TEMPLATE 2hr Postural Care for Adults and Aged Care
A person’s lying posture can have a distorting effect on their body shape and structure. This is particularly relevant to people with mobility impairment. Their reduced ability to effectively change position when lying in bed appears to be directly related to the development of destructive changes in body shape and has an impact on health, function and quality of life. It appears that the interrelationship between position/posture, mobility and gravity determine body shape. The destructive position adopted in unsupported lying is always reflected in the seating position. Participants will become aware that protection of body shape is most effective when done in lying and sitting (standing if possible) over a 24-hour period. Postural care is always gentle and respectful and family/ person led to be successful. Postural care adheres firmly to the principle of ‘Primum non nocere’, first do no harm. This means that effective postural care might not be possible for all but should be explored for people considered at risk of, or already have established body shape distortions. It is recognised that more research is required in this area (2,3).
Upon completion of the session, participants will be able to:
- Identify body shape distortions in lying and their relation to gravity
- Identify body shape distortions in sitting in relation to the lying position and gravity
- Understand the basic biomechanics of body shape distortion
- Understand that the way people with movement problems lie in bed is reflected in the way they sit
- Understand the importance of the concept of de-rotation for people with movement problem in lying and sitting
- Understand how supported lying goes hand in hand with supported seating
- Understand the principles and the relationship of body shape protection in lying and sitting
About the presenter: Bas is a physiotherapist with a special interest in 24-hour postural care. Bas has more than 20 years’ experience providing postural care including complex seating for people with severe mobility impairments, both adults and children. He is a strong advocate for family centred practice and building the capacity of the first circle of support in the area of postural care (paid and unpaid carers). Bas regularly provides postural care courses for families, carers and therapists through Postural care Australia (https://www.posturalcareaustralia.com/) and provides Consultancy Services for NDIS clients through Ace Therapy Service (https://acetherapy.com.au/). Bas teaches therapists how to measure body shape objectively with the Goldsmith Indices of Body Symmetry (GIoBS) and regularly runs seating workshops for therapists. In this current role, he also has been given the opportunity to facilitate two research projects with Edith Cowan University (ECU) and another with Curtin University/Telethon kids Institute in the areas of seating and lying.
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To find out more about Verve OT and the training services we offer, head to https://verveot.com.au/ot-training/