ISS 2017 Program


Pre-Symposium Workshop dot Symposium Day 1 dot Symposium Day 2 dot Symposium Day 3

IC70: Challenges and Solutions in Seating for Infants and Toddlers

IC70 Handouts

This course will explore seating and positioning in an overlooked and underserved population & multiply disabled children during Early Intervention (birth to 3). First we need to resolve the controversy of whether or not it is even appropriate to use devices to sit a non-sitting child. So we will examine research-based benefits of developmentally appropriate sitting and the risks of not intervening. Then case studies will illustrate application issues unique to this population and how we can better position them with or without a mobility base. Setting goals must incorporate caregivers and therapists or the equipment won't be used. The mat exam needs to address anatomical, neurological, reflex, and motor control differences because infants are really not miniature adults. Techniques must be modified for measurements, simulation, and intervention. Appropriate commercial equipment is sparse and poorly funded, so we will also demonstrate solutions using low cost do-it-yourself equipment, as well as, advanced technology in computerized carving (CNC router/mill).


Learning Objectives:

Upon completion of this session, attendees will be able to;



Janice Hunt Herman, PT
Adapt Shop at Southwest Human Development
Phoenix, Arizona
United States

Ms Herman has been practicing Physical Therapy for over 35 years. In addition to clinical work with adults and children in schools, homes, and clinics, she has been a prolific author, instructor and researcher. Her passion for Seating and Positioning began in 1990. At RESNA she contributed to developing the credentialing program, writing Fundamentals in Assistive Technology, and leading the therapists' SIG. Currently she serves Adapt Shop at Southwest Human Development, a non-profit serving children birth to 5.



    1. Groot, L. D., Hopkins, B., & Touwen, B. (1995). Muscle power, sitting unsupported and trunk rotation in pre-term infants. Early Human Development, 43(1), 37-46.
    2. Heide, J. C., Otten, B., Eykern, L. A., & Hadders-Algra, M. (2003). Development of postural adjustments during reaching in sitting children. Exp Brain Res Experimental Brain Research, 151(1), 32-45.
    3. Washington, K., Shumway-Cook, A., Price, R., Ciol, M., & Kartin, D. (2004). Muscle responses to seated perturbations for typically developing infants and those at risk for motor delays. Dev Med Child Neurol Developmental Medicine & Child Neurology, 46(10).

Pre-Symposium Workshop dot Symposium Day 1 dot Symposium Day 2 dot Symposium Day 3


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