Sarah Clayton Simple Stuff Works.pptx

12thSeptember2016
PosturalCare–TheBasics
SarahClayton
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Thereare24hoursinaday
Approximatelyathirdofourlives
arespentinbed
Childrenspendon
averagethreetimes
longerinbedthan
theydoinschool
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Familiesandpersonalassistantsare
key…withoutthemyouwillnot
succeed
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Thistimecanbeunsupported ©SimpleStuffWorksAssociates2016
Orsupported
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Gravityisonduty24/7
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Highlypredictivepatterns
ofdistortion
Fulford,G.E.Brown,J.K.(1976)“Posi<onasacauseofDeformity
inChildrenwithCerebralPalsy”DevelopmentalMedicineand
ChildNeurology18.305-314
Hill(Clayton),S.andGoldsmith,J.,‘Biomechanicsand
Preven<onofBodyShapeDistor<on’,TheTizardLearning
DisabilityReview,Vol.15,Issue2,pgs.15–29,2010
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Fred’sStory
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CulturalImpactofPositioning
“Culturesthatkeep
infants’hipsextendedon
acradleboardorpapoose
boardhavehighratesof
hipdysplasiaintheir
children”
“Culturesthatholdinfantswiththe
hipsaparthaveverylowratesofhip
dysplasia”
InternationalHipDysplasiaInstitute
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h[p://hipdysplasia.org
ImmediateImpactofPositioning
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PosturalMoulding
Positivechangesinbodyshape
Thisyoungmanis25yearsold
Thephotographsaretaken3monthsapart
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MeasurementofBodySymmetry
Goldsmith,L.Golding,RM.Garstang,RA.Macrae,AW.“Atechniqueto
measurewindsweptdeformity”Physiotherapy,78,4,235-242,1992
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Alimitedevidencebase…
Canleadsometounderstandthatresearchhasbeenundertaken
andnoevidencefound…
“Sowewon’tbefundingthatthen!”
However…weknowfromthecomprehensivereviewthatonlya
limitedamountofgoodqualityresearchhasbeenundertaken
andthereisadesperateneedformore.
Inthemean<methebasicsof24hoursupport,recogni<onofthe
presenceofgravity,theimportanceofsuppor<ngfamiliesand
gentlehumaneinterven<onremain.
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Coleen’sStory
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DebbieAnn’sStory
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Tommy
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Thankyouforyourtime
PleasegetintouchifIcanbeuseful!
www.simplestuffworks.co.uk
Training@simplestuffworks.co.uk
@posturalcare
07729552626
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