This text-based course is a transcript of the live seminar, “Performing a Successful Seating and Mobility Evaluation,” by Dr. Kirstin Davin.
We start today by talking about the general ins and outs of performing a seating and mobility evaluation for an individual. Whether it be an adult user of a wheelchair or a seating system, or a pediatric user, this general information will apply to both. Then we will talk about the measurements that we want to take during an evaluation or to help us troubleshoot for our clients in a skilled nursing facility. If you are in a pediatric setting, a teacher may ask you to look at a student to see if you can get them to present better in their chair. You, of course, say "no problem", but think to yourself you are not really sure how to make this client look better in their chair. Part of our discussion will be on completing a new evaluation. The other part of what we are going to talk about is using those measurements to troubleshoot what is going on with your client and try to put them in a better presentation within their seating system.
Learning Objectives
List the four components of performing a seating and mobility evaluation and list one element of each of these components.
Identify three measurements which are often associated with the presence of scoliosis and/or pelvic obliquities.
Identify the general aspects of a letter of medical necessity and the framework which may be utilized to achieve the desired equipment for a client.
Name three key phrases which may be utilized within letters of medical necessity to promote equipment approval.
Kirsten Davin, OTD, OTR/L, ATP, SMS
Dr. Kirsten Davin is a veteran Occupational Therapist of nearly 20 years, with extensive experience in a variety of practice settings including inpatient rehabilitation, acute care, intensive care, and the Central Illinois Regional Burn Center. Since initially obtaining her bachelor’s in occupational therapy in 2001, followed by her post-professional OT Doctorate (OTD) in 2007, Kirsten has served not only as a clinician but also in the role of a clinical consultant specializing in product design and development. Kirsten has fabricated hundreds of splints within her acute care and clinical consulting career, many of which were custom fabricated and individually designed on a case-by-case basis. Her splinting experience ranges from a standard safe position and resting hand splints to highly intricate dynamic splints for the hand, wrist, lower extremities, and cervical spine, incorporating all varieties of materials and splinting medium.
For more than a decade, she has been best known for her live, national speaking tours, which to date have reached over 20,000 therapists in 46 states. She has conducted thousands of educational events on the topics of seating/positioning, assistive technology, work-life balance, acute care/ICU rehabilitation, splint fabrication, orthotic application, and more. Dr. Davin is an engaging speaker who strives to make learning fun.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/successful-splinting-foundations-part-1-4768Successful Static Splinting: Foundations, Part 1Following a brief overview of the history of splint fabrication and the advances in the splinting and orthotics arena, an anatomical review of hand structures and landmarks will be performed. Types of splints as well as the variety in thermoplastic materials and characteristics will be presented in preparation for additional courses within this series. This course is Part 1 of a 4-part series on static splinting.auditory, textual, visual
AOTA/0.1 Introductory, OT Service Delivery; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-707885; IACET/0.1; NBCOT PDUs/1.25 Beginner, Rehabilitation
Following a brief overview of the history of splint fabrication and the advances in the splinting and orthotics arena, an anatomical review of hand structures and landmarks will be performed. Types of splints as well as the variety in thermoplastic materials and characteristics will be presented in preparation for additional courses within this series. This course is Part 1 of a 4-part series on static splinting.
2https://www.occupationaltherapy.com/ot-ceus/course/successful-static-splinting-forearm-based-4785Successful Static Splinting: Forearm Based Splint Fabrication, Part 2In this course, types of pre-cut, pre-formed and sheet-based splint fabrication techniques are explored as well as a comparison between volar and dorsal-based approaches. A detailed demonstration of four types of forearm-based wrist orthotics are presented, including radial gutter/thumb spica splints, dorsal and volar wrist cock-ups, and functional position with an intrinsic plus modification option. This course is Part 2 of a 4-part series on static splinting.auditory, textual, visual
AOTA/0.1 Intermediate, OT Service Delivery; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-785684; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Orthopedics
In this course, types of pre-cut, pre-formed and sheet-based splint fabrication techniques are explored as well as a comparison between volar and dorsal-based approaches. A detailed demonstration of four types of forearm-based wrist orthotics are presented, including radial gutter/thumb spica splints, dorsal and volar wrist cock-ups, and functional position with an intrinsic plus modification option. This course is Part 2 of a 4-part series on static splinting.
3https://www.occupationaltherapy.com/ot-ceus/course/dynamic-splinting-building-foundation-for-5044Dynamic Splinting: Building the Foundation for Success, Part 1Following a brief anatomical review of hand structures in order to ensure understanding of the theory, purpose, and methods behind many dynamic splint designs, Dr. Davin offers a comparison of the qualities of static splinting as compared to dynamic splinting. An overview of various dynamic splinting options is introduced and serves to build foundational knowledge as it relates to dynamic splinting in preparation for upcoming courses within this series.auditory, textual, visual
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Following a brief anatomical review of hand structures in order to ensure understanding of the theory, purpose, and methods behind many dynamic splint designs, Dr. Davin offers a comparison of the qualities of static splinting as compared to dynamic splinting. An overview of various dynamic splinting options is introduced and serves to build foundational knowledge as it relates to dynamic splinting in preparation for upcoming courses within this series.
4https://www.occupationaltherapy.com/ot-ceus/course/dynamic-splinting-for-wrist-function-5045Dynamic Splinting: Splinting for Wrist Function, Part 2This course offers a closer look at the world of dynamic splint fabrication and application via an examination of the methods associated with fabricating and/or implementing dynamic wrist splints to manage a client’s wrist-based range of motion, support, and joint protection needs.auditory, textual, visual
AOTA/0.1 Intermediate, OT Service Delivery, 01743; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-793745; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This course offers a closer look at the world of dynamic splint fabrication and application via an examination of the methods associated with fabricating and/or implementing dynamic wrist splints to manage a client’s wrist-based range of motion, support, and joint protection needs.
5https://www.occupationaltherapy.com/ot-ceus/course/dynamic-splinting-for-elbow-function-5066Dynamic Splinting: Splinting for Elbow Function, Part 3This course reviews the world of dynamic splint fabrication and application via an examination of the methods associated with fabricating and/or implementing dynamic elbow splints to manage a client’s elbow and forearm-based range of motion, support, and joint protection needs. Custom and pre-fabricated designs are discussed and compared.auditory, textual, visual
AOTA/0.1 Intermediate, OT Service Delivery, 01793; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-794151; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This course reviews the world of dynamic splint fabrication and application via an examination of the methods associated with fabricating and/or implementing dynamic elbow splints to manage a client’s elbow and forearm-based range of motion, support, and joint protection needs. Custom and pre-fabricated designs are discussed and compared.
