Fully updated and expanded in its second edition, Seating and Wheeled Mobility: A Clinical Resource Guide presents clinical assessment considerations when working with a person with a mobility disability.
The book provides a wide spectrum of information, from foundational information for those practitioners who are new to the field, to in-depth, population-specific information for practitioners who perhaps have not worked with a particular population in the past.
The book is divided into sections, each section addressing a different area of clinical practice in wheelchair seating and mobility.
- The first section is an in-depth presentation of the assessment process and pressure management. The range of available seating supports is presented as part of the product selection process, including matching the persons needs with available technology.
- The second section focuses on 24-hour postural care. Three types of sitters are presented: hands-free, hands-dependent, and prop sitters. Included is the most current method to measure and describe the seated person and related support surfaces needed when recommending a device.
- The third section lays the foundation for clinical decision making around the selection and fit of the most appropriate wheeled mobility device manual/power wheelchair or scooter.
- The fourth section provides in-depth clinical applications for each mobility category. On-time mobility for the very young, power seating, and mobility skills training are addressed.
- The fifth section provides population specific clinical application of position, pressure management, and mobility for the pediatric, geriatric, and bariatric populations, as well as persons with both degenerative and complex neuromuscular impairments.
- The sixth section presents additional considerations when working with persons who are aging with a disability, considerations of the environment of use, safe transport of a wheelchair, and the application of wheelchair standards in the clinic.
- Finally, measuring outcomes throughout the service provision process and a look at the past, present, and future of complex rehab technology is included.
Richly illustrated throughout, this book has been carefully designed to support occupational and physical therapists, suppliers/distributors, and funders/payers who are interested in wheelchair seating and mobility assessment and applications.
Fully revised and updated in its second edition, this book presents clinical assessment considerations when working with a person with a disability who may need wheelchair seating for postural support and to protect skin integrity, or a wheelchair base to best meet dependent or independent mobility needs.
Introduction; Section I Postural Support and Pressure Management:
Foundational Information 1 Seating and Mobility Evaluations for Persons with
Long-Term Disabilities: Focusing on the Client Assessment; 2 Pressure
Management for the Seated Client; 3 Seating System Categories and Clinical
Indicators; Section II Postural Support and Pressure Management Clinical
Applications 4 24-7 Postural Care Management; 5 Postural Support and Pressure
Management Considerations for Hands-Free Sitters; 6 Postural Support and
Pressure Management Considerations for Hands-Dependent Sitters; 7 Postural
Support and Pressure Management Considerations for Prop Sitters; 8 General
Positioning Strategies and Seating Interventions by Body Location; 9
Standardized Measures of the Person, Seating System, and Wheelchair; Section
III Wheeled Mobility: Foundational Information 10 The Mobility Algorithm:
Clinical Decision-Making for a Mobility Device; 11 Manual (Self-Initiated)
Mobility Categories and Clinical Indicators; 12 Power Mobility Categories and
Clinical Indicators; 13 Dependent Mobility Categories and Clinical
Indicators; Section IV Wheeled Mobility: Clinical Applications 14 Optimally
Configuring Manual Wheelchairs for Self-Propulsion; 15 Power Assist Devices
and Other Alternative Drive Mechanisms for Manual Wheelchairs; 16 Power
Mobility Assessment: Determining Readiness and Providing ON Time Mobility; 17
Power Seat Functions: Putting Evidence into Practice; 18 Power Mobility:
Optimizing Driving; 19 Power Mobility: Driving Methods; 20 Power Mobility:
Advanced Features and Applications; 21 Training Manual and Power Wheelchair
Mobility and Maintenance Skills; Section V Putting It Together: Specialty
Applications 22 Considerations When Working with the Pediatric Population; 23
Considerations When Working with the Geriatric Population; 24 Considerations
When Working with the Bariatric Population; 25 Considerations When Working
with Degenerative Neurological Conditions; 26 Considerations When Working
with Complex Neurological and Orthopedic Presentations; Section VI Related
Content 27 Considerations When Working with a Person Who Is Aging with a
Disability; 28 Environmental Assessment; 29 Wheelchairs and Transportation;
30 What Are Standards for Wheelchairs and Wheelchair Seating?; 31
Documentation of the Seating and Mobility Assessment; 32 Measuring Seating
and Wheeled Mobility Outcomes; 33 Complex Rehab Technology in North America
Past, Present, and Future Perspectives
Michelle L. Lange is an occupational therapist with over 38 years of experience and has been in private practice, Access to Independence, for over 19 years. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. 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. She is a RESNA certified ATP and SMS.
Jean L. Minkel is a physical therapist and compassionate clinician well recognized for her work in Assistive Technology. Jean has a passion for insuring that people with a mobility disability have access to the products and services needed to support full participation in life. Jean is the Senior Vice President of Rehab and Mobility Services for Independence Care System. She leads On A Roll, an OT/PT private practice specializing in Seating and Wheeled Mobility services. Jean is also an independent consultant who provides educational and consulting service to all members of the A.T. team. Jean has been recognized for her expertise by being named a RESNA Fellow and awarded the Sam McFarland Mentor Award.
