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Assistive Technology Device Placement on a Wheelchair

Michelle Lange, OTR/L, ATP/SMS

August 1, 2023

Question

Where do we place the device in relation to the client and what are the important considerations when determining device placement in relation to the client?  

Answer

We need to determine approximately where it needs to be positioned so that we can choose the right mount. Once the mount is placed on the chair, there's an adjustment to the mount so we can adjust it from there and finesse the final position. But for now, we need to know approximately where it needs to be for optimal visual regard and optimal access.

There are a few more things we need to keep in mind. Ideally, we want to place the device within the boundaries of the wheelchair footprint itself because we don't want this very expensive, fragile device to get bumped while going through a doorway, for example.  

We also ideally do not want the device right in front of the client's face. We don't want to block the client's view of their communication partner, what's happening in front of them,, which could be a classroom, and where they are self-propelling a manual chair or driving a power chair. That means sometimes we have to compromise sometimes a little between optimal placement for vision and access, but also not completely blocking someone's visual field.

This Ask the Expert is an edited excerpt from the course, Mounting Assistive Technology to Wheelchairs, by Michelle Lange, OTR/L, ABDA, ATP/SMS


michelle lange

Michelle Lange, OTR/L, ATP/SMS

Michelle Lange is an occupational therapist with over 38 years of experience and has been in private practice, Access to Independence, for over 19 years, where she currently focuses on education and consultation. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. She is the co-editor of Seating and Wheeled Mobility: a clinical resource guide (1st & 2nd eds). Michelle is a RESNA Fellow and a RESNA-certified ATP and SMS. She is also a member of the Clinician Task Force. 


Related Courses

Dynamic Seating
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar

Presenter

Michelle Lange, OTR, ABDA, ATP/SMS
Course: #3093Level: Intermediate1 Hour
  'It taught me about a lot of the options that are available here in the US and the pros and cons of the different items'   Read Reviews
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

Presenter

Michelle Lange, OTR, ABDA, ATP/SMS
Course: #3098Level: Intermediate2 Hours
  'Good info that covered a variety of topics'   Read Reviews
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

Presenter

Michelle Lange, OTR, ABDA, ATP/SMS
Course: #3157Level: Intermediate1 Hour
  'Easy to follow'   Read Reviews
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

Presenter

Michelle Lange, OTR, ABDA, ATP/SMS
Course: #3596Level: Advanced1 Hour
  'Knowledge imparted'   Read Reviews
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

Presenter

Michelle Lange, OTR, ABDA, ATP/SMS
Course: #3622Level: Advanced1 Hour
  'Clear explenanation of different types of power wheelchair configurations'   Read Reviews
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.