when determining seating adjustments?
a) Level of mobility in their legs
b) Symmetry of their posture and head control
c) Duration of sitting without assistance
d) Ability to complete transitions independently
B
You are positioning a child with cerebral palsy who has high tone. The goal is to help them with grasping and releasing objects. What would you adjust?
a) Increase base support to limit weight shifts
b) Tilt the chair back to reduce tone
c) Use a narrow base to encourage dynamic movement
d) Avoid any external supports
A
You are observing a child who is sitting on the floor during a classroom activity. Their legs are crossed, but they keep leaning forward. How would you adjust their position?
a) Place a rolled towel behind their back for support
b) Have the child sit in a chair with arms
c) Remove any external supports
d) Ask the child to sit on their knees instead
A
A child has difficulty transitioning from a sitting position to a standing position. What would help facilitate this transition?
a) Narrow the base of support while sitting
b) Use a chair with a higher seat to reduce the distance to stand
c) Have the child sit on the floor with legs extended
d) Use an unstable surface to encourage weight shifting
B
You are working with an infant who has low muscle tone and needs support during playtime. What position might be most beneficial for them?
a) Side-lying with external support
b) Prone without any support
c) Upright in a seat with minimal back support
d) Sitting in a chair with feet unsupported
A
A child with spastic diplegia is learning to feed themselves in the classroom. What is an important consideration when positioning them during this task?
a) Ensure that their feet are hanging off the edge of the chair
b) Position them so that their base of support is narrow to increase mobility
c) Provide stable foot support and adjust the seat height for proper arm reach
d) Remove any support behind their back to encourage forward lean
C
A child with hypotonia frequently slouches while sitting, which affects their hand function during classroom tasks. What seating modification could help improve their posture?
a) Raise the seat height so their feet are off the ground
b) Use a wedge seat to encourage an anterior pelvic tilt
c) Have the child sit cross-legged on the floor
d) Use a soft, flexible cushion
B
You observe a child frequently shifting their weight forward during a writing task. Which factor might need adjustment?
a) The seat depth
b) The table height
c) The width of the seat base
d) The child’s foot position
B
A child with ataxic cerebral palsy requires a standing position for an activity. What support might they need to maintain balance?
a) A narrower base to encourage dynamic movement
b) A wider base of support to increase stability
c) A soft, unstable surface for proprioceptive input
d) A seat back to prevent slouching
B
During therapy, you are helping a child with TBI (Traumatic Brain Injury) work on fine motor tasks. The child has difficulty maintaining head control. What adjustment could help?
a) Remove all head and trunk support to challenge balance
b) Use an adjustable headrest to support their neck
c) Lower the chair to encourage more active movement
d) Place them in a prone position without support
B
A child with low muscle tone has difficulty staying seated while focusing on an activity. What is one strategy to improve their seated posture?
a) Decrease the seat depth
b) Add a footrest for stability
c) Remove any lateral supports
d) Increase the chair height
B
A child with hemiplegia is seated during a classroom activity. Their unaffected arm is overcompensating during tasks. How can you address this imbalance?
a) Lower the chair to limit arm movement
b) Provide lateral support on the unaffected side
c) Remove the seat back to encourage movement
d) Use a soft cushion to challenge balance
B
During feeding activities, a child with spasticity demonstrates limited control over their trunk. What is an important seating consideration?
a) Narrow the base of support to encourage core engagement
b) Use a stable chair with back and lateral trunk supports
c) Position the child at a low table
d) Eliminate footrests to encourage trunk control
B
A child in a preschool class is seated with a chair that has a deep seat back, but their feet do not touch the floor. How could this seating arrangement affect their posture?
a) It will encourage better hand function
b) It may cause them to slide forward and lose trunk support
c) It will improve their attention span
d) It will reduce their need for external supports
B
A child who is working on postural control has been positioned in quadruped. What is the next step in their progression for postural development?
a) Move to a prone position
b) Work on transitions to a seated position
c) Encourage rolling from side to side
d) Work on maintaining supine posture
B
