Wheelchair Seating and Positioning Clinic

The Wheelchair Seating and Positioning Clinic at WashU Medicine Physical Therapy evaluates and determines the most appropriate wheelchair for individuals with disabilities or physical challenges, aiming to maximize comfort, posture, breathing, pressure redistribution, and overall independent functioning.

Our wheelchair specialists possess advanced knowledge in wheelchair prescription for the most complex clients. We work with all wheelchair vendors in the St. Louis metropolitan area and in Illinois.

Your Visit Includes:

• A Comprehensive Evaluation:
  • Assessment of Strength and Range of Motion: Evaluates mobility needs, spasticity, flexibility, and postural impairments.
  • Home Environment and Wheelchair Transportation: Reviews how a wheelchair will fit into your daily life.
  • Activities of Daily Living and Vocational Considerations: Identifies individual needs to recommend the best mobility device.
  • Mobility Needs: Provides a report justifying the need for the recommended equipment.

• A Wheelchair Evaluation:
  • Determining Equipment Needs: Evaluates whether a manual ultralight wheelchair, tilt-in-space, power wheelchair, or power assist device is best.
  • Trial Equipment: Offers a variety of manual and power wheelchairs for patients to trial.
  • Specialty Seating: Provides recommendations for specialty seating, pressure-relieving cushions, and back supports.

• A Pressure Mapping Evaluation:
  • Skin Breakdown Risk Assessment: Utilizes technology to determine areas at highest risk for skin breakdown.
  • Cushion Selection: Helps select the most suitable cushion and educates patients on pressure-relieving techniques and skin care.
• Modifications and Adjustments:
  • Improving Comfort: Assists with modifying existing wheelchairs that no longer provide adequate support.
  • Custom-Tailored Fit: Ensures the recommended wheelchair fits properly to minimize the risk of pressure sores and secondary musculoskeletal conditions.

Our Approach:

Our therapists exclusively provide one-on-one care to ensure that every individual receives a wheelchair that supports their unique needs. We provide detailed evaluations and work closely with patients and vendors to ensure a custom-fit solution. Our team of specialists is dedicated to enhancing quality of life through optimal wheelchair seating and positioning.

Every WashU Medicine physical therapist holds a Doctor of Physical Therapy (DPT) degree, with many having board-specialist certifications in specific areas of practice. Our clinicians are trusted experts in evaluating and treating conditions and are committed to providing comprehensive and compassionate care