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, 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, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comLet’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.5633OnlinePT60M
'There have been occasions where knowledge would have helped me certain clients'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/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, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comWheelchair 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.5907OnlinePT120M
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.
3https://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, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comComputer 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.5140OnlinePT60M
'Detailed information about how to adapt tablets and computers to meet many patient needs'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.
4https://www.occupationaltherapy.com/ot-ceus/course/recreational-technology-for-people-with-5656Recreational Technology For People With Disabilities: Preparing For The ATP ExamThis course presents recreational technologies in the context of preparing for the ATP examination. The course addresses a wide variety of important recreational and exercise technologies available for people with disabilities.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comRecreational Technology For People With Disabilities: Preparing For The ATP ExamThis course presents recreational technologies in the context of preparing for the ATP examination. The course addresses a wide variety of important recreational and exercise technologies available for people with disabilities.5656OnlinePT60M
AOTA/0.1 Introductory, OT Service Delivery, Professional Issues, 05403; 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 #20-952470; IACET/0.1; NBCOT PDUs/1.25 Beginner, Rehabilitation; RESNA/0.1 Introductory
This course presents recreational technologies in the context of preparing for the ATP examination. The course addresses a wide variety of important recreational and exercise technologies available for people with disabilities.
5https://www.occupationaltherapy.com/ot-ceus/course/switch-assessment-determining-optimal-type-5928Switch Assessment: Determining Optimal Switch Type And PlacementAn access method is used by the client to control assistive technology devices, such as power wheelchairs and speech generating devices. Single or multiple switches can be used for access, though careful switch assessment is required to determine optimal switch placement and switch type to meet an individual’s needs.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSwitch Assessment: Determining Optimal Switch Type And PlacementAn access method is used by the client to control assistive technology devices, such as power wheelchairs and speech generating devices. Single or multiple switches can be used for access, though careful switch assessment is required to determine optimal switch placement and switch type to meet an individual’s needs.5928OnlinePT120M
'This course was very informative as it broke down the reasoning behind each switch type and discussed the hierarchy when determining switch placement'Read Reviews
AOTA/0.2 Advanced, OT Service Delivery, 06648; 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 #20-1041668; IACET/0.2; NBCOT PDUs/2.5 Advanced, Rehabilitation; RESNA/0.2 Advanced
An access method is used by the client to control assistive technology devices, such as power wheelchairs and speech generating devices. Single or multiple switches can be used for access, though careful switch assessment is required to determine optimal switch placement and switch type to meet an individual’s needs.
