29-Apr-2021 8:00 AM - 30-Apr-2021 12:00 PM - Online (Pacific Time)

Seated posture, pain reduction and mobility for the elderly : Stop the migration!


Thursday, April 29, 2021 from 8:00 a.m. to 12:00 p.m. (Pacific Time) 
Friday, April 30, 2021 from 8:00 a.m. to 12:00 p.m. (Pacific Time)

Seating for the elderly is critical to prevent injury and enhance function. It is important for occupational therapists to understand the need to prescribe appropriate seating and mobility systems for the elderly that provide not only comfort but the ability to maintain autonomy, safety, restraint reduction and independence.  …not despite, but because of their age!

This two-part, live, online workshop will explore how seated posture affects pain and the overall capacity of the elderly client to function on a day-to-day basis.  The speaker will review how posterior pelvic and posterior lateral rib cage support will assist with thoracic extension for improved posture, breathing and eating. Participants will be guided through body mechanics and pain/pressure points in order to understand how seating can make a difference to comfort and pain reduction as well as promoting head position to enhance swallowing.  Pain references, body shape, muscle tone, asymmetries and skin integrity will be addressed. Participants will understand and ultimately practice propulsion theories in their own clinic settings.  Propulsion styles include foot as well as one-hand/one-foot propulsion. The impact of wheelchair set up on sliding and restraint use will be demonstrated.

Preliminary workshop agenda:
Day 1

8:00 - 10:00 a.m.

Review of components aging

Head position related to posture and function

Comfort, pain and pressure in seated posture

10:00 - 10:15 a.m.


10:15 a.m. - 12:00 p.m.

Review of mat assessment and stimulation data

Three-point positioning

Determining seating shape and design

Day 2

8:00 - 10:00 a.m.
Restraint reduction and postural control

10:00 - 10:15 a.m.

10:15 a.m. - 12:00 p.m.
Understanding wheeling resistance

Chair and seating set-up

Dynamic tilt

Learning objectives:

By the end of this workshop, you will:

  1. Understand how postural tendencies affect breathing, swallowing, head position and bowel evacuation.
  2. Understand postural tendencies in the elderly.
  3. Conceptualize how to enhance comfort sitting.
  4. Be able to demonstrate three-point positioning and forces related to seated posture.
  5. Understand the use of secondary supports and tilt.
  6. Understand the physics of hand propulsion in the elderly.
  7. Be able to identify the three methods of foot propulsion in the elderly.
  8. Be able to review restraint policies and how seating is affected by these policies in order to gain restraint-free positioning.
Target audience:

Occupational therapist clinicians, occupational therapist assistants (OTAs), students in occupational therapy programs and physiotherapists who wish to develop their skills in seating and mobility

Please note: Each participant is responsible to ensure they apply the information within the context of their licensure, provincial/territorial legislations, institution regulations, scope of practice, etc.

Areas of practice 

Cognitive, Neurological/neuromuscular, Musculoskeletal, Cardiovascular and respiratory, Digestive/metabolic/endocrine, General physical health

Client age groups

Seniors (65+ years old)

Workshop level:

Beginner (0-2 years of experience in this area of practice practice)

Please note: Participants with more than this stated level of experience are welcome to attend the workshop. The workshop content will be geared towards those with 0-2 years of experience in this area of practice.


Sheila Buck, OT Reg. (Ont.)

Sheila is an occupational therapist and the owner of a seating and mobility consulting company, Therapy NOW, in Ontario, Canada. Sheila has spoken extensively in North America, Ireland, Norway and New Zealand on seating and mobility concepts for the very young to the very old. Her audiences have included, but are not limited to, occupational therapists, physiotherapists, nurses, doctors, case managers, DME (Durable Medical Equipment) vendors and manufacturers of seating and mobility products.  Her extensive knowledge related to the provision of assistive technology for mobility is reflected in her book More than 4 wheels:  Applying clinical practice to seating, mobility and assistive technology, 3rd edition. This excellent clinical guide is currently being used as a learning tool around the world with over 1200 copies sold. Sheila is also a contributing author in the recently published Seating and Wheeled Mobility: A Clinical Resource Guide. Sheila is known for her dynamic sessions which are enhanced by demonstrations of practical suggestions, as well as her compassion for clients and advancing her learning and skills to those with whom she works. 

Registration fees:

Early bird rates: Registration and payment completed by February 3, 2021 

CAOT Member and Associates

Non member*



Plus applicable taxes

Regular rates: Registration and payment completed between February 3, 2021 and April 14, 2021 

CAOT Member and Associates

Non member*



Registration deadline: April 14, 2021

*When available, CAOT offers late registration for workshops at the regular rate plus a $50 administration fee.  We will only be able to accommodate if there is sufficient space. 

Included in your registration fee:
One-day workshop, electronic copy of presentation slide handouts, opportunity to network and make connections with other occupational therapists interested in this topic, electronic certificate of attendance.

Maximum number of registrants:  

Cancellation/refund policy:
All cancellation/refund requests must be sent in writing to education@caot.ca. All cancellation requests received prior to April 14, 2021 will be given a full refund minus a $50.00 administrative fee. All cancellation/refund requests after April 14, 2021 will be given a 50% refund. Substitutions are permitted, subject to a $50.00 administrative fee.

CAOT reserves the right to modify the workshop title, description, registration dates and information on the workshop webpage. CAOT will notify participants on or before March 5, 2021 if there is insufficient registration by that date and reserves the right to cancel a Workshop due to insufficient registration up until March 26, 2021. CAOT reserves the right to modify the offering, interrupt Workshops, change the timing of a Workshop, cancel a Workshop or change the technology for the Workshop due to the presenter no longer being able to present the Workshop, severe weather, power failure, building closures or other special circumstances that are beyond the control of CAOT by notifying participants as soon as possible. If the Workshop is cancelled by CAOT, registrants will receive a full refund of the registration fee. CAOT will not be responsible for other costs or expenses incurred by registrants as a result of any such changes.

Additional questions?
If you would like to inquire on accessibility options available to you, please contact education@caot.ca or 1-800-434-2268 ext. 222.

We invite you to consult the Workshop FAQ for an immediate response to the most frequent questions we receive regarding Workshops. Please do not hesitate to contact us at education@caot.ca or 1-800-434-2268 ext. 222 should you have additional questions or concerns.

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