Engage APOD Case Study
Rivergate Terrace, Riverview MI
Patient is a Female age 87 with primary dx of Alzheimer’s Disease, CHF, hx of falls, hx of
CVA with L side weakness and was treated by Carrie Bellomy MSOT, OTRL at Rivergate
The prior wheelchair seating system was a standard 18.16 wheelchair with posterior tilt,
pommel cushion, velcro seat belt, left half tray, elevating leg rests and foot buddy.
Positioning concerns included that the resident presented to therapy with frequent falls
from wheelchair, posterior pelvic position with hips slid forward in wheelchair and left
lateral lean. Resident was having difficulty with self feeding and interaction with the
environment for leisure activities.
The resident seating system was changed to include high back reclining wheelchair
18.16 with bilateral standard leg rests, PostureWorks Engage APOD low profile cushion,
slight posterior tilt to chair and flat left arm rest.
The outcome of the intervention is restraint reduction with removal of seat belt,
resident now able to maintain upright position with proper hip, knee and ankle
alignment. Resident presents with improved pelvic position, which allows greater trunk
control and increased ability to use upper extremities to interact within environment
and self feed. Resident has had no additional falls from wheelchair in past 5 months
(from the time that the intervention was completed until this was written).
Note: This is a representative example; actual user evaluations, and decisions regarding the
appropriateness of a particular product for a particular individual, should always be made by
a qualified healthcare professional.