Seating & 24 hour Postural Management for Adults with Complex Needs



  • To apply the principles of 24 hour postural management for correction and maintenance of posture
  • To understand the relationship between posture & occupational performance & participation
  • To apply seating and night time positioning biomechanics
  • To understand normal and abnormal movement patterns and how they impact on posture
  • To understand the mechanisms for postural control
  • To understand the impact that tone has on postural management e.g. biomechanical shortening, spasticity, low tone and fluctuating tone
  • To understand how postural sets are linked and influence each other
  • To be able to describe and document destructive postural tendencies and the forces that contribute to these
  • To understand the importance of comprehensive assessment in complex seating and night time positioning
  • To raise awareness that no assessment or a limited assessment can result in contributing to, or causing a destructive postural tendency
  • To increase confidence in the skills required for comprehensive physical postural assessment (MAT evaluation): supine, supported sitting and simulation), passive joint ROM, chest symmetry etc
  • To understand how to facilitate good posture and pressure reduction, determining the most appropriate solution
  • To gain confidence in applying the assessment findings into solutions for seating and night time positioning and other factors that may impact on 24 postural management
  • To understand and develop skills in handling and facilitation techniques
  • To recognise and assess the impact that the environment and care setting has on 24 hour postural care
  • To understand the importance of risk assessment in 24 hour postural care

Learning Outcomes

  • Appreciate the postural problems that clients with complex disability face and how this impacts on function and ADL
  • Consolidate skills in completing a physical postural evaluation, including measuring joint ranges and palpation of pelvis, spine hip joints, chest symmetry, handling and facilitation techniques etc
  • Feel confident in the assessment and application of critical measures for seating and night time positioning
  • Appreciate the role of forces and biomechanics in 24 hour postural management
  • Feel confident in recommending seating, night time positioning and pressure care intervention/solutions for this client group
  • To understand clearly the role of the OT and role of other agencies in 24 hour postural management
  • Importance of documentation and terminology used in 24 hour postural management


OT’s involved in the assessment and prescription of seating, night time positioning and pressure reduction across all programmes of care


This is a 4 day course (2days and 2 follow-up days)

Lecture based, group work and practical sessions

Practical sessions - (70%) and lecture based - (30%)

Key Areas to be Covered

  • Postural abnormalities & ‘normal posture’
  • Abnormal movement patterns and the impact of tone on 24 hour postural care
  • OT assessment – current seating, supine and/or side lying and supported sitting and lying/simulation
  • Practical sessions on seating, night time positioning and handling techniques
  • Critical measurements for seating and night time positioning
  • Impact of seating and posture on tissue integrity
  • 24 hour postural care interventions and solutions – case studies
  • OT postural management passport
  • Risk assessment and 24 hour postural care
  • The challenges of complex seating!



Please note you will be informed in advance if there is a direct cost to you or your organisation for your attendance at this programme.

Back to Top for Course Dates

Sorry, there are currently no further dates scheduled for this programme. However, if you would like you may register your interest.