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(1992) proposed efficient numerical algorithms. 6 8 1. 5 Condition Conditions That Require Consideration of Seating and Positioning Cerebral palsy Increased tone (high tone) Decreased tone (low tone) Athetoid (mixed tone) Muscular dystrophies Duchenne Multiple sclerosis Spina bifida Spinal cord injury Osteogenesis imperfecta Orthopedic impairments Description and Characteristics Nonprogressive neuromuscular Fixed deformity, decreased movements, abnormal patterns Subluxations, decreased active movement, hypermobility Excessive active movement, decreased stability Degenerative neuromuscular Loss of muscular control proximal to distal Series of exacerbations and remissions Congenital anomaly consisting of a deficit in one or more of the vertebral arches, decreased or absent sensation Insult to spinal cord, partial or complete loss of function below level of injury, nonprogressive once stabilized, decreased or absent sensation, possible scoliosiskyphosis Connective tissue disorder, brittle bone disease, limited functional range, multiple fractures Fixed or flexible Seating Considerations Correct deformities, improve alignment, decrease tone Provide support for upright positioning, promote development of muscular control Provide stability, but allow controlled mobility for function Provide stable seating base, allow person to find balance point Prepare for flexibility of system to follow needs Reduce high risk for pressure concerns, allow for typically good upper extremity and head control Reduce high risk for pressure concerns, allow for trunk movements used for function Provide protection If fixed, support, if flexible, correct (continued) 124 A.
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