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The Importance of Early Mobility

The Importance of Early Mobility
Michelle Lange, OTR, ABDA, ATP/SMS
February 1, 2015

This text-based course is a transcript of the webinar, The Importance of Early Mobility, presented by Michelle L. Lange, OTR, ABDA, ATP/SMS.

Michelle Lange:  We will be focusing on the importance of providing early mobility for some of our youngest clients, the developmental implications of doing so, and the research that backs that up.  As we go through, we will be discussing some resources that summarize the very latest in the research that is available on this topic.  Some of this information is also a compilation of expert opinion.

Importance of Early Mobility

Early mobility is very important.  Typically, early mobility onset occurs at a very young age when children start rolling around the floor and then quickly followed by scooting and crawling.  Those typical developmental milestones are clearly linked to key developmental milestones in the area of cognition, vision, psychosocial development, etc.   Yet despite the fact that we know how important early mobility is to a typically developing child, power mobility is often not recommended for very young children who lack mobility.  The main reasons that this is not recommended are concerns for motor development, concerns the child will not understand the task or would do something unsafe, and concerns about funding.  No one will pay for this. 


michelle lange

Michelle Lange, OTR, ABDA, ATP/SMS

Michelle is an occupational therapist with 25 years of experience and former Clinical Director of The Assistive Technology Clinics of The Children’s Hospital of Denver. She is a well-respected lecturer, both nationally and internationally and has authored 7 book chapters and over 175 articles. She is the editor of Fundamentals in Assistive Technology, 4th ed. Michelle is on the teaching faculty of RESNA and the University of Pittsburgh. She is on the RERC on Wheeled Mobility Advisory Board. Michelle is a credentialed ATP, credentialed SMS and is a Senior Disability Analyst of the ABDA.



Related Courses

Dynamic Seating
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar
Course: #3093Level: Intermediate1 Hour
Dynamic seating has four primary functions – to allow movement, to diffuse force, to protect the client, and to protect the seating system and mounting hardware. This course will take a look at the product options, discuss clinical indicators and contra-indicators for dynamic components and present case studies to illustrate these points.

Positioning the Head
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar
Course: #3098Level: Intermediate2 Hours
This course will discuss various strategies to optimize head position. First, we will explore strategies beyond the head support, including specific positioning interventions and addressing visual issues. Second, we will explore posterior head supports in depth, matching specific features to client needs. Third, we will explore other options which may be required if posterior support alone is inadequate, including anterior head support.

Positioning the Pelvis
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar
Course: #3157Level: Intermediate1 Hour
The position of the pelvis very much determines the position of the trunk and lower extremities and so achieving and maintaining the optimal position is critical. This course will present common pelvic asymmetries with suggested strategies to address each challenge. Providing as neutral a pelvic position as possible improves overall posture, stability and function.

Wheelchair Positioning: Postural Care
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar
Course: #3596Level: Advanced1 Hour
The goals of wheelchair seating include managing posture and pressure as well as providing stability for function. Postural care addresses positioning outside of the wheelchair, particularly during sleep, and can be used to improve the quality and duration of sleep, promote health and maintain safety during sleep, as well as to minimize, prevent and even reverse orthopedic changes.

Wheelchair Mobility: Optimizing Driving in Power Wheelchairs
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar
Course: #3622Level: Advanced1 Hour
Power wheelchair evaluation determines appropriateness for power wheelchair use and then determines the optimal power wheelchair base, power seating, driving method and other needed components. Optimizing power wheelchair driving is critical to improve outcomes and includes choosing the best drive wheel configuration, utilizing tracking technologies, and programming.