It is generally agreed that children with moderate to severe physical disabilities e.g. cerebral palsy, muscular dystrophies, developmental delay or acquired injuries, fail to develop age-appropriate postural control, attaining and maintaining symmetrical positions, which is where postural management comes in.
Should a child continue to adopt poor positioning this may have a destructive effect on the child creating a fixed asymmetrical posture leading to pain, fatigue, damage to skin integrity, reduced function and effect the child’s quality of life, which is why postural management can be vitally important.
• Facilitate feeding
• Normalising Tone
• Maintaining structural alignment an preventing deformity i.e. Scoliosis and/or Kyphosis
• Prevent contractures
• Reduce/erase pain by increasing comfort and relaxation
• Promote function by providing a stable support base
• Prevent pressure sores
• To gain a good functional position in order to allow the child to interact with their environment and promote active involvement with activities.
• Reduce need for orthopaedic surgery
• Sensory/perceptual development: including vision, learning and attention/concentration
A child’s potential can be maximised by introducing a 24-hour postural management programme which may include specialist seating, both at home and in school including appropriate head rest, and sleep systems.
• Individual assessment of child in the required setting i.e home/school.
• Clinical reasoning will be used to ensure appropriate recommendations are made; this will include needs of the child, environment, carers/parents needs and moving and handling concerns.
• Child to be assessed with recommended chair/system
• Report will be completed listing details of specialist equipment
|Low to Moderate Postural Requirements.||Moderate to High|
JCM Triton Dynamic
Leckey Everyday Chair.