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Seating & postural management

Posture is important to our level of function so whether sitting to let our bodies relax, wheelchair users who spend long periods of time on the move, or individuals who are nursed in bed; it is crucial to be well supported in sitting and lying to achieve maximum function and independence. Our team of expert seating occupational therapists can assess and advice on the most suitable chairs, wheelchairs and postural management programmes.

What is seating & postural management?

Seating & postural management describes the way in which our bodies are positioned and managed both when we are awake and asleep. There are numerous benefits to correct positioning in seating or lying including: effective digestion, respiratory function, comfort and pressure relief. For some, advice on correct postural management may involve sourcing the correct chair for use in the daytime, for others with more complex needs, it may require a full review of their 24 hour support including optimum night time positioning.

Our approach

We aim to provide practical, cost effective and timely seating & postural advice to clients in their own homes or other settings to maximise comfort and independence.

Our collaborative approach ensures that we find the most suitable solution for the client based on their clinical needs, environmental considerations and goals for their seating or positioning. We will conduct a thorough assessment after which we can advise on the next steps, which maybe for example, trials of equipment for more complex needs or the recommendation of the most suitable product for purchase.

Why use The OT Practice to provide seating & postural management services?

  • We provide advice from the moment you first call us. Our seating & postural management enquiries are answered by a member of our client management team who will be able to provide relevant information about our service, answer any questions you may have and provide guidance on next steps.
  • Using us allows rapid access to expert occupational therapy seating & postural management advice avoiding long NHS or Social Service waiting lists.
  • We have a nationwide team of expert seating & postural management occupational therapists and will select the best therapist based on location and clinical need.
  • Our packages of care are provided into clients' own homes meaning that advice is realistic based on the environment and resources available.
  • We have established relationships with experienced seating companies to provide support with wheelchair, chair or other equipment trials or purchase.
  • We provide an all inclusive cost to ensure that our services are fully transparent from the start.

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Packages of care

Assessment & advice

An initial assessment is carried out in the client's own home to review the goals, physical abilities and diagnosis.

During the assessment we will take measurements and examine their home environment, including checking for space available for seating or postural management solutions.

If we are looking at specialist wheelchairs we will also look at vehicles, access and any other moving & handling solutions to ensure a holistic approach.

Equipment trials & quotes

We aim to provide seating and postural management solutions that are practical, comfortable and supportive.

For larger and more costly pieces of equipment, such as some specialist chairs for example, the OT may recommend that these are trialled to ensure they are definitely the best solution.

If a bespoke item needs to be made an equipment trial will allow for accurate measuring and to gain the specialist advice from the relevant company representatives.

In these situations our occupational therapist will make recommendations on the most suitable course of action. Where a bespoke items need to be made they will always advise they (or an alternative suitability trained clinician) be present to ensure that the correct specifications are taken and quoted for to avoid costly mistakes.

Wheelchair reviews

When specialist wheelchairs are provided it is advisable to have periodic reviews to ensure the chair remains correctly fitted.

We all change size and shape over time, a seating review ensures that the chair remains correctly adjusted to maximise comfort and and support.

Sam

Northamptonshire, East Midlands

Based in Northamptonshire, Sam is an OT with over 20 years of experience, specialising in rehabilitation and Housing & Equipment.

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Profession

Occupational Therapy

Regions covered

, Bedfordshire, Leicestershire, Northamptonshire, Rutland, Warwickshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

Fatigue management, Daily living skills, Balance, Self care, Postural management

Cath

Somerset, West and South West of England

Based in Somerset, Cath is a highly skilled Paediatric OT working with children in their own homes and schools.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Devon, Dorset, Somerset, Wiltshire

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Postural management

Lydia

Leeds, West Yorkshire

Lydia, an Occupational Therapist based in Yorkshire, specialises in a comprehensive array of areas.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire , Leeds, Manchester, Wakefield

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Self care, Social integration, Postural management, Dysphagia management, Splinting, Anxiety management & relaxation, Mental Health, TBI

Leah

Northamptonshire, East Midlands

Leah has a wealth of experience across different areas of speciality including elderly care, rehabilitation, equipment provision and neurology.

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Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Buckinghamshire, Northamptonshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, TBI

Kate Louise

Newcastle upon Tyne, Tyne and Wear

Katie is located in Newcastle and provides expert assessments and treatment plans to clients across the North of England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Cleveland, Cumbria, Durham, Northumberland, Tyne and Wear

Specialisms

Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Moving and Handling, Neurological rehabilitation

Specialist skills

DFG Assessments, Postural management, TBI

Roberta

Northamptonshire, East Midlands

Roberta is an experienced OT based in Northampton, offering specialist Housing & Equipment, Seating, and Moving & Handling recommendations.

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Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Oxfordshire, Rutland, Warwickshire, Birmingham, Coventry, Leicester

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural management

Maddie

Southampton, Hampshire

Maddie, an Occupational Therapist with over 13 years of experience, specialises in housing and equipment, seating and postural management, moving.

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Profession

Occupational Therapy

Regions covered

South of England, South East of England, Berkshire, Dorset, Hampshire, Oxfordshire, West Sussex

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Behaviour management, Balance, Co-ordination, Planning & execution, Self care, Social integration, Learning disability, Mental Health

Lynne

Middlesbrough, Durham

Lynn, an Occupational Therapist, specialises in seating and postural management and works in the North of England.

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Profession

Occupational Therapy

Regions covered

North East England, Durham, North Yorkshire, Tyne and Wear, Sunderland, Newcastle upon Tyne, Middlesbrough

Specialisms

Seating and Postural management

Further qualifications

AMPS, CBT, Train the trainer

Specialist skills

Daily living skills, Community access, Postural management, Learning disability, Mental Health

Marta

Surrey, South East of England

Based in Surrey, Marta is a highly skilled OT who specialises in Neurological Rehabilitation and supports clients across the South-East.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Hampshire, Surrey

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Community access, Fine motor skills, Co-ordination, Self care, Postural management

Rose

Bedfordshire

Rose conducts assessments with clients, providing intervention to improve their safety and independence within their home environment.

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Profession

Occupational Therapy

Regions covered

East Anglia, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

BIA

Specialist skills

DFG Assessments

Mary Kate

Londonderry, Northern Ireland

Mary Kate is an OT in Northern Ireland, specialising in Seating & Postural Management and delivering expert wheelchair assessments.

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Profession

Occupational Therapy

Regions covered

Northern Ireland, Antrim, Armagh, Down, Londonderry, Tyrone, Belfast

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation

Anna

Stoke-on-Trent, Staffordshire

Anna, a dedicated Occupational Therapist based in the Midlands, serves Cheshire, Derbyshire, Staffordshire, and Stoke-on-Trent and has multiple specialisms.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Cheshire, Derbyshire, Staffordshire, West Midlands, Stoke-on-Trent

Specialisms

Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

BOBATH

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Splinting, TBI

Jessica

Nottingham, Nottinghamshire

Jessica is a highly skilled Occupational Therapist who works with adults across the East Midlands area.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Nottinghamshire, West Midlands, Birmingham, Coventry, Nottingham, Leicester, Stoke-on-Trent, Derby

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation, TBI

Debra

Middlesex, London

Based in London, Debra is an experienced OT specialising in Housing & Equipment and Moving & Handling.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, Bedfordshire, Buckinghamshire, Hertfordshire, Middlesex

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Self care

Lorraine

Newcastle upon Tyne, Northumberland

Based in Northumberland, Lorraine is an expert Paediatric OT supporting children of all ages with physical and sensory needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cleveland, Durham, Northumberland, Tyne and Wear, Borders

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

Sensory Integration, AMPS, Chailey Postural Management

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, DMO (Lycra) Splinting, School Based Therapy/Support, Learning disability

Sharon

London - South, South East of England

With over 30 years’ experience, Sharon is an expert OT specialising in Housing & Equipment and Seating & Postural Management.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural management

Laura

Kent, South East of England

OT Laura works in Southeast England (Kent) specialising in Seating and Postural Management, Functional/Neurological Rehabilitation, and Moving & Handling.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Kent

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Daily living skills, Visual perception, Planning & execution

Vicky

Northamptonshire, East Midlands

Based in Kettering, Vicky is an OT delivering specialist Seating and Postural Management assessments across the Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Derbyshire, Hertfordshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, West Midlands, London - North, Birmingham, Coventry, Leicester, Derby

Specialisms

Seating and Postural management

Further qualifications

Chailey Postural Management

Specialist skills

Postural management, School Based Therapy/Support, Learning disability

Miriam

Middlesex, London

Located in Edgeware, Miriam is an expert OT who supports adults of all ages with rehabilitation and housing needs.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Essex, Hertfordshire, Middlesex, London - Central, London - North, London - East, London - West

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Balance, Co-ordination, Self care, Postural management

Hannah

Norfolk, East Anglia

Occupational Therapist Hannah specializes in housing and equipment, seating and postural management, functional rehabilitation, moving and handling, and neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Norfolk, Suffolk

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Self care, Postural management

Julie

London - West, Surrey

Julie's expertise encompasses a wide range of areas within Occupational Therapy throughout the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England

Specialisms

Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Planning & execution, TBI

Sarah

Bedfordshire, East Anglia

Sarah is an experienced Occupational Therapist based in Bedfordshire and the surrounding areas.

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Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

DFG Assessments

Felice

Buckinghamshire, South East of England

Based in Milton Keynes, Felice supports clients with rehabilitation and home adaptations following an injury or diagnosis.

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Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, Buckinghamshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, London - Central, London - North

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Self care

Lindsey

Ceredigion, Wales

Working across South Wales, Lindsey is an expert Occupational Therapist providing holistic assessments and treatment plans for her clients.

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Profession

Occupational Therapy

Regions covered

Wales, Carmarthenshire, Ceredigion, Pembrokeshire, Powys

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Daily living skills, Self care, Anxiety management & relaxation

Daniela

Coventry, Warwickshire

Covering West Midlands, East Midlands and Northamptonshire, Daniela specialises in rehabilitation and Moving & Handling, helping patients regain independence.

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Profession

Occupational Therapy

Regions covered

East Midlands, Warwickshire, West Midlands, Birmingham, Coventry, Leicester

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

Fatigue management, Daily living skills, Self care

Siobhain

London - South, Surrey

Siobhain is a dedicated Occupational Therapist specialising in housing & equipment, functional rehabilitation, seating, and activities of daily living.

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Profession

Occupational Therapy

Regions covered

London, South of England, Surrey

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Self care, Postural management

Georgia

London

OT Georgia has experience in vocational and functional rehabilitation, as well as expertise in seating and postural management.

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Profession

Occupational Therapy

Regions covered

London, Kent

Specialisms

Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural management, Wheelchair accreditation, Anxiety management & relaxation

Jared

Nottingham, Nottinghamshire

Jared, an OT with expertise in housing and equipment, seating and postural management, functional rehabilitation, and moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Motivational issues, Daily living skills, Gross motor skills, Fine motor skills, Self care, Postural management, Learning disability

Anna

Londonderry, Northern Ireland

Based in Northern Ireland, Anna specialises in Neurological Rehabilitation, Housing & Equipment, and Seating & Postural Management.

View profile

Profession

Occupational Therapy

Regions covered

Northern Ireland, Antrim, Down, Londonderry, Tyrone, Belfast

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

TBI

Helen

Staffordshire, West Midlands

Helen is an experienced OT specialising in Neurological Rehabilitation and covers the London, Buckinghamshire and Hertfordshire areas.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Staffordshire, West Midlands, Birmingham, Stoke-on-Trent

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Splinting, Wheelchair accreditation, TBI

Rachelle

Hampshire, South East of England

Rachelle is a highly skilled Occupational Therapist specialising in housing, seating, functional and neurological rehabilitation, and moving & handling.

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Profession

Occupational Therapy

Regions covered

South East of England, Hampshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Routine planning, Daily living skills, Community access, Postural management

Catherine

Birmingham, West Midlands

Based in Solihull, Catherine is an OT with over 15 years’ experience and particular expertise in Trauma and Orthopaedics.

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Profession

Occupational Therapy

Regions covered

West Midlands, Warwickshire, West Midlands

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, Daily living skills, Self care

Laura

Oxfordshire, South East of England

Trained in advanced postural management and rehabilitation techniques, Laura provides expert Occupational Therapy to clients at home.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, South of England, South East of England, Berkshire, Buckinghamshire, Gloucestershire, Hampshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, Surrey, Warwickshire

Specialisms

Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Planning & execution, Self care, TBI

Louisa

Plymouth, Devon

Louisa is an Occupational Therapist specializing in housing and equipment, seating and postural management, functional rehabilitation, and moving and handling.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Devon

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Anna

Bristol, Avon

Anna, a skilled Occupational Therapist based in Bristol, is devoted to enhancing lives throughout the West and Southwest of England.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Somerset, Wiltshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Flory

London - South, Kent

Flory is an accomplished Occupational Therapist based in London with a wealth of experience across various specialized areas.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Fine motor skills, Handwriting assessment & treatment, Visual perception, Planning & execution, Self care

Claire

Newport, Wales

OT Claire delivers Seating & Postural Management, Functional Rehabilitation, and Moving & Handling services in Wales (Cardiff, Monmouthshire) and Bristol.

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Profession

Occupational Therapy

Regions covered

Wales, Bristol, Gloucestershire, Herefordshire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Monmouthshire, Newport, Torfaen, Cardiff

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Self care, Postural management

Elizabeth

London - Central, London

Elizabeth is a passionate and dedicated Occupational Therapist who has specialised in supporting paediatric clients in London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural management

Adrienne

London - North, Hertfordshire

Adrienne is a dedicated Occupational Therapist based in London specializing in seating and postural management, functional and neurological rehabilitation

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - North, London - West

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Chike

London - East, Essex

Chike, an OT residing in Essex in the South East of England, specializes in housing and equipment, and seating.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Essex, London - South, London - East, London - West

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

Therapeutic listening

Specialist skills

Postural management

Sarah

Somerset, West and South West of England

Based in Somerset, Sarah is an OT with expertise in Housing & Equipment assessments and interventions.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Devon, Somerset

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills, Community access, Gross motor skills, Self care, Postural management

Jessica

Newcastle upon Tyne, Northumberland

Jess supports children and adults with functional rehabilitation, equipment adaptations, moving and handling, and complex paediatrics clients.

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Profession

Occupational Therapy

Regions covered

North East England

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Motivational interviewing, Pain management

Lisa

Derby, Derbyshire

Based in Derbyshire, Lisa works across the North of England supporting adults and children with Housing & Equipment needs.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, East Anglia, London, South of England, South East of England, Scotland, Northern Ireland, Ireland, Wales, Derbyshire

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Jenni

Devon, West and South West of England

Jenni is a specialist OT in Neurological Rehabilitation with over 15 years’ experience, visiting clients across Devon and Somerset.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Devon, Somerset

Specialisms

Vocational Rehabilitation, Seating and Postural management, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Fine motor skills, Planning & execution, Social integration, Anxiety management & relaxation, TBI

Michaela

Liverpool, Merseyside

Michaela specializes in seating and postural management, and functional and neurological rehabilitation across inpatient and community settings.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Merseyside, Flintshire, Isle of Anglesey, Wrexham

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Planning & execution, Self care, Postural management, Wheelchair accreditation, Anxiety management & relaxation, TBI

Helen

Hertfordshire, East Anglia

Based in St Albans, Helen is a Paediatric OT working with children across North London, Bedfordshire, Buckinghamshire, and Essex.

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Profession

Occupational Therapy

Regions covered

London, South of England, Hertfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care

Clare

Hertfordshire, South East of England

South Est based Occupational Therapist Claire specializes in seating and postural management, functional rehabilitation, and moving and handling.

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Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Middlesex

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Daily living skills, Community access, Gross motor skills, Fine motor skills, Splinting

Sarah

Swindon, Wiltshire

Based in Swindon, Sarah is a Paediatric OT visiting children in a home or school setting across the South-West.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Berkshire, Bristol, Oxfordshire, Wiltshire, Swindon

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, School Based Therapy/Support, Makaton, Learning disability

Sarah

Devon, West and South West of England

Specialising in neuro-rehabilitation, Sarah is an OT based in Devon, working with clients following neurological trauma or diagnosis.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon, Plymouth

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Daily living skills, Behaviour management, Postural management

Kirsty

Cheshire, North West England

Based in Chester, Kirsty is an experienced OT specialising in Housing & Equipment and Moving & Handling interventions.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Shropshire, South Yorkshire, Staffordshire, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Powys, Wrexham, Liverpool, Manchester, Hull, Stoke-on-Trent, Salford

Specialisms

Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Daily living skills, Community access, Self care, Social integration

Aisling

Antrim, Northern Ireland

Aisling is an Occupational Therapist specialising in Seating and Postural Management, Functional and Neurological Rehabilitation, and Moving and Handling.

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Profession

Occupational Therapy

Regions covered

Northern Ireland, Antrim, Armagh, Down, Fermanagh, Londonderry, Tyrone, Belfast

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Splinting, Anxiety management & relaxation, TBI

Leroy

Kent, South East of England

Specializing in housing and equipment, seating and postural management, and moving and handling, Leroy is a dedicated Occupational Therapist.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, London - Central, London - North, London - South, London - East, London - West

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Gross motor skills, Self care

Angela

Kent, South East of England

Based in Kent, Angela is a specialist OT in Housing and Equipment assessments and interventions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

BIA

Specialist skills

DFG Assessments

Otibho

London - North, London

Otibho is an OT experienced in Seating, Moving & Handling and Functional Rehabilitation working in West Berkshire, Surrey and Hampshire.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care, Social integration, Wheelchair accreditation

Tracy

Leeds, West Yorkshire

Specialising in Neurological Rehabilitation, Tracy is an expert OT working across Yorkshire and Lincolnshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Emma

London - Central, Middlesex

Functional Rehabilitation Occupational Therapist Emma specialises in fatigue and pain management and daily living skills

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - Central, London - North, London - South, London - East, London - West

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Community access, Self care

Vimbai

Bedfordshire, South East of England

Vimbai is a Paediatric OT based in Bedford, providing expert therapy for children across London and the South East.

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Profession

Occupational Therapy

Regions covered

London, South East of England

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Stephanie

Nottinghamshire, East Midlands

Stephanie, an accomplished Occupational Therapist residing in Nottinghamshire, serving regions across the north of England and the midlands.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, East Anglia, London, Wales

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

Pain management, Sensory integration, Gross motor skills, Fine motor skills, Social integration, Learning disability

Clare

Wiltshire, South East of England

Specialising in Housing & Equipment, Clare is an OT based in Buckinghamshire delivering assessments for clients across the South East.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South East of England , Swindon

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

BIA, Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access, Self care, Postural management

Laura

London - Central, Buckinghamshire

Lauren, an Occupational Therapist, specialises in housing and equipment, seating and postural management, and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Bedfordshire, Buckinghamshire, Oxfordshire, Bridgend, Carmarthenshire, The Vale of Glamorgan, London - Central

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Fatigue management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, Splinting

Services for businesses, organisations and the public sector

Case managers

Assessment, advice, equipment solutions and reviews on the seating and 24 hour postural needs of clients.

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Care homes

Individual or group seating & positioning assessments and equipment solutions for residents.

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Charities

Seating assessments and solutions for charities following grant funding requests.

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Some commonly asked questions about our seating & postural management service

Questions about seating difficulties our OT's help with

What do I need to consider when purchasing a light weight wheelchair to allow me to take my mother / father out at the weekends?

This is certainly something that an experienced occupational therapist can help you with. Our OT would assess your mother / father to ensure the chair that you purchased was the most appropriate for their needs. As part of the assessment we would look at the following:

  • Your mother / father’s measurements to ensure any chair recommended is the correct specification and size.
  • Establishing what terrain you are looking to use the chair on i.e. gravel, tarmac, grass.
  • The size of your car boot and your ability to lift the chair in and out of the car.
  • Any medical conditions your mother / father may have that may influence the chair specification.
  • Whether you are looking for your mother / father to propel themselves in the chair or if you would like to push them.
  • Where the chair will be stored when not in use.

Generally we can recommend the type of chair required following the assessment and if so we would provide you with the recommended make, model and some suppliers to choose from. If your mother / father had more complex needs they may benefit from trialing a few different chairs to ensure you purchase the most appropriate one. In this situation, we would be able to arrange these trials for you and attend if you wished.

What do I need to consider when choosing a comfy chair for my mother/father?

There are many options for comfy seating in the home. Older people tend to spend long periods of their day seated and so it is important that the chair is supportive and comfortable.

Chairs can do so much more than just be sat in these days, you can have electric elevating foot rests, those that would elevate your mother / father into standing or ones that recline for example. In order make the correct seating choice you need to consider the following:

  • The medical needs of your mother / father.
  • Your mother / father’s level of mobility and ability to stand up / sit down safely.
  • The most suitable height of the chair to ensure that your mother / father is well supported and positioned correctly.
  • The fabric choice, if there are issues over pressure care or continence then consider the most suitable fabric for their needs.
  • If you choose an electric function to the chair then ensure you have considered the location of the chair within your mother / father’s home and access to electricity.
  • Your mother / father’s hand function and if they will be able to operate any controls required.
  • If there are electric elements to the chair who will service this and fix it should something go wrong?

Our team of occupational therapists are able to provide seating assessments at your mother / father’s home and advise on the most suitable chair for their needs.

How do you stop someone slumping in a chair?

There are different ways to do this depending on a client’s needs and their medical conditions. Any recommendations made or advice given must give consideration to this.

Our expert occupational therapist would complete a full seating assessment to enable them to recommend techniques and strategies to improve a client’s seating position. These can include exercises to improve core support to enable good posture or various supportive seating aids should the client be unable to support themselves.

Our experts would also consider the seat the client is sitting on. Is this supportive of them? Does this promote good posture? These are just some of the questions our experienced therapists will ask. If the chair is unsuitable our therapist will seek to recommended an alternative that will meet with clinical need, client wishes and budgets.

My mother/father is incontinent, what sort of chair should I get him/her?

There are many different styles, shapes and sizes of chairs on the market and it can be difficult to select the most suitable chair that will meet your mother / father’s clinical needs.

Our expert occupational therapist will fully explore your mother / father’s needs and preferences and advise on the most suitable chair for their needs. There are several options when continence is an issue and The OT Practice work with specialist providers of seating solutions for this client group.

My mother/father can’t get in and out of his/her chair, how can an occupational therapist help?

An occupational therapist would explore with your mother / father the reason he finds it difficult to get in and out of his chair. Depending on the reasons behind the difficulties i.e. reduced mobility, reduced lower limb strength or increased pain/discomfort for example, the OT would be able to offer a number of differing techniques and advice with aim of reducing these difficulties.

Some advice might include:

  • Teaching some alternative techniques for getting into and out of a chair safely.
  • Raising or lowering the height of his current chair.
  • Sourcing an alternative chair that best meets his needs.

How can you avoid pressure sores with chairs and beds?

There are many ways in which you can avoid pressure sores with chairs and beds. Any specific recommendations or techniques offered will vary from person to person and would be made in response to that individuals clinical needs at that time. An experienced seating occupational therapist could potentially advise:

  • Regularly altering positioning within the chair or bed.
  • Periods of turning for someone who is being cared for in bed.
  • Specialist pressure relieving fabrics or mattresses.
  • Nutrition and hydration advice.
  • Effective continence management.

Questions about conditions that impact on seating and how our OT's help

What are the seating considerations for an amputee and how can an occupational therapist help?

The nature of the amputation and the style of seating required will determine the individual seating considerations for each client.

Our expert occupational therapists would explore the client’s current medical needs, the seating environment and the style of seating required in order to provide advice on the most appropriate seating solutions.

An OT would ensure the following areas were covered in the assessment to inform their recommendation:

  • The type of seating required for example: wheelchair, hard back chairs or sofa style.
  • Balance and ability to weight bare.
  • Transfer ability.
  • Pressure relief
  • The environment in which the chair will be used for example, is the chair required to be portable? Is there sufficient space for the chair?

Find out more about amputations and how our OT’s can help.

What do you need to consider when choosing a wheelchair for someone with Dementia?

There are many considerations when choosing a wheelchair for a client with dementia, including:

  • The purpose of the chair for example, is it for occasional use at the weekends or for every day use in and out of the home.
  • The medical needs of the client.
  • Any pressure or continence consideration.
  • Will the chair be pushed by a carer or does the client wish to propel themselves?
  • Would an electric chair be more appropriate?
  • Is the chair to be transported in a vehicle?
  • What is the current mobility level of the client? Are they going to be able to transfer independently into and out of the chair or will they require physical or mechanical assistance i.e. a hoist?
  • Are there considerations around anxiety or fearfulness that the chair may trigger for example the noise of an electric chair?
  • Has the client the cognitive ability to move their own chair or will this increase risks?

An experienced occupational therapists can complete a full seating assessment, taking into consideration all of the above and many more points. They will then be able to advise ob the most suitable next steps.

Find out more about dementia and how our OT’s can help.

What do you need to consider when choosing a wheelchair for someone with a progressive neurological condition such as Motor Neurone or Huntington’s disease?

When a client has a progressive neurological condition it is important that their access to the community and / or work place is not restricted due to a lack of mobility. A wheelchair can provide a valuable link to retaining independence and quality of life.

As the seating needs of client’s with progressive neurological conditions can be complex and altering over time, it is advised that an occupational therapist with experiencing in seating is involved in the assessment and selection of the wheelchair.

Find out more about motor neurone disease and how our OT’s can help.

How to choose a comfy chair for someone with Parkinson’s disease?

There are many options for comfy seating in the home. Client's with parkinson's disease have the potential to have complex and altering seating needs. In light of this it is advised that an occupational therapist who is an expert in seating is involved in the assessment and purchase of a comfy chair.

Correct positioing is important for many reasons including:

  • Pressure care
  • Digestion
  • Respiratory function
  • Communication
  • Muscle tone
  • Joint stability
  • Upper limb function

Our team of occupational therapists are able to provide bespoke seating assessments and recommendations to ensure the chair purchased will meet a client's immediate and long term needs.

Find out more about parkinson's and how our OT’s can help.

How can an occupational therapist help with long term seating solutions for people with multiple sclerosis?

When purchasing seating solutions for a client with multiple sclerosis, it is important that consideration is given to the short and long term requirements. As multiple sclerosis will affect the client differently over time, the chair needs to meet their needs both now and in the future. Therefore, where possible, seating needs to be easily adjustable and adaptable for example, a chair that can adapt as the condition progresses by adding accessories or altering fittings.

As the seating needs of client’s with multiple sclerosis can be complex, it is advised that an experienced occupational therapist is involved in the assessment for and recommendation of seating solutions.

Find out more about multiple sclerosis and how our OT’s can help.

What wheelchair options are available for a person with a high level spinal injury and how can an occupational therapist help?

Specialist seating following a spinal injury is vital to the rehabilitation journey and independence of the client. There are multiple options available depending on the nature of the injury and the ability of the client.

Whether the chair be electric or manual, self or attendant propelled, joystick or eye gaze operated and so on, the options are varied and complex and getting them right imperative.

It is advised that an occupational therapist with experience in seating is involved in the assessment and selection of a wheelchair for a client with a spinal injury.

Find out more about spinal injury and how our OT’s can help.

How can I get advice on which wheelchair and comfy chair to buy following a stroke?

Correct seating following a stroke is important to facilitate the maximum level of rehabilitation success possible.

The results of a stroke will vary from one individual to another and can vary in complexity. Some people may only have very mild effects and their seating and postural needs may not alter. Other people may require a full 24 hour seating and postural management review to include; bed, wheelchair and day seating.

Find out more about strokes and how our OT’s can help.

Questions about seeking private occupational therapy for seating

What does a seating assessment consist of?

Achieving a good seating position relies on a number of key inter-related factors including the correct seat height, arm rest height, lumbar support, seat depth and angle as well as seat width.

Each person will have differing seating positions therefore to recommend the most suitable chair a seating assessment would be required. This consists of a full exploration of the above key factors.

Within this assessment, an expert occupational therapist would review:

  • The abilty to transfer on/off a chair.
  • Height and weight.
  • They would take accurate measurements of the spine, forearms, hips, thighs and measure from the knees to the floor.

This information will enable them to offer bespoke recommendations in relation to the most suitable chair for a client's needs.

What is an equipment trial?

An equipment trial is a period of time in which a client would be able to try out a piece of equipment to check for suitabilty prior to deciding whether to purchase it.

The length and duration of this period will vary in terms of the supplier and the equipment being trialled.

This is a good way of ensuring that the equipment recommended will meet a client's needs as well as fit within their lifestyle.

What happens if the chair requires adjusting on delivery?

Most suppliers of specialist chairs will require a full seating assessment prior to order. These assessments are usually completed by trained professionals or occupational therapists and ensure that the chair is made specifically to you.

On delivery the supplier would normally have you trial the chair and if it requires adjusting they would do this there and then to ensure that you are comfortable and that the chair will meet you needs immediately.

What do you mean by 'static seating'?

Static seating referrs to seating solutions that do not move and remain in the same position such as an arm chair.

What do you mean by 'dynamic seating'?

This is the opposite of static seating and refers to a seating solution that moves such as a wheelchair.

What do you mean by 'tilt in space'?

A tilt in space feature is where the whole wheelchair tilts, whilst maintaining the posture achieved in the wheelchair. Tilt in space can be a useful feature to counteract the effects of gravity, reduce fatigue, improve respiratory function and vision

How often should chairs be reviewed?

This is dependent on the type, style and purpose of the chair and the clinical needs of its user.

It is recommended that chairs be reviewed following any clinical changes to ensure that the chair continues to meet the required needs.