Page 16 - Mobility Management, May 2019

ATP Series
Stability at the Core
Given the highly individualized nature of complex rehab seating and mobility, there are few statements that can be applied across the board. But here’s one:
Core stability is a key factor that critically contributes to a wheel- chair user’s functional abilities.
In fact, so much of a user’s general health and functioning
is impacted by stability of the midsection — its strength, its balance, its durability. So what can be done to optimize core stability, and what can be done to improve it when it’s lacking?
Stability’s Impact on Daily Activities
How does core stability relate to a wheelchair user’s activities of daily living (ADLs)?
“This is a big question,” said Kathleen Simpson, MS, Bodypoint’s Director of M2M Sales. “An entire article can be devoted to answering it. With a focus on postural supports, I
16 MAY2019|MOBILITYMANAGEMENT
MobilityMgmt.com
Why Stabilizing the Midsection Can Improve Mobility & Function
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would answer as follows: If the wheelchair user does not have core stability, then the user’s function will be limited perhaps in key ways when performing ADLs. Proximal stability provides distal mobility and function, so during the seating evaluation performed by a trained professional, seating needs, function and limitations should be identified and solutions found to meet those needs. If the right chair, the right seat, and the right back have been provided and the wheelchair user still does not have core stability, then additional postural supports should be considered.”
“The core affects everything,” said Jean Sayre, MSOT, ATP, CEAC, VP of Research & Clinical Development for Quantum Rehab. “I think about everyday sitting and normal sitting behavior: If you don’t have a lot of core strength, sitting in your chair and reaching forward to grab a drink could make you fall over. You don’t have that function.”
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