Residency Course

Seating and Positioning in Neurologic Populations

Faculty: Brittany Kennedy, PT, DPT, NCS

Course Description

Seating and positioning for individuals with neurologic injuries and disorders is an important aspect of the rehabilitation process. Appropriate assessment and prescription of a seating and positioning system is key to allow for individuals to participate fully in their day to day to lives. This course will address the process of evaluating and prescribing an individual for a seating system. It will include discussion about features of manual and power wheelchairs and clinical considerations for prescription, including disease specific considerations. Specialty controls with emphasis on providing options for maximizing independence will be described. Specialty positioning, cushions, and pressure reduction will be discussed. Finally, discussion about adaptive sports/recreation, the seating systems needed, and their role in community re-integration for individuals with neurologic disorders will complete the course.

Learning Objectives

At the conclusion of this course, participants will be able to:

  1. Explain the process to accurately evaluate an individual with a neurologic condition for a seating system.

  2. Identify outcome measures used when considering various seating and positioning options for individuals.

  3. Describe the process of prescribing a manual wheelchair for a client.

  4. Explain the appropriate set-up of a manual wheelchair to meet the individualized needs of those with neurologic disorders.

  5. Compare and contrast various add-on options for manual mobility.

  6. Describe the process of prescribing a power wheelchair for a client.

  7. Compare and contrast the various options available for drive configuration and positioning in power mobility.

  8. Explain the appropriate set-up and programming needs of a power wheelchair to meet the individualized needs of those with neurologic disorders.

  9. Identify various specialty controls used in power mobility.

  10. Identify various specialty positioning options used in both manual and power mobility.

  11. Describe the clients who may be appropriate for specialty controls and positioning options in the neurologic population.

  12. Explain the physiology behind pressure injuries in those with neurologic disorders.

  13. Describe the role of pressure mapping and positioning prescription in decreasing the occurrence of pressure injuries.

  14. Verbalize 3 pieces of patient education for reduction of pressure injuries.

  15. Identify unique considerations for seating and positioning in individuals with stroke and TBI, Parkinson’s Disease, Multiple Sclerosis, and Amyotrophic Lateral Sclerosis.

  16. Verbalize the role of seating and mobility in activity and participation inside and outside the home.

  17. Identify accessibility issues that may be found in the home with wheeled mobility.

  18. Identify options for transportation of wheeled mobility both privately and in the community.

  19. Describe the positive role of adaptive recreation and sports in those with neurologic injuries and disorders.

  20. Compare and contrast everyday wheeled mobility options to devices used in adaptive recreation and sport.

The online course will be launched in Aug, 2019

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