Seating & Mobility Levels B & C – Sheila Buck, B.Sc. (OT), Reg. ONT., ATP

It’s More than 4 Wheels! : Beyond Basic – Adult – Saturday, September 23, 2017, 8:30 a.m. – 4:30 p.m.
Providing a Seating and Mobility Prescription for the Adult Level B population

A good seating and mobility evaluation involves not only the assessment, but the consideration of many client factors including physical, functional and lifestyle. These factors play a large role in determining the prescription of seating components and wheelchair frames/design to enhance functionality and overall performance for daily quality of life issues. It is imperative that we recognize that seating is not exclusive of mobility or the other way around.  One enhances the other and, therefore, must be considered together when completing a final assistive technology prescription. Assessment of postural tendencies and simulation of a support system with appropriate forces is imperative before a product prescription can be completed.  This must be completed in order to determine if there are deformity tendencies in more than one anatomical plane as well as to determine balance and dependent sitting concerns. This workshop will review critical points for wheelchair/ seating prescription and set-up based on hands-on simulation. We will be reviewing complex seating involving three-point positioning to reduce postural tendencies. Consideration will be given to lines and angles of force based on client centre of mass and positioning. We will also explore seating and mobility bases to address pressure issues along with postural concerns.  Our goal will be to provide our clients with postural control, and functionality while considering pressure and physiological functions.

Objectives:

1. To review the principle of “do no harm” related to seating and mobility assistive technology provision;
2. To review wheelchair set up and its affect on functional performance, postural control, pressure management and overall seating supports; and
3. To review Level B seating prescriptions and how this style of seating can affect wheelchair set up and overall functionality of the client.

FUN ON WHEELS – Pediatric – Sunday, September 24, 2017, 8:30 a.m. – 3:30 p.m. (shortened lunch break)
Effects of Seating and Mobility Interventions on Early Movement,  Play, and Reflex Activity
Considerations to Level B and C Specialized and Complex Seating

Through this workshop, we will look at how seating and mobility can enhance muscle tone, improve posture and balance and provide opportunities for fine and gross motor coordination through activity in the pediatric population. We will review how seating and mobility can enhance attention-orientation to particular stimulus, and affect all higher forms of learning such as speech, reading and writing, memory and thinking.  We will also review how early autonomic responses influence  tone and as a result affect seating as well as the mobility base position in space.  During the workshop, we will cover all aspects of the assessment related not only to the physical assessment, but also cognition, and reflexes.  Postural tendencies in varying anatomical planes will be reviewed with a look at how the set-up of seating systems as well as manual/power wheelchairs will affect these tendencies and sitting balance  A review of secondary components such as back supports, headrests and chest supports will also take place along with the need to ensure three points of positioning and consideration of forces in the set-up of these devices to ensure freedom of functional movement. Customizing seating to enhance postural development will also be considered.

Objectives:

1. To review the use of seating as well as mobility bases to enhance cognition in the pediatric population;
2. To review reflex patterning and the influence of autonomic responses on the design of seating and mobility bases;
3. To review three-point positioning related to tonal changes and the use of backs, seat cushions and secondary supports;
4. To broaden our knowledge base of postural tendencies and provision of seating to prevent, correct or accommodate these tendencies; and
5. To enhance knowledge in and use of “custom” seating to enhance postural development for complex and non-complex clients.

Sheila Buck is the owner of Therapy NOW! Inc., in Southern Ontario, CANADA.  Therapy NOW! Is an Occupational Therapy company providing private consultation and education on seating and mobility assessments and prescription.  Sheila is an Occupational Therapist who has been working in the Seating and Mobility field for over 30 years.  Sheila has presented papers and workshops at National and International conferences on topics of basic and advanced positioning with emphasis on pressure management, cognitive functioning and maintaining independent living skills and restraint reduction.  Sheila’s clinical skills have been developed from experience as an RTS as well as her current involvement as a clinician in long term care facilities, group homes, and client homes in the community.  For five years, Sheila presented her own workshop series, Back To Basics…and Beyond.  Most recently, Sheila has authored a clinical guide for seating and mobility  with a current 2017 revision. It is titled, More Than 4 Wheels: Applying clinical practice to seating, mobility and assistive technology. Available at www.sheilabuck.ca.

Event Details

Adult – Saturday, September 23, 2017, 8:30 a.m. – 4:30 p.m.
Pediatric – Sunday, September 24, 2017, 8:30 a.m. – 3:30 p.m. (shortened lunch break)
Participants may register for both pediatric and adult (two days) or for one day if they prefer.

Location:
Holiday Inn Conference Centre – Edmonton South
4485 Gateway Boulevard, Edmonton

SAOT, Non and Associate Members save $55, and Students save $35 if registered for both days!

All break refreshments and lunches included. Certificates of attendance will be issued to all participants.

Hotel accommodations available at the SAOT group rate. Pay just $125/night including all taxes and fees.