Why are molded and aggressive contoured seating systems not recommended for bariatric clients?
Answer
A molded system usually works by relying on a certain degree of tissue firmness to provide intimate support to the client. That support say on either side of the trunk is really able to impact the client orthopedically. It can hold the rib cage and spine in a certain position. If there is a lot of tissue in between, it will not be successful and can actually lead to pressure because it is compressing that tissue.
Michelle Lange, OTR/L, ABDA, ATP/SMS
Michelle Lange is an occupational therapist with over 35 years of experience and has been in private practice, Access to Independence, for over 15 years. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. She is the co-editor of Seating and Wheeled Mobility: a clinical resource guide. She is the former NRRTS Continuing Education Curriculum Coordinator and Clinical Editor of NRRTS Directions magazine. Michelle is a RESNA Fellow and member of the Clinician Task Force. Michelle is a RESNA-certified ATP and SMS.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/augmentative-and-alternative-communication-preparing-5633Let’s Talk Augmentative And Alternative Communication: Preparing For The ATP ExamAugmentative and alternative communication (AAC) in the context of preparing for the ATP examination is presented in this course. The course will address terminology as well as the HAAT model to explore key features including access, display layout, optimizing access, programming, mounting, and integration of systems.auditory, textual, visual
'Like all of Michelle's classes, this was very informative'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Professional Issues, 05101; CE Broker/1.0 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 #20-949412; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation; RESNA/0.1 Intermediate
Augmentative and alternative communication (AAC) in the context of preparing for the ATP examination is presented in this course. The course will address terminology as well as the HAAT model to explore key features including access, display layout, optimizing access, programming, mounting, and integration of systems.
2https://www.occupationaltherapy.com/ot-ceus/course/continued-conversations-ce-podcast-top-4610Continued Conversations, The CE Podcast: The Top Ten Mistakes Clinicians Make During Seating and Mobility EvaluationsThis podcast will be a conversation about common mistakes made during wheelchair seating and mobility evaluations. The discussion will give you new ideas to improve the evaluation process!auditory
'Everything discussed made it Excellent'Read Reviews
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 #20-769118; IACET/0.1; NBCOT PDUs/1.25 Beginner, Rehabilitation; RESNA/0.1 Introductory
This podcast will be a conversation about common mistakes made during wheelchair seating and mobility evaluations. The discussion will give you new ideas to improve the evaluation process!
3https://www.occupationaltherapy.com/ot-ceus/course/wheelchair-mobility-power-alternative-driving-4363Wheelchair Mobility: Power Wheelchair Alternative Driving MethodsWhile some clients require a power wheelchair to achieve independent mobility, not all will be able to use a standard joystick. Clients with paralysis, muscle weakness, increased muscle tone, and uncontrolled movements can often drive a power wheelchair successfully when matched to the most appropriate alternative driving method. This course will systematically explore various alternative driving methods, including specific features, to match these complex client needs. Case studies will be used throughout.auditory, textual, visual
'Well described the electric wheelchair and it's part by the instructor'Read Reviews
AOTA/0.2 Advanced, OT Service Delivery; CE Broker/2.0 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 #20-746906; IACET/0.2; NBCOT PDUs/2.5 Advanced, Rehabilitation; RESNA/0.2 Advanced
While some clients require a power wheelchair to achieve independent mobility, not all will be able to use a standard joystick. Clients with paralysis, muscle weakness, increased muscle tone, and uncontrolled movements can often drive a power wheelchair successfully when matched to the most appropriate alternative driving method. This course will systematically explore various alternative driving methods, including specific features, to match these complex client needs. Case studies will be used throughout.
4https://www.occupationaltherapy.com/ot-ceus/course/wheelchair-seating-for-pediatric-population-5907Wheelchair Seating For The Pediatric PopulationPediatric seating and mobility equipment are not simply smaller than equipment designed for adults. This course will present the importance of pediatric positioning, clinical considerations, how to determine if a child is positioned adequately, as well as alternative positioning. A detailed case study will pull all the information together in a practical way.auditory, textual, visual
'Very easy to follow and listen too but speaker also super knowledgeable'Read Reviews
AOTA/0.2 Advanced, OT Service Delivery, 06533; CE Broker/2.0 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 #20-1002032; IACET/0.2; NBCOT PDUs/2.5 Advanced, Pediatrics; RESNA/0.2 Advanced
Pediatric seating and mobility equipment are not simply smaller than equipment designed for adults. This course will present the importance of pediatric positioning, clinical considerations, how to determine if a child is positioned adequately, as well as alternative positioning. A detailed case study will pull all the information together in a practical way.
5https://www.occupationaltherapy.com/ot-ceus/course/computer-and-tablet-access-5140Computer and Tablet AccessThis course will present a hierarchy of computer and tablet access options for clients unable to use standard access, such as a keyboard, mouse, and touch screen. Access assessment requires analysis of motor skills, vision, cognition, and functional applications. Alternative keyboards and mice will be presented, as well as other alternative access options.auditory, textual, visual
'Really good info on how to use what we already have (keyboard and mouse) and make it more adaptable to our populations'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, 02186; 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 #20-800417; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation; RESNA/0.1 Intermediate
This course will present a hierarchy of computer and tablet access options for clients unable to use standard access, such as a keyboard, mouse, and touch screen. Access assessment requires analysis of motor skills, vision, cognition, and functional applications. Alternative keyboards and mice will be presented, as well as other alternative access options.
