AT for Seating, Positioning and Mobility Karen Stindt MS OTR ATP CESA 6 HANDOUTS Please go to the WA

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AT for Seating, Positioning and MobilityKaren
Stindt MS OTR ATPCESA 6HANDOUTSPlease go to
the WATI web site to download the Seating
Positioning and Mobility Chapter of the new
ASNAT-Chapter 2http//www.wati.org/?pageLoadcont
ent/supports/free/index.php
Wisconsin Assistive Technology Initiative
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WATI

• ASNAT manual revised
• Last major project undertaken by WATI
• Seating positioning and mobility -chapter

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AT for Seating, Positioning and Mobility
Wisconsin Assistive Technology Initiative

• Students with mild disabilities
• Students with severe disabilities

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Students with mild disabilities

• What do we see?
• Frequent movement within and out of seat
• Slumping, propping themselves
• Falling out

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Students with mild disabilities

• Examples of AT or techniques
• Chair table size
• Seat cushion
• Tubing around chair legs
• Angled writing surface
• Tennis balls on 2 of 4 legs to give movement
• Others

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Students with mild disabilities

• 90 x 90 x 90 anatomical positioning BUT not
  functional positioning
• Functional
• bending the knee slightly from 90 degrees with
  the feet placed asymmetrically on the floor,
  bending the trunk slightly forward at the hips
  and holding the elbows slightly more than 90
  degrees.
• As if you were going to stand up
• Try it!

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Students with severe disabilities

• Positioning
• Purpose of positioning
• Function V. Alignment
• Dynamic V. Static
• Task oriented V. tied in

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Students with severe disabilities

• Positioning
• 90 x 90 x 90 positioning
• Safety
• Transportation
• Anatomical alignment
• Alternative positioning
• bending the knee slightly from 90 degrees with
  the feet placed asymmetrically on the floor,
  bending the trunk slightly forward at the hips
  and holding the elbows slightly more than 90
  degrees.
• As if you were going to stand up

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Students with severe disabilities

• Mobility
• Within the school, classroom
• One type may not work for all environments
• Walkers, crutches,
• Strollers
• Manual wheelchairs
• Power wheelchairs

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WATI Independence By Design

• Project based on concepts developed by Karen
  Kangus
• Facilitated by Lisa Rotelli and ASL

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Powered Mobility

• Why should we get young or severely disabled
  children involved with powered mobility?
• How to get young and or severely disabled
  students access to mobility?
• Barriers?
• Requirements

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Powered Mobility

• Principles of positioning
• Tilt, recline, support for head, trunk,
  extremities
• Principles of mobility
• Everyone has the right to move

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Mobility

• When do typically developing children start to
  move?
• Movement as an activity
• Movement as a means to get to an activity

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Mobility

• Mobility V. Driving

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Access

• Switches v. joystick
• On/off
• Not proportional
• Multiple parameters

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Control parameters

• Most important aspect of making the powered chair
  
• Safe
• Successful
• Non-threatening
• Single direction
• Speed

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Control Parameters
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Management of the controller

• Use controller on wheelchair with card
• Use external controller
• Allows immediate changes

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Getting started-Routines

• Establish functional purposeful routine
• Start with primary person
• Start with only one direction
• After routine is established, add others to list
  of people who can do the routine
• Introduce wandering only after routines are
  successful

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Case study

• Ella
• Background
• Video

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Data Collection

• Data Collection
• student name
  Date
• Person filling out form
• 1. Track how the chair is functioning
• Seating- Describe what is being used for seating
  adjustments or what may be needed. Describe any
  changes made

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Data collection

• 2. What is the child doing?
• Describe the routine Describe Wander
• 3. What is the adult doing
• What are you doing to keep her safe? What are you
  telling her? What were you thinking?

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ASNAT

• Using the ASNAT seating and positioning chapter
• Feature match
• Decision making guide
• References
• Resources

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Conclusion

• What have learned that applies to you or your
  students?