Recent Articles

Outcomes and Outcome Measures in Seating and Mobility: Current Practice

2019-06-28

There is a subtle difference between outcomes and outcome measures in seating and mobility.  Whereas outcomes may include subjective descriptions, outcome measures can be objective, quantifiable means of validating interventions.  The results of an on-line survey suggest that many therapists involved in seating and mobility in Canada consider outcomes when working with clients.  Some outcomes, such as pressure mapping, sitting tolerance and using SMART goals, allow for some aspect of measurement to occur.  A future Clinical Corner article will provide additional details on outcome measures that help to provide objective quantification of outcomes such as those mentioned in this month’s article. 

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Power Mobility Assessment

2019-05-29

What are the similarities and differences between assessing an individual for a power mobility device versus a manual wheelchair?  What is important to consider for a power wheelchair versus a manual wheelchair?  Does it matter if an individual cannot drive effectively the first time they use a power wheelchair?  These questions, and more, will be answered this month in Clinical Corner. 

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Pressure Injuries: An Update

2019-04-29

This month, Clinical Corner has reviewed the updated terminology used for pressure injuries and the staging of pressure injuries. In addition, the position statements of the NPUAP related to pressure injuries have been reviewed. More information on Pressure Injuries can be found on the NPUAP website. 

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Understanding Choices in Rigid Wheelchairs

2019-03-28

Rigid frame wheelchairs offer some choice in the type of frame – from open frame to closed frame and from fully welded to models with fold-down back canes. Some models of rigid wheelchairs provide adjustability in the rear axle while others are fully fixed. Rigid frame wheelchairs promote efficiency of propulsion due to their light-weight design and minimization of moving parts, which allows for more efficient propulsion. A thorough assessment is required in order to match the needs of clients with the products that are available on the market for optimal fit, function and performance.

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Understanding Choices in Manual Wheelchairs

2019-02-27

There is never going to be one model of wheelchair that is right for every client.  Manufacturers recognize this and often provide several models of wheelchairs within a category to meet the various needs and demands of clients.  This allows for optimizing both fit and function for a client through the selection of an appropriate model of wheelchair.  How we choose between models of wheelchairs goes back to the assessment and then matching the goals of seating and mobility with the choices that are available.  

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Falls Prevention: Part Two

2019-01-31

Just as there are many factors that contribute to the risk for falls, there are many interventions to address the risks.  A multi-disciplinary, multi-factorial approach is important to take for older adults who are identified at high risk for falls. 

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