Postural Managment

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.

Goals of Specialised Seating:

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.

A postural management plan will include:

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

Examples of Commonly Used Postural Management Chairs for School and Home

Low to Moderate Postural Requirements

Moderate to High

Bambach

Tomcat

Smirthwaite Indigo

Smirthwaite Heathfield

Smirthwaite Brookfield

Leckey Pal

Vela Tango

JCM Triton

JCM Triton Dynamic

JCM Jupiter

R82 Panda

R82 Wombat

Leckey Everyday Chair

Leckey Mygo

Symmetrikit

Amazing service staff were excellent! Loved the fact that I could watch the assessment from outside of the room.

Paul Jones-King

Paul Jones-King

Assessment Experience