Seating and Wheeled Mobility: A Clinical Resource Guide / Edition 1

by Michelle L. Lange, Jean L. Minkel

Overview

Seating and Wheeled Mobility: A Clinical Resource Guide presents clinical assessment considerations when working with a person with a disability who may need wheelchair seating for postural support, skin integrity, or a wheelchair base to best meet dependent or independent mobility needs.

Michelle L. Lange and Jean Minkel have designed this text to support occupational and physical therapists, complex rehabilitation technology suppliers, and even third-party payers who are interested in wheelchair seating and mobility assessment and applications. Seating and Wheeled Mobility 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.

Information sharing, opportunities for demonstration and trial, and patience on the part of the clinician working with the person with a disability are all critical precursors to the actual process of making equipment recommendations.

Seating and Wheeled Mobility is divided into sections, each addressing a different area of clinical practice.

• The first section is an in-depth presentation of the assessment process and the critical understanding of pressure management needed by the clinical team when working with a client population who rely on wheeled mobility.
• The second section focuses on postural support. Also included is a completely updated 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 assessment for and application of the most appropriate wheeled mobility device.
• The fourth section provides in-depth clinical applications for each category of mobility devices. Also addressed is proper documentation to assist in the funding of these devices.
• The fifth section provides population-specific information regarding the clinical application of position, pressure management, and functional mobility as it applies to the pediatric, geriatric, and bariatric populations, as well as persons with both degenerative and complex neuromuscular impairments.
• The last section presents additional considerations when working with persons who are aging with a disability, environmental assessments, transportation, and the application of standards.

Seating and Wheeled Mobility: A Clinical Resource Guide provides the depth and breadth of the clinical practice of wheelchair seating and mobility to both those who are new to the field, as well as seasoned professionals.

Product Details

ISBN-13:	9781630913960
Publisher:	Taylor & Francis
Publication date:	11/15/2017
Edition description:	New Edition
Pages:	440
Product dimensions:	8.50(w) x 10.90(h) x 0.70(d)

About the Author

Michelle L. Lange, OTR/L, ABDA, ATP/SMS is an occupational therapist with 30 years of experience and has been in private practice, Access to Independence, for over 10 years. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. She is the editor of Fundamentals in Assistive Technology, 4th edition, NRRTS Continuing Education Curriculum Coordinator, and Clinical Editor of Directions magazine. Michelle is on the teaching faculty of Rehabilitation Engineering and Assistive Technology Society of North America (RESNA). She is a member of the Clinician Task Force. Michelle is a certified ATP, certified SMS, and a Senior Disability Analyst of the American Board of Disability Analysts.
 
Jean L. Minkel, PT, ATP is a physical therapist and master clinician well recognized for her work in assistive technology. She is currently the Senior Vice President of Care Coordination and Rehabilitation Services for Independence Care System, a nonprofit, Medicaid long-term care program in New York City. Jean is also an independent consultant who provides educational and consulting service to all members of the assistive technology team—consumers, therapists, suppliers, manufacturers, and payers. Before entering the private sector, Jean was the Director of the Seating and Mobility Program at the Center for Rehabilitation Technology at Helen Hayes Hospital in West Haverstraw, NY. She produced the video series Spending or Investing—Funding Assistive Technology. She is coauthor of the Wheelchair Selection Guide: How to Use the ANSI–RESNA Standards, the Manual Mobility Training Guide, and the Power Mobility Training Guide. The assistive technology community has recognized Jean for her contributions with the RESNA Fellow award in 1995 and the Sam McFarland Mentor Award in 2012.
 

Table of Contents

Acknowledgments About the Editors Contributing Authors Foreword by David Cooper, MSc Kines, Rehab Tech and Maureen Story, BSR(PT/OT) Foreword by Mark R. Schmeler, PhD, OTR/L, ATP, RESNA FellowIntroduction Section I Postural Support and Pressure Management: Foundational Information Chapter 1 Seating and Mobility Evaluations for Persons With Long-Term Disabilities: Focusing on the Client Assessment Jean L. Minkel, PT, ATP Chapter 2 Pressure Management for the Seated Client Jo-Anne Chisholm, MSc, OT and Joanne Yip, BSR, OT Section II Postural Support and Pressure Management: Clinical Applications Chapter 3 Postural Support and Pressure Management Considerations for Hands-Free Sitters David Kreutz, PT, ATP Chapter 4 Postural Support and Pressure Management Considerations for Hands-Dependent Sitters Sharon Sutherland, PT Chapter 5 Postural Support and Pressure Management Considerations for Prop Sitters Jill Sparacio, OTR/L, ATP/SMS, ABDA Chapter 6 Standardized Measures of the Person, Seating System, and Wheelchair Kelly Waugh, PT, MAPT, ATP and Barbara A. Crane, PT, PhD, ATP/SMS Chapter 7 Posture Management 24/7 Atli Ágústsson, PT, MSc Bioeng and Guðný Jónsdóttir, PT, MSc Section III Wheeled Mobility: Foundational Information Chapter 8 Mobility Assessment: The Mobility Algorithm Elizabeth Cole, MSPT, ATP Section IV Wheeled Mobility: Clinical Applications Chapter 9 Manual Mobility Applications for the Person Able to Self-Prope Lauren E. Rosen, PT, MPT, MSMS, ATP/SMS Chapter 10 Power Mobility Applications: Mobility Categories and Clinical Indicators Michael Babinec, OTR/L, ABDA, ATP Chapter 11 Power Mobility: Alternative Access Methods Michelle L. Lange, OTR/L, ABDA, ATP/SMS Chapter 12 Power Mobility: Optimizing Driving Amy M. Morgan, PT, ATP Chapter 13 Power Mobility: Advanced Applications Michelle L. Lange, OTR/L, ABDA, ATP/SMS Chapter 14 Manual Mobility Applications for the Dependent User Sheila N. R. Buck, BSc (OT), OT Reg (Ont), ATP Chapter 15 Alternate Drive Mechanisms for Manual Wheelchairs: Bridging the Gap Between Manual and Power Mobility Carmen P. DiGiovine, PhD, ATP/SMS, RET and Theresa F. Berner, MOT, OTR/L, ATP Chapter 16 Documentation of the Seating and Mobility Assessment Julie Piriano, PT, ATP/SMS Section V Putting It Together: Specialty Applications Chapter 17 Considerations When Working With the Pediatric PopulationJan Furumasu, PT, ATP Chapter 18 Considerations When Working With the Geriatric Population Deborah A. Jones, PT, DPT, GSC, CEEAA, ATP and Joanne Rader, RN, MN Chapter 19 Considerations When Working With the Bariatric Population Stephanie Tanguay, OT/L, ATP Chapter 20 Considerations When Working With Degenerative Neurological Conditions John Jay Doherty, OTR, ATP/SMS Chapter 21 Considerations When Working With Complex Neurological and Orthopedic Presentations Elizabeth McCarty, OTR/L and Melissa Tally, PT, MPT, ATP Section VI Additional Considerations Chapter 22 Considerations When Working With a Person Who Is Aging With a Disability Susan Johnson Taylor, OTR/L, RESNA Fellow Chapter 23 Environmental Assessment Cindi Petito, OTR/L, ATP, CAPS Chapter 24 Wheelchairs and Transportation Mary Ellen Buning, PhD, OTR/L, ATP/SMS, RESNA Fellow Chapter 25 Application of Wheelchair and Seating Standards: From Inside the Test Lab and Beyond Kay Ellen Koch, OTR/L, ATP, RESNA Fellow and Anita Perr, PhD, OT/L, FAOTA, RESNA FellowFinancial Disclosures Index

Editorial Reviews

Reviewer: Elliot J Roth, MD (Shirley Ryan AbilityLab)
Description: This is a complete but focused, well-referenced, and well-illustrated practical guide to wheelchairs and positioning equipment for clinicians. In addition to clear descriptions and more than ample figures, there are links to online video resources.
Purpose: The purpose is to serve as a practical, useful, "up-to-date, and one-stop" resource for clinicians to "learn, reference, or validate practice." Related objectives are to provide the evidence basis for the use of the technology and to identify opportunities for future research and development. These are worthwhile objectives for practitioners, investigators, and end-users, in order to ensure the provision and use of optimal devices and services.
Audience: Detailed and easy to read, the book is intended primarily for clinicians involved with seating and mobility device determination and fabrication, but it also could be very useful for trainees in mobility and seating. In addition, it could serve as an excellent reference for professionals and trainees in other rehabilitation or disability management disciplines. The authors are highly seasoned and knowledgeable about the field, lending strong credibility to the book.
Features: This is a well-written and well-illustrated resource regarding seating and mobility devices, the organization of which is sensible and helpful. The book includes well-written and thorough descriptions of assessment, clinical decision-making and documentation, and funding processes. There is a well-developed section on devices to address sitting posture. There are also surprisingly complete and detailed chapters reviewing specific mobility devices, forming the centerpiece of the book. A unique feature is the set of chapters addressing specific populations, such as bariatric and neurodegenerative disease patients, in addition to an entire section on "special considerations," such as aging with a disability and environmental assessment. Despite being complete in its content, it does not come off as dense or wordy or too scholarly, focusing instead on the practical. The writing is succinct and clear, and aimed at practitioners. Perhaps the most notable feature of the book is the sizeable number of photographs and illustrations, clarifying many of the points described in the text, although the quality of the pictures is variable.
Assessment: There are many books on assistive technology and wheeled mobility. Compared to the books on the topic with which I am familiar, this one offers a great deal more information in a much more practical, succinct, and useful format. What is lacks in "scholarly" format, it more than compensates for with its heavy focus on usefulness in day-to-day practice.

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