The University of Kansas Medical Center's Experience with Seating Systems

PAUL TRAUTMAN, CPO*Kansas City, Kansas

Non-ambulatory patients (sitters), particularly those with orthopedic deformities need more than a simple wheelchair. They require a special seating system. Since the early 1970s various systems have been introduced. The seating clinic concept is accepted in many centers in North America and around the world. Our experience in the Seating Clinic at The University of Kansas Medical Center is presented, with the process of its operation. Most of our patients are children.

Seating systems prescribed include the Mulholland Seating System and the, molded plastic inserts. The experience with the orthopedic body support (foam on plywood), the spinal support system, the molded-seat total-contact shell (sitting support orthosis), the DESEMO Support System and suspension seats is presented. Most patients have cerebral palsy, Duchenne muscular dystrophy, spinal cord injury, spina bifida and multiple orthopedic deformities. Classification of clinical indications for seating as well as seating prescription according to degree of clinical involvement are discussed.

*Orthotics Department, The University of Kansas Medical Center, Room 6056, 39th & Rainbow Boulevard, Kansas City, KS 66103