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 38 years of experience and has been in private practice, Access to Independence, for over 19 years, where she currently focuses on education and consultation. 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 (1st & 2nd eds). Michelle is a RESNA Fellow and a RESNA-certified ATP and SMS. She is also a member of the Clinician Task Force.
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