ISS 2017 Program


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PS4.2: Montana Postural Care Project: A 24-Hour Postural Care Model

24 hour postural management as an approach developed in the United Kingdom in the 1980s, but is not routine in North America. Clinical experience and available evidence suggests that success depends upon training and support for families and caregivers. The Montana Postural Care Project, funded by the Montana Council on Developmental Disabilities, is introducing 24 hour postural care as a practical approach in this large rural state, while examining results in the population served.


Learning Objectives:

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



Tamara Lee Kittelson-Aldred, MS, OTR/L, ATP/SMS
Posture 24/7
Missoula, Montana
United States

Tamara is an occupational therapist, RESNA certified ATP/SMS and passionate about the power of 24 hour postural management. Tamara has given presentations, webinars and workshops in the United States and Peru, and is Project Director for the Montana Postural Care Project. Her most memorable teacher was her daughter, Eleanore, who was born with complex needs. Tamara provides positioning and mobility equipment services integrating 24 hour postural care for children, youth and complex adults in Montana.



    1. Castle, D., Stubbs, B., Clayton, S., & Soundy, A. (2014). A 24-hour postural care service: Views, understanding and training needs of referring multidisciplinary staff. International Journal of Therapy and Rehabilitation, 21(3), 132-139.
    2. Cobb, J., Giraud-Saunders, A. (2010) Commentary on Biomechanics and prevention of body shape distortion. Tizard Learning Disability Review, 15 (2), 30-32.
    3. Gericke, T. (2006). Postural management for children with cerebral palsy: Consensus statement. Developmental Medicine & Child Neurology, 48(04), 244.

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Updated | 11.22.2016      Facebook logo  Twitter
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