Proudly Presents 26th International Seating Symposium Syllabus March 11 – 13, 2010 The Westin Bayshore 1601 Bayshore Drive Vancouver, BC Sponsored by Sunny Hill Health Centre Interprofessional Continuing Education for Children UNIVERSITY OF BRITISH COLUMBIA Vancouver, BC A Team Approach to Learning Program at a Glance THURSDAY, MARCH 11 8:00 Registration: Exhibit Hall Opens & Continental Breakfast 8:30 Opening Remarks 8:45 Keynote Address 9:30 Plenary Sessions (x3) 10:35 Poster Summaries 10:50 Refreshment Break & Exhibits 11:30 INSTRUCTIONAL SESSION A 12:30 Lunch & Exhibits & Poster Session 14:00 SIMULTANEOUS PAPER SESSIONS: #1 15:15 Refreshment Break & Exhibits 16:00 INSTRUCTIONAL SESSION B 17:00 to 18:00 Reception & Exhibits FRIDAY, MARCH 12 8:00 Registration & Continental Breakfast & Exhibits Open 8:30 Opening Remarks 8:40 Plenary Sessions (x3) 9:55 Refreshment Break & Exhibits 10:40 SIMULTANEOUS PAPER SESSIONS: #2 12:00 Lunch & Exhibits & Poster Session 13:30 INSTRUCTIONAL SESSION C 14:40 INSTRUCTIONAL SESSION D 15:40 Refreshment Break & Exhibits 16:30 Adjourn SATURDAY, MARCH 13 8:00 Registration & Continental Breakfast 8:30 INSTRUCTIONAL SESSION E 9:40 INSTRUCTIONAL SESSION F 10:40 Refreshment Break 11:00 Panel Presentation 12:10 Plenary Sessions (x2) 12:50 Closing Remarks & Evaluation 1:00 Adjourn 26th International Seating Symposium March 11 – 13, 2010 3 Table PLENARYof Contents Program at a Glance . 3 Poster Presentations . 6-7 Planning Committee . 7 Sponsorship . 7 Exhibitor Listing & Booth Layout . 8 Restaurant Guide . 12 Speakers Listing . 13 Main Symposium . 19 Meeting Room Layout . 23 THURSDAY, MARCH 11 PLENARY SESSIONS Breathing and Upright Posture: Simultaneous Needs . 25 Should We Push Early Walking? . 29 Craniopagus Conjoined Twins – The Journey Continues . 33 INSTRUCTIONAL SESSION A A1 “Developmental Planning” In The Early Intervention Setting . 39 A2 Make It and Take It – A Beginner’s Guide to Wheelchair Evaluations . 41 A3 Why is the Etiology of Pressure Ulcers Still Unknown? . 42 A4 Keeping it on the Straight and Narrow . 46 A5 Sensory Input Processing in Dynamic Seating . 48 A6 Restraints and Long Term Care: Ugly Truths, Common Arguments, Realistic Solutions . 52 PAPER SESSION 1 S1 Shoulder Joint Loading for Three Types of Lateral Wheelchair Transfers . 54 S1 Reducing Muscular Effort of Manual Wheelchair Propulsion: Evidence to Support the Benefi ts of a Geared Wheel . 58 S1 What We Know and Need to Find Out About the Health Implications of Vibrations on Wheelchair Users . 62 S1 Effect of 2-Speed Geared Manual Wheelchair Propulsion on Shoulder Pain and Function . 66 S1 Effects of Cross Slopes on the Mobility of Manual Wheelchair Users . 69 S2 The Gluteal Challenge: The Development and Outcomes of the Contour Foam Base for Spinal Cord Injury Clients with Signifi cant Lower Limb Atrophy . 73 S2 Dynamic versus Passive Standing: Investigating the Impact on Bone Mineral Density . 77 S2 Wheelchair Positioning and Breathing in Children With CP: Study Methods and Lessons Learned . 81 S2 Recognizing Spastic Movements Automatically, Facilitating Safe Control of Devices . 83 S2 Ride Custom Seating Case Study Survey Review . 84 S3 Motivation Worldmade Programme: The Impact on the Quality of Life of Mobility Disabled People in Less Resourced Settings . 86 S3 A Hierarchy of Training for Wheelchair Services in Less Resourced Settings . 89 4 26th International Seating Symposium March 11 – 13, 2010 Table of Contents S3 1 Year Follow-Up Study of Obligatory Wheelchair Users with Spinal Cord Injury in Nepal After Discharge from Inpatient Rehabilitation – Realities of Living in the Community and Suggested Solutions . 92 S3 Building Sustainable Wheelchair Service Provision Communities . 96 S3 Beyond Boundaries: How to Structure an Adapted Outdoor Adventure Program for Individuals with Spinal Cord Injury . .100 INSTRUCTIONAL SESSION B B1 Selecting the Appropriate Cushion: Do We Consider Material Science – Should We? . .102 B2 Innovative Manual Wheelchair Solutions From Around The Globe . .104 B3 Draft of Clinical Recommendations for Use of Power Tilt Systems . .107 B4 Early Powered Mobility . .111 B5 Race and Recreational Seating Interfaces . .114 FRIDAY, MARCH 12 PLENARY SESSIONS Access Technology for Sports – an Engineering and Paralympian Perspective . .117 Taking The Heat Off – The Challenge of Managing Heat and Moisture in Seating . .121 Outcome Measures . .125 PAPER SESSION 2 S1 Proposed Methodology to Evaluate Posture Systems in Neuromotor Pathologies in Children: Multi-centre Case Studies on the Effectiveness of the Squiggles and Mygo Systems . .128 S1 The Impact of Caregiving for Children who Use Wheelchairs . .132 S1 Preliminary Results of a Pilot Study Using a Power Mobility Screening Tool, as a Predictor of Successful Power Mobility Use, for Toddlers and Preschoolers with Disabilities . .136 S1 FIATS: A Family Impact of Assistive Technologies for Paediatric Seating Systems and Wheelchairs . .139 S1 Spasticity in Spinal Cord Injury: the Role of Novel Intervention (SEGWAY) . .142 S2 Seating and Mobility Certifi cation: An Update . .146 S2 The Funder – The Forgotten (or Limiting?) Member of the Client’s Team . .148 S2 Developing an integrated Online Seating Education Program for all clinicians “Down Under” . .150 S2 Implementation of Clinical Practice Guideline Strategies . .154 S2 Preventing Pressure Ulcers: Finding from Evaluation of 200 Adults with Spinal Cord Injury . .157 S3 Telerehabilitation in Rural Areas Using Commercial Broadband . .160 S3 Digital Seating: Service Development & Research . .162 S3 Developing Regional Services on an Outreach Basis – An Irish Perspective . .164 S3 Preliminary Case Study Trials Assessing the Effi cacy of a New Novel Mobility Assistive Device . .166 S3 Passive Standing Programs: A Systematic Review . .170 26th International Seating Symposium March 11 – 13, 2010 5 Table PLENARYof Contents INSTRUCTIONAL SESSION C C1 Pediatric Seating, Mobility & Equipment Issues From a Classroom Perspective . .172 C2 Integrating Interface Pressure Mapping (IPM) into Clinical Practice . .176 C3 Manual Wheelchair Confi guration and Training: An Update on the Evidence . .180 C4 Power Mobility—What Does Independence in Driving Skills Mean? . .186 C5 One-of-a-Kind: Design + Fabrication of Custom Alternate Positioning Devices . .189 INSTRUCTIONAL SESSION D D1 Toddlers on Wheels . .192 D2 Ecological Assessment of Power Wheelchair Use . .195 D3 Funding Complex Rehab: How to Give Clients Options in the Face of Declining Reimbursement . .199 D4 Power Soccer—The Who, What, Where & Why . .201 D5 “You’ve got the Power”—Talking, Computing, Controlling the Environment with the Power Wheelchair . .204 SATURDAY, MARCH 13 INSTRUCTIONAL SESSION E E1 Everything You Need to Know to Start a Biking Program for Children with Special Needs . .205 E2 Integrating Outcome into the Clinical Routine . .207 E3 How the Past Guides Our Future . .210 E4 Positioning of the Traumatic Brain Injured Client in the Inpatient Setting . .213 E5 What the Seating Therapist Should Know About Aspiration Risk Management . .215 INSTRUCTIONAL SESSION F F1 Bariatrics: Not Just for Adults Anymore . .218 F2 Why Providers of Wheelchairs should be Cognisant of Night Time Positioning: a Practical, Instructional Session . .220 F3 Translating the results of a Prospective Randomized Clinical Trial on Preventing Pressure Ulcers with Seat Cushion into Clinical Practice . .221 F4 When Considering Seating Solutions; Where do Off the Shelf Applications Stop and Where Should Custom Shaping Start? . .224 F5 Safe Transportation for Infants, Children and Youth with Special Needs in Canada . .226 PLENARY SESSIONS Bariatric Seating and Mobility – Considering the Options . .230 Paralympics Vancouver 2010: Events, Athletes and Assistive Technologies . .233 POSTER PRESENTATIONS Poster Presenters will give a 1-minute presentation on their posters on Thursday at 10:35. They will be available for questions during the poster sessions on Thursday at 12:30-14:00 and Friday at 12:00-13:30. Posters are available for viewing on all three days of the Symposium. How Can Clinicians and Researchers Advance Our Science Together, Using Conceptual Models? (Lee Barks) . .236 Preventing Pressure Ulcers: Findings from Evaluation of 200 Workers with Spinal Cord Injury (Jo–Anne M. Chisholm, Joanne Yip) . .237 Clothing—The Interface Between the Client and Your Seating Solution (Ruth J. Clark) . .238 6 26th International Seating Symposium March 11 – 13, 2010 Table of Contents POSTER PRESENTATIONS, cont. An On–line Education Module for the Level of Sitting Scale (Debbie A. Field) . .239 The Level of Sitting Scale (Debbie A. Field) . .240 The Traveling Road Show: Sharing a Pressure Mapping System in Northern British Columbia (BC) (Charlene A. Gilroy) . .241 Experiment in the User—Adjustable Seating Interface on Access Dinghy for School-age Children with Cerebral Palsy (Junko Koike) . .242 A Day at the Beach (Joe Perry, Clayton Carriere) . .243 Self–Presentational Effi cacy Among Wheelchair Users (Paula W. Rushton) . .244 The Zen of Seating: Finding Seating Balance following a Hemipelvectomy (Cheryl Sheffi eld) . ..