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Seating and Postural Management


What is Postural Care ?

Postural care (or postural management) is a relatively new science developed over the past 30 years. It is a holistic approach that focuses on 24-hour, 365-days-a-year physical management of a patient's condition. 

(Snell, J , 2012 , Learning Curve, The Chartered Society of Physiotherapy,, 18:6)


It is vital to be well supported in sitting and lying to achieve maximum body function.

Posture is vital to our quality of life and greatly impacts our ability to carry out day to day functions.

Postural Care has three strands:

* Physiotheray Assessment and treatment

* Complex needs

* Health promotion

The Mansfield checklist

The Mansfield checklist (developed by is a quick assessment tool the anyone can use. If the answer to any of the questions is 'yes' the the child may well benefit from postural care

* Does their body stay in a limited number of positions?

* Do their knees seem to be drawn to one side, inwards or outwards?

* Are their arms and hands in a position in which they could function normally?

* Does their head seem to turn mainly to one side - right or left?

* Does the body tend to extend backwards ? Flex forwards ? To the right or to the left?

* Is the body shape already asymmetric?





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