Wheelchairs
Manual wheelchairs are designed for either independent or dependent mobility and can either fold or not.  There are many factors to consider when purchasing a wheelchair and every wheelchair should be uniquely prescribed to enable a person to reach a maximum level of functioning.

Is it too heavy?  Can it be transported?  Are there too many moving parts?  Does it tilt to enhance postural control?  Does it facilitate an efficient push stroke? Can it be adjusted to accommodate growth and functional changes?  Is the back support appropriate?

KayMag Occupational Therapy can help with all these questions and assist with finding the wheelchair which is unique to meet your needs.  

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Seating
When the muscles are unable to support the body as they are meant to, the seating system must provide the support.  If the body is not well supported, pelvic obliquity (one side higher than the other), kyphosis (slouching) and scoliosis (leaning) can occur because gravity is pulling on the head, shoulders and body.  Balance is also altered and often to gain balance a person may pull their buttocks forward in the seat and curve their shoulders forwards for stability and function but this will lead to long term musculoskeletal problems which are hard to fix.  

Pain, postural deformity, difficulty breathing and pressure injuries are all a consequence of poor seating.  Is it time for a seating reassessment?
  1. Wheelchair