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Serving the Seating & Mobility Professional September 2012 • Vol September 2012 • Vol. 11 No. 9 Serving the Seating & Mobility Professional mobilitymgmt.com Adults, Kids & Everything In Between Your unique needs are our priority NUTEC Seating is a highly customizable and adjustable seating system with unlimited options. From sizing and positioning to color and personalized embroidery, you can rely on our experts—like Klaus Birkholz—to make sure your patients’ needs are met. Order a discovery tmax in combination with an OBSS or NUTEC seating system and receive an additional 10% discount on the entire package. Please contact your Sales Representative at 800 328 4058 or visit www.OttobockUSMobility.com. www.OttoBockUSMobility.com contents september volume 11 • number 9 13 cover story 4FQUFNCFSt7PM/P Serving the Seating & Mobility Professional Fostering Compliance It’s human nature to at least occasionally resist doing even those things we know are good for us. Seating & mobility clients can have additional reasons not to fully comply with their clini- cians’ recommendations. Here are ways to understand their resistance and develop solutions. mobilitymgmt.com On the Cover Our OT/PT special 17 ALS & Cognition discusses angling for While amyotrophic lateral sclerosis is most commonly thought of as aff ecting mobility, new improved client compliance. research shows it can also impact clients’ cognitive functioning and emotions. Understanding Cover by Dudley Wakamatsu. the full range of eff ects can help providers and clinicians to work more successfully with this population. 6 Editor’s Note 22 Marketplace: Power Chairs 8 MMBeat 24 Clinically Speaking 21 CMS Update 25 Classifi eds/Ad Index What’s New Online: TheMobilityProject.com There’s new content all the time on TheMobilityProject. healthy, and the newest assistive technology that supports com, the consumer-targeted Web site from Mobility consumers in their homes, neighborhoods and communi- Management. New right now: Your guide to the London ties. In between stories, stay up to date on consumer news, 2012 Paralympic Games, plus tips for seniors to stay and see what our friends are saying on Facebook. Mobility Management (ISSN 1558-6731) is published monthly by 1105 Media, Inc., 9201 Oakdale Avenue, Ste. 101, Corporate Headquarters: Chatsworth, CA 91311. Periodicals postage paid at Chatsworth, CA 91311-9998, and at additional mailing offi ces. 1105 Media Complimentary subscriptions are sent to qualifying subscribers. Annual subscription rates payable in U.S. funds for 9201 Oakdale Ave. Ste 101 Chatsworth, CA 91311 non-qualifi ed subscribers are: U.S. $119.00, International $189.00. Subscription inquiries, back issue requests, www.1105media.com and address changes: Mail to: Mobility Management, 14901 Quorum Dr, Ste. 425, Dallas, TX 75254, email Media Kits: Direct your Media Kit requests to Lynda Brown, 972-687-6781 (phone), [email protected] or call (847)763-9688. POSTMASTER: Send address changes to Mobility Management, 14901 972-687-6769 (fax), [email protected] Quorum Dr, Ste. 425, Dallas, TX 75254. Canada Publications Mail Agreement No: 40612608. Return Undeliverable Canadian Addresses to Circulation Dept. or XPO Returns: P.O. Box 201, Richmond Hill, ON L4B 4R5, Canada. Reprints: For single article reprints (in minimum quantities of 250-500), e-prints, plaques and posters contact: PARS International © Copyright 2012 by 1105 Media, Inc. All rights reserved. Printed in the U.S.A. Reproductions in whole or part prohibited Phone: 212-221-9595 except by written permission. Mail requests to “Permissions Editor,” c/o Mobility Management, 14901 Quorum Dr, Ste. E-mail: [email protected] 425, Dallas, TX 75254 www.magreprints.com/QuickQuote.asp The information in this magazine has not undergone any formal testing by 1105 Media, Inc. and is distributed without any This publication’s subscriber list, as well as other lists from 1105 Media, Inc., is available for rental. For more information, warranty expressed or implied. Implementation or use of any information contained herein is the reader’s sole responsibility. please contact our list manager, Merit Direct. Phone: 914-368-1000; E-mail: [email protected]; Web: www. While the information has been reviewed for accuracy, there is no guarantee that the same or similar results may be achieved meritdirect.com/1105 in all environments. Technical inaccuracies may result from printing errors and/or new developments in the industry. mobility 4 september 2012 | management mobilitymgmt.com FREEDOM DESIGNS ™ SINCE 1981 editor’s note mobilitymgmt.com Th e Injustice of Mixed Volume 11, No. 9 SEPTEMBER 2012 Editor Laurie Watanabe Messages (949) 265-1573 Editorial Fax (949) 265-1528 hate mixed messages. In addition to their imprecision — the exact opposite of what I'm supposed Ito be striving for every day at my day job — mixed messages are cowardly. Art Director Dudley Wakamatsu The mixed message is an attempt to adhere to the letter of the law while trampling on its spirit. The Director, Jenny Hernandez-Asandas mixed message maintains outward innocence while masking an actual desire that’s more sinister. It’s Print & Online Production plausible deniability. A loophole. Wiggle room. Production Coordinator Charles Johnson This morning’s mixed message: A video on CNN.com showing a woman in a power chair (not a Director of Online Marlin Mowatt scooter, as CNN and Headline News both reported) trying to use an escalator, then fl ipping backward Product Development in a frightening tumble. (She reportedly was uninjured.) Of course, the woman should not have taken what appeared to be a heavy-duty consumer power Group Publisher Karen Cavallo (760) 610-0800 chair onto the escalator. We know that. We also supposedly know, according to the Headline News story, that “a working elevator was just National Sales Manager Caroline Stover (323) 605-4398 50 feet away.” Sales Assistant Lynda Brown And that’s when I started steaming. (972) 687-6710 Once again: I know she should not have used the escalator. Advertising Fax (866) 779-9095 I also know how easy it is for people who use escalators to say that elevators are nearby. A few years back, I planned to have dinner with a friend from out of town who uses a wheelchair. HME MEDIA GROUP Knowing that what's accessible on paper often isn't accessible in reality, I went to the restaurant in Group Publisher Karen Cavallo person before making our reservation. I'd been to the restaurant many times before, but not yet with Senior Director, Bill Ellis a wheelchair. The restaurant had dining areas on two fl oors, and I'd always climbed the sweeping, Audience Development picturesque staircase to get to that second fl oor. Now I was thinking: Was there an elevator inside the Director, Margaret Perry restaurant? Would we have to go into the adjoining mall and use its elevator to get to the restaurant's Audience Development second fl oor? And where was the mall's nearest elevator, anyway? I've been shopping at this mall for many years; I would have told you I know it well. But I didn't know where the elevator was. I walked right past it on my fi rst search. It was tucked into a rather dark President & Neal Vitale corner, well off the traffi c pattern that shoppers usually take. I stepped into the empty elevator and Chief Executive Offi cer turned around — not much space in here, particularly if we shared it with a parent pushing a hugely Senior Vice President & Richard Vitale unmaneuverable baby stroller. And how far away was this elevator, which the security guard assured Chief Financial Offi cer me was nearby? I’d guess it was about a quarter-mile from the restaurant, unlike the escalator, which Executive Vice President Michael J. Valenti was only a few dozen yards from the restaurant’s front door. As it turns out, we didn’t need the elevator. The restaurant accommodated us on the fi rst fl oor; Vice President, Christopher M. Coates Finance & Administration when we got there, a chair had already been removed so my friend rolled right up to the table. The Vice President, Erik A. Lindgren food was great, the company was better, and the service was outstanding. Soon, my worries about the Information Technology elevator had all but evaporated. & Application Development Until this morning’s video of the woman in the power chair, tumbling backward off that escalator. Vice President, David F. Myers No, she should not have been on the escalator. But if we as a society want people to do the right Event Operations thing, do the safe thing, then we need to give them a real opportunity to do so. Telling chair users that Chairman of the Board Jeff rey S. Klein they need to take the elevator, then hiding the elevator in a faraway corner, then blaming them when they can’t fi nd it and try to adapt to a situation not of their making: That’s a mixed message. REACHING THE STAFF So is our societal claim that we want people with disabilities to be active in their communities, to Staff may be reached via e-mail, telephone, fax, or mail. work, to go to school, to visit friends, to shop and spend their money and generate tax revenue. We say A list of editors and contact information is also available we want that. But how possible do we make it? online at mobilitymgmt.com. If we all had to use elevators, if we all could only cross the street or use a sidewalk via curb cuts, if we E-mail: To e-mail any member of the staff , please use the could only use taxicabs with ramps, if we all had to park only in spaces with enough room to deploy following form: [email protected] our vehicle ramps — how often would we venture out? How much more diffi cult would our lives be? Dallas Offi ce (weekdays 8 a.m.
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