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As market leaders in Assistive Technology (AT) equipment in Australia, Astris PME provides high quality products that promote independent, active lifestyles. We have a passion for what we do and pride ourselves on delivering expert knowledge of innovative, specialised AT products. Our team is continually inspired by our clients, and we work closely with them to provide bespoke solutions which are as unique as they are. By providing a personalised service, expert advice and high quality products, we are able to meet the individual needs of clients, and help change their lives for the better.

WHO WE ARE

Welcome to ASTRIS PME

<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=21850353&amp;c=4030603&amp;h=jPdWCuQakAMLcAHaWqBwIv3qV37Nd5mQXVYaipg3JYMMOyBY" alt=""/></figure><div style="height:50px" aria-hidden="true" class="wp-block-spacer"></div>Written by Mellinda Fitzgerald Bachelor of Physiotherapy (BPhty) Astris PME Clinical Educator<div style="height:50px" aria-hidden="true" class="wp-block-spacer"></div>The human body is inherently structured for an upright posture. From the initial stages of development, the progression is directed towards achieving an upright stance—beginning with the ability to roll over in the first few months, followed by crawling at approximately 9 months, and culminating in the act of pulling oneself to stand at around 10 months. This developmental trajectory is driven by the overarching aim of attaining the distinct perspective and autonomy afforded by independent standing and mobility.Moreover, assuming an upright position plays a pivotal role in facilitating the optimal functioning of various physiological components, including bones, muscles, internal organs, and the nervous system. This fundamental alignment not only reflects the natural course of human development but also underscores the significance of an upright posture in supporting overall health and functionality.<div class="wp-block-group">If we examine the musculoskeletal system, the benefits of standing are multiple:<div style="height:20px" aria-hidden="true" class="wp-block-spacer"></div><div class="wp-block-group"><ul><li>Promotion of Hip Stability: Standing contributes to the development of the hip joint, fostering better foot and knee alignment. Notably, children with cerebral palsy (CP), though initially possessing normal hip anatomy (Mayson T. 2011), face an increased risk of hip displacement due to limited standing (Hägglund G. 2014). Development of extensor muscle strength, with an opportunity for enhancement of postural control of the head and upper body and reduction of the risk of atrophy.</li><li>Development of Extensor Muscle Strength: The act of standing offers an opportunity to enhance extensor muscle strength, thereby improving postural control of the head and upper body. This engagement also diminishes the risk of muscle atrophy.</li><li>Spasticity Management: Standing has been observed to effectively manage spasticity, leading to a notable reduction in the effects of tone after the activity (Paleg et al 2013).</li><li>Enhancement of Bone Mineral Density: Regular standing contributes to improved bone mineral density, consequently reducing the risk of fractures (Uddenfeldt, 2013) (Kim S, 2017).</li><li>Reduction of Contracture Risk and Improved Range of Motion: The upright position reduces the risk of contractures and improves the range of motion compared to being seated in a flexed position (Paleg et al 2013). &nbsp;</li><li>Promotion of Spinal Alignment: Standing promotes spinal alignment, thereby reducing the risk of orthopedic deformities such as hip dislocation and scoliosis. This, in turn, helps alleviate associated pain.</li><li>Enhanced Musculoskeletal Growth and Development.</li></ul></div></div><div style="height:20px" aria-hidden="true" class="wp-block-spacer"></div>From a participation view, being upright can show improvements in:<div class="wp-block-group"><ul><li>Functional reach and hand function</li><li>The opportunity for improved head control and ease of eye contact</li><li>Normalisation of field of vision and enhanced visual field input</li><li>Age-appropriate position to interact with peers and adults, providing enhanced social development</li><li>Psychological well-being; psychosocial benefits of positioning at peer-level; improved self-concept</li><li>Increased alertness, with standing stimulating the limbic/reticular activating system.</li></ul></div><div style="height:20px" aria-hidden="true" class="wp-block-spacer"></div>Various factors can contribute to delayed standing or the need for additional support during the standing process. These delays or requirements for support may stem from the effects of neurological conditions, motor impairments, or genetic factors.In the case of children presenting with diverse neurological conditions falling under the umbrella term Cerebral Palsy (CP), the utilisation of standing frames is considered a best practice, particularly for those classified at GMFCS levels IV and V.Research findings within this population endorse the use of standing frames, emphasising the importance of abduction of at least 30 degrees (Martinsson C. 2011) (Paleg G. 2013) for stable hip development, especially among those with the most limited mobility within their programme.Standing Frame Options:When we look at the options for supported standing, there are broad categories of standers, with the choice depending on the capabilities of the user and their support needs.<ul><li>Vertical/Upright&nbsp;Standers have the user positioned fully upright in the frame and requires a certain degree of trunk and neck postural control and the ability to use an assisted standing transfer. This is generally where children who only need a little bit of support may start their exploration into being upright.</li></ul><figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=21850356&amp;c=4030603&amp;h=k2kJHPUDobqkMgrhM1sOW7lZbC-8Dx0IV-MSlJ96c3LSVJpv" alt=""/></figure><ul><li>Prone&nbsp;Standers have a slightly forward tilted position, offering slightly more support than the upright stander but still needing head control for use. An assisted standing transfer is still generally required too but this depends on the degree of forward tilt used. They are excellent for stimulating extension of the hip and trunk and improving reach capacity with the upper limbs.</li></ul><figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=21850357&amp;c=4030603&amp;h=QsLOGFH50nMEhHE1xC7sFvAak7tpQh3AXknAxoz08edpPDS1" alt=""/></figure><ul><li>Supine&nbsp;Standers&nbsp;are typically used for individuals with poor head and trunk control.&nbsp; The posterior trunk support together with the use of rearward tilt facilitates an upright position with graduated changes towards more upright standing.&nbsp;&nbsp;Vertical height adjustment can make transfers into supine standers easier if using more heavily assisted transfers or hoisting and provide versatility&nbsp;and easy adaption for individualised higher postural support needs.</li></ul><figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=21850354&amp;c=4030603&amp;h=1U0RTlVR88ctm8pS9rYA0_sphQE8-kJqU2j4EFoZL3M6texo" alt=""/></figure><ul><li>Multi-Positional Standers are a single stander which offer the benefits of ease of change from supine to prone and upright. Many models now also incorporate adjustable hip abduction as well. Given the wide range of positioning options available, the majority of standers now come in this category. &nbsp;There are a range of accessories to support varying levels of support needs, including de-rotational trunk supports, independent adjustments for limb length discrepancies and in some, angle adjustment for variable range of movement.</li></ul><figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=21850352&amp;c=4030603&amp;h=A6vjR1bGFln7_PvGEYfQgol3bczddgHloSjdw7st-w_3Npnv" alt=""/></figure><ul><li>An alternate option includes the Sit To Stand Frame where an individual is transferred from a seated position and transitions to a tolerable standing posture.&nbsp; By regularly changing through a variety of standing positions, the user may be able to stand for longer periods overall.</li></ul><figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=21850355&amp;c=4030603&amp;h=_grEe_DcExKRI8SzQo04T8Xmrctmyi197jojz2ESKaxkobzg" alt=""/></figure>Selecting the stander that works best for your client requires consideration of a few factors such as physical support needs, transfer method, positioning requirements, and ease of adjustment. &nbsp;Astris PME have a vast range of Standers. If you are looking for any support in this area or keen to know more, reach out to us at www.astris-pme.com.au or 1300 131 884.

The human body is inherently structured for an upright posture. From the initial stages of development, the progression is directed towards achieving an upright stance—beginning with the ability to roll over in the first few months, followed by crawling at approximately 9 months, and culminating in the act of pulling oneself to stand at around 10 months. This developmental trajectory is driven by the overarching aim of attaining the distinct perspective and autonomy afforded by independent standing and mobility.

Life from a Different Perspective: Why do we stand?

<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=21676564&amp;c=4030603&amp;h=vRdtvZFotxr6exK10YyVGFmpPgTUHcH0nYmG1e73U8pgC8fr" alt=""/></figure> Astris PME is launching a fun social media campaign in the lead-up to Christmas. We’re asking our clients to share their photos on Instagram and Facebook for a chance to WIN an Astris PME prize pack valued at $200. We’ve got 6 prize packs to give away and will choose one winner each week from now until Christmas.To enter the “Share a Photo / Happy Holidays” promotion, entrants must simply:<ol type="1"><li>Visit the Astris PME Instagram and/or Facebook page during the promotional period.</li><li>Upload a photo of themself or their family member using a piece of equipment purchased from Astris PME.</li><li>Post their photo in the comments section of the dedicated Facebook pinned post on the Astris PME Facebook page and/or tag us on Instagram.</li><li>Tag @astrispme and #astrispme in the post.</li></ol>The competition opens at 10:00 am, Monday 6 November and closes at 11:59 pm, Friday 15 December 2023.Please refer to the full <a href="https://4030603.app.netsuite.com/core/media/media.nl?id=21906907&amp;c=4030603&amp;h=uURFlXe2YbAXFsCIhLsMpAGu6VzUs8aP3kpovRkZVpwG4GRb&amp;_xt=.pdf">Terms &amp; Conditions</a> for further details.

Astris PME is launching a fun social media campaign in the lead-up to Christmas. We’re asking our clients to share their photos on Instagram and Facebook for a chance to WIN an Astris PME prize pack valued at $200. We’ve got 6 prize packs to give away and will choose one winner each week from now until Christmas.

Share a Photo for a chance to WIN!

<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20826325&amp;c=4030603&amp;h=jLkvxehxHzr7sD6rXCeC8woCigiYG8eiFH85veKe8eGkdc97&amp;fcts=20230821194900&amp;whence=" alt=""/></figure> It's time to get moving! We are excited to launch our NEW 12-page wheelchair brochure featuring a range of Active Manual &amp; Sports Wheelchairs, Power Add-Ons, and Full Power Wheelchairs.&nbsp;Unleash mobility and discover freedom and empowerment!&nbsp;Download our new 12-page brochure <a href="https://4030603.app.netsuite.com/core/media/media.nl?id=20827158&amp;c=4030603&amp;h=QsmvNTDqyNf-4a77QJ9HG3ljgaGnPRiBhTXwLUzVr9A4DCEc&amp;_xt=.pdf">HERE</a>.<figure class="wp-block-image size-large"><a href="https://4030603.app.netsuite.com/core/media/media.nl?id=20827158&amp;c=4030603&amp;h=QsmvNTDqyNf-4a77QJ9HG3ljgaGnPRiBhTXwLUzVr9A4DCEc&amp;_xt=.pdf"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20826224&amp;c=4030603&amp;h=Y7ieD_X_kMqrknbq4Jq7rG6eJFjd2KK9SRoduQLX6et-YeFR&amp;fcts=20230821194757&amp;whence=" alt=""/></a></figure>

It's time to get moving! We are excited to launch our NEW 12-page wheelchair brochure featuring a range of Active Manual & Sports Wheelchairs, Power Add-Ons, and Full Power Wheelchairs. Unleash mobility and discover freedom and empowerment! 

Wheels in Motion!

<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20734138&amp;c=4030603&amp;h=EtKzSJa9SmigOGJEXqaLkdB0KU7fFNJm38UIkrpulDS20DrH" alt=""/></figure>Written by Mellinda Fitzgerald Bachelor of Physiotherapy (BPhty) Astris PME Clinical EducatorSo you’ve made the decision to recommend powered mobility for your client.This could be for a number of reasons such as reducing the stress on shoulder joints, insufficient strength, fatigue, independence, or accessing powered seating functions. Overall, there are likely several goals for wheelchair users and their families as well as the clinical considerations of their therapy team to take into account.Power Wheelchairs can open up a world of possibilities for those who experience difficulty with mobilising and being able to reposition when seated. &nbsp;However, the effectiveness of the powerchair to achieve all the goals (clinicians and clients), is dependent on the choices made at the time of scripting.Essentially it will come down to:<ul><li>Clinical Factors – Identifying the needs of the client and risks associated with not meeting each need. Then, deciding what is non-negotiable (such as pressure relief, postural control, and drive access) and what can be compromised (additional features such as standing function, multiple transport options, or all-terrain access).</li><li>Lifestyle Factors – environment of use and transport considerations. What does their everyday look like and where do they need to go?</li><li>Personal Choice – what is a “need to have” Vs “nice to have”? Do any of these choices compromise any of the non-negotiables?</li></ul>This should all come together to provide a picture of what powered mobility needs to provide for the client. It is important to note that this will be unique to each client despite possibly having similar diagnosis and demographics to others.<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20734137&amp;c=4030603&amp;h=9KmOii8DBwgQ2CzhDN3djaiTc7KYX3F09yYxIs7IDPsK3IzO" alt="A person in a wheelchair and a person in a wheelchairDescription automatically generated"/></figure>Scripting:The order of the below choices is still up for debate as they all influence each other. These are the broad areas for consideration, which all have an impact on the outcome for your client.The Seating:A good place to start is knowing what is required to meet the postural and pressure needs of the client. This is key to ensure you can make the decision on which type or model of power wheelchair is going to be suitable. For this, you should consider:<ul><li>The level of postural support required. Will the use of an integrated seat (low level of support) with no power seat functions meet this need? Or is a specialised seating system with high support required to meet complex needs?</li><li>Complex seating will need to be mounted to the power wheelchair and will likely be used with power seating functions. How will the chosen seating system mount to the powerchair?</li><li>If there are any other seating options such as head or lateral supports, belts, harnesses, etc, that will impact on mounting.</li><li>How the materials of the cushion interact with the suspension capabilities of the powerchair.</li></ul>Keep in mind that a great seating prescription can be undone by not correctly matching to a suitably scripted powerchair.Power Seating Functions:Knowing which power seat functions are required is also key when prescribing seating on a power wheelchair. The options are tilt, recline, seat elevate, foot elevate, and standing, with combinations selected based on client need (determined at initial assessment). Not all power wheelchair models with powered seat function have all these features. It is vital to know if the power wheelchair selected has the functions required by the client and that they work in a way which is easily accessible. &nbsp;Access:During the initial assessment, a decision would have been made as to how the client is going to control the chair. This will include the consideration if proportional or non-proportional controls will be used and which type of each will be selected. Access options are varied across manufacturers with additional options also available. Knowing that some power bases drive better when alternative controls are used over other chairs will also help set up for success. Being clear at the start as to what you are needing to achieve and if customisation is required will guide your selection.Castor Selection:There is usually little choice of castor on a particular model of powerchair, therefore this should be considered when making a choice of chair model at the start. Differing options of size, width, material, and suspension in the castor arm can make a huge difference to how a chair drives, the feel of the ride, and how well it manoeuvres.The Power Base and Drive wheel position:All power wheelchair bases have their pros and cons, and you will also need to consider the motor capabilities of each model to make the best choice. It comes down to, “What do you need the chair to do?&nbsp; What goals are you trying to achieve?”.&nbsp; Remembering that a compromise is likely to be needed, so understanding what is most important to the client should remain front of mind.Rear Wheel Drive is great for driving in outdoor community spaces and performs well at higher speeds. It is stable with some climbing ability and generally has good ground clearance. It also offers great control with non-proportional inputs. However, it does have the biggest footprint and users generally need to have good spatial awareness to manoeuvre the chair as the drive wheels are behind them. This could be overcome safely with some training and experience but is a good reminder that using a rear-wheel-drive power chair takes some skills and experience to learn to drive it. A rear wheel drive also has poorer traction on steep downhill slopes.Front Wheel Drive has great climbing ability and small front castors which means the user can get close to desks. &nbsp;Smaller castors also means that tighter foot placement can be achieved. It does however have poorer control with non-proportional inputs, or when travelling at higher speeds. Similar to rear wheel drive, users generally need to have good spatial awareness to manoeuvre the chair with the drive wheel now out in front of them.Mid Wheel Drive is more intuitive to drive as you are turning from where you are sitting. This also means it has the smallest turning radius, and therefore the smallest footprint of the group. It does however require the use of front and rear stabilisers and castors which can impact on transfers and front access. Awareness of this is required as they can have a tendency to get “hung” on dips such as curbs if approached on the wrong angle. Overall, a mid-wheel drive power base can suit most clients and their needs with the greatest potential of overall use. It is also the most prescribed power base set up.Four Wheel Drive / All Terrain. These powerchairs are often larger with the compromise being reduced manoeuvrability to enable off-road capabilities. &nbsp;These are generally not a good choice for indoor mobility unless you have a large home, wide hallways, and hard flooring; however they are amazing for opening up the opportunities for access in the great outdoors. &nbsp;<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20734139&amp;c=4030603&amp;h=snBTzqGXvd-ZMX1xArWRwwG9l1EXVcCY59RSOWq1BeOk5d3y" alt="A collage of different wheelchairsDescription automatically generated"/></figure>Seating and power base considerations:The use of power seat functions will also influence the seat base to power base positioning and the chair’s functioning. For example, recline and tilt will both shift the balance of the client’s weight on the power base. Therefore, knowing their drive position is incredibly important and should be accounted for when putting the whole picture together.Suspension:Along with the considerations of base is the question of suspension, how this is achieved on the base, and how it interacts with the seating. Every chair is different so check the ride quality over the surfaces the client is going to be accessing. For example, a Roho cushion might be indicated for pressure relief but can be unstable when paired with an all-terrain option such as the X8 and used on rough walking tracks. Tyre Selection:The tyres on a powerchair form a part of the suspension package of the powerchair base. These may also determine, to some extent, the terrain the user is going to be able to access. Selection is therefore very important, and knowing which powerchairs offer which options is handy to know. A smaller, narrower solid tyre will give you amazing manoeuvrability on flat surfaces inside, but will struggle over gravel or grass outdoors. &nbsp;Likewise, a wider, pneumatic, low-pressure tyre is great for traction over rough surfaces and gives a softer ride but can make turns inside a struggle if the turn space is tight. There’s also the debate over maintenance of a pneumatic tyre versus a solid or hybrid tyre. There are obvious advantages to a solid tyre but remember to consider ride feel. &nbsp;There is little advantage in scripting a solid tyre if this then affects the feel of the ride to the point the client can’t use the chair.Set Up:Now that you’ve made all the choices on the script for a powerchair and seating it should all just come together, right? In fact, this is where the skills of an experienced therapist and/or an AT specialist really come to the fore.For example, placement of the seating base on the power base in relation to the drive wheels has a big impact on the balance of the chair. Too much weight over the castors will cause it to drive and turn heavily. There is also a concern with the chair becoming “tippy” towards the front when encountering curbs and slopes. Placed too far back, and there won’t be enough weight over the front castors so castor flutter can become an issue.Overall, ensuring an optimal set up for the user at the start can facilitate its best use and allow it to function exceptionally well.Astris PME have a vast range of power wheelchair options., If you are looking for any support in this area or keen to know more, reach out to us at www.astris-pme.com.au or 1300 131 884.

This could be for a number of reasons such as reducing the stress on shoulder joints, insufficient strength, fatigue, independence, or accessing powered seating functions. Overall, there are likely several goals for wheelchair users and their families as well as the clinical considerations of their therapy team to take into account.

Powerchair scripting – the functional effects of choices

<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20234278&amp;c=4030603&amp;h=h2esyz-4vxwvfmrv9qbuw99P5oGJ2h9w7Kf9ZpHwfjsIaFlA" alt=""/></figure>Written by Bianca Brady Bachelor of Applied Science (Occupational Therapy) Astris PME Clinical Education CoordinatorFor manual wheelchair users, the benefits of using a power add-on unit go beyond preservation of shoulder health or facilitating long distance propulsion. There are many secondary benefits of this set up which additionally preserve and aim to maintain independence in other areas of daily life and wellbeing, too.A systematic review in 2016, explored factors influencing participation of wheelchair users in their social and community environments. The scope to change outcomes by addressing some factors or accommodating for others was also identified. When looking at the “modifiable” factors, there is a wide range where the use of a power add-on unit can improve participation and access. Some examples include:<ul><li>being able to provide effective propulsion in the presence of reduced hand grip strength.</li><li>managing energy expenditure by augmenting or replacing the need for manual propulsion.</li><li>managing fear of risk /risk of shoulder injury with sustained and repetitive manual propulsion.</li><li>Reducing dependence on others by providing opportunity for independent mobility.</li></ul>These primary benefits then promote greater opportunity for participation and access and many secondary benefits can be gained. Particularly contributing to being engaged with the community, motivation to access community environments and preservation of shoulder health for independence in daily living tasks and overall, helping to achieve positive life outcomes.What about exercise and fitness?Occasionally, a question is raised on using a power add-on unit and removing the opportunity for long distance self-propelling, and with it, the perceived potential benefits on cardiovascular and respiratory function. There is little evidence outlining the impact on cardiovascular or respiratory function when comparing manual self-propelling against the use of a power add-on unit. There is no statistically significant data that shows using a power add-on unit negatively impacts a user in this way when compared to self-propelling, however further research continues to be recommended. What is available though, is extensive research on shoulder health for manual wheelchair users who self-propel, and the risks associated with sustained, repetitive manual propulsion. There is a high prevalence (30-70%) of manual wheelchair users with a spinal cord injury sustaining a repetitive strain injury in their shoulder (Gil-Agudi et al, 2014). &nbsp;It is also important to note that propulsion biomechanics does not differ significantly between athletic users (those with significantly greater levels and intensity or physical activity per week) and non-athletic users in their daily manual wheelchair (S.J, Briley, et al, 2020).If weighing up the perceived potential benefits of long-distance self-propelling against use of a power add-on unit, consider the known risk to shoulder health and the complications that can arise from an injury impacting function and quality of life.<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20234280&amp;c=4030603&amp;h=pmPmHxiDseFhsoIXg34vmGg5vqP89j86C--zrW_lLUovYl77" alt=""/></figure>Don’t forget to consider the frame and system set upIt is also important to note that using a power add-on unit is only one out of five ways to address the need to preserve shoulder health and function for manual wheelchair users. Attention and consideration of the whole system should be reviewed and using a power add-on unit on a sub-optimal system should be avoided. Some power add-on units significantly increase the demands on the frame. Check the strength, durability and vibration dampening properties against the chosen unit and environment/s of use. Careful consideration of wheelchair frame components can also promote efficiency of the whole system or cause barriers and sub-optimal use.Where to start to narrow down the optionsWith multiple options currently available for consideration, how do you start to identify a suitable unit? Power adds on units can be broken down into 2 categories:<ol type="1"><li>those that offer partial assistance (augmenting the user’s manual propulsion) such as rear mount (Alber Smoov, SmartDrive, Klaxon Twist), hand-rim activated (Alber E-Motion) and front mount with no handlebar (Klaxon Twist).</li><li>those that provide full assistance (removing the need for manual propulsion), such as joystick conversion (Alber E-Fix, Todo, i-Xpress) and front mount with handlebar (Klaxon Klick or Twist).</li></ol>It is a good idea to consider this first, after evaluations and discussions have occurred between the clinician and the user.  This collaborative approach can help ensure the needs and capabilities of the user along with the parameters of the unit are suited.  It will also look into how this set up will achieve the desired goals and outcomes in the intended environment/s of use. For example, does the front castor need to be lifted off the ground to overcome barriers in the community.Following this, the type of set up can be narrowed down. Most units will offer one type of set up, either rear mount, hand rim activated, joystick control, or front mount with handlebar and one which offers a combination depending on the goals and intended environments of use.<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=20234279&amp;c=4030603&amp;h=M-66o11hrr_WADXjJvkcxFdDNxowVGvEo-EcgCJoK-WCaMYw" alt=""/></figure>A note on transitioning from one environment to another with a power add-on unitConsidering if a manual wheelchair user is changing environments throughout the day and if power is needed in each environment, could highlight the need for a power add-on unit that offers multiple set ups. For example, consider the need to access outdoor community areas and then office spaces, places of learning, shopping centres, or even air travel and use on a trip. There is also evidence to support an emerging trend for user transitioning from one environment to another and finding themselves limited when the power add-on unit is not suitable for use in the new environment. Funding bodies will often only approve one type of power add-on unit. In looking to optimise a user’s engagement and participation, having an option that can cross over from one environment to another can help achieve this. With careful consideration, there is significant potential to address multiple factors influencing participation to optimise someone's life outcomes.References:<ul><li>Briley, S.J.,&nbsp; Vegter, R. J. K., Tolfrey, V. L., &amp; Mason, B. S. (2020). Propulsion biomechanics do not differ between athletic and nonathletic manual wheelchair users in their daily wheelchairs. Journal of Biomechanics, 104, 109725–109725. <a href="https://doi.org/10.1016/j.jbiomech.2020.109725">https://doi.org/10.1016/j.jbiomech.2020.109725</a></li><li>Dhaliwal, Manveer &amp; Janssen, Sara &amp; Kuik, Kylie &amp; Giesbrecht, Edward. (2022). Choosing a Power Assist Device. 10.13140/RG.2.2.32593.45924.</li><li>Khalili, Jonathan, C., Hocking, N., Van Der Loos, M., Mortenson, B., &amp; Borisoff, J. F. (2022). Perception of autonomy among people who use wheeled mobility assistive devices: Dependence on the type of wheeled assistive technology. Assistive Technology, 34(6), 725–733. <a href="https://doi.org/10.1080/10400435.2021.1934611">https://doi.org/10.1080/10400435.2021.1934611</a></li><li>Gil-Agudo, Á., Solís-Mozos, M., Crespo-Ruiz, B., Del-Ama Eng, A. J., Pérez-Rizo, E., Segura-Fragoso, A., &amp; Jiménez-Díaz, F. (2014).Echographic and kinetic changes in the shoulder joint after manual wheelchair propulsion under two different workload settings. Frontiers in bioengineering and biotechnology, 2, 77. <a href="https://doi-org.ezproxy.uws.edu.au/10.3389/fbioe.2014.00077">https://doi-org.ezproxy.uws.edu.au/10.3389/fbioe.2014.00077</a></li><li>Smith, E., Sakakibara, B. M., &amp; Miller, W. C. (2016). A review of factors influencing participation in social and community activities for wheelchair users. Disability and Rehabilitation: Assistive Technology, 11(5), 361–374. <a href="https://doi.org/10.3109/17483107.2014.989420">https://doi.org/10.3109/17483107.2014.989420</a></li><li>Waugh, K., Crane, B., Johnson Taylor, S., Cwiertnia, S., Saftler Savage, F., Davis, K., Brown, L., &amp; Christie, S. (2013). Glossary of wheelchair terms - NCART. NCART. <a href="https://www.ncart.us/uploads/userfiles/files/documents/glossary-of-wheelchair-terms.pdf">https://www.ncart.us/uploads/userfiles/files/documents/glossary-of-wheelchair-terms.pdf</a></li></ul>

A systematic review in 2016, explored factors influencing participation of wheelchair users in their social and community environments. The scope to change outcomes by addressing some factors or accommodating for others was also identified. When looking at the “modifiable” factors, there is a wide range where the use of a power add-on unit can improve participation and access. Some examples include:

A look at the why and how of power add-on units

<figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=19810409&amp;c=4030603&amp;h=9RJ8Prdvig_-Q-4uy-NbcEKAbZVqNWkQvPEHBupTiVLpKxZ4" alt=""/></figure>Written byBianca Brady Bachelor of Applied Science (Occupational Therapy) Astris PME Clinical Education CoordinatorMellinda Fitzgerald Bachelor of Physiotherapy (BPhty) Astris PME Clinical EducatorSpecialist seating aims to allow individuals, who might otherwise be unable to, achieve optimal sitting posture for health and wellbeing.This seating can be built into a wheeled mobility frame, floor or hi-lo adjustable frames, hygiene and toileting systems and seating outside of these areas where the aim is to promote leisure, social engagement, relaxation, and rest.Selecting a specialist seating system to meet complex postural needs should be based on meeting specific collaborative goals between the prescriber and user. This is often highlighted during the assessment process where a combination of seating options are considered and reviewed to enable participation and function throughout the day.Lack of appropriate support in a seating system can result in pain, fatigue, not being able to make eye contact or not having arms and hands free for movement, reaching or self-expression. This impacts an individual’s opportunity and potential to participate in activity and engage with others. Limited sitting tolerance from a suboptimal set up can also lead to behaviours and postures that impede engagement and cause a further decline in postural asymmetries. All of which lead to poor health and wellbeing outcomes which ultimately impact a person’s quality of life.Supporting seating and posture throughout the day, often requires more than one piece of assistive technology to optimise function, participation, and quality of life. When a wheeled mobility device with seating is not able to meet certain goals, using an alternative specialty seating system can be considered.Some may already be familiar with the Smart Seat Pro (SSP), a specialist seating system available in a small size to suit complex postural support needs for the paediatric population and smaller framed adult clients. Recently released, the Smart Seat Pro II (SSPII) is a larger (medium) sized chair which meets the needs of adults or users of the SSP who have outgrown it. The SSPII continues to offer all the features and adjustability of the SSP with some key upgrades to make the chair more user friendly and promote easier adjustability. These include:<ul><li>New tilt inclinometer and visual indicator for recline angle</li><li>Increased ground clearance to allow easier access for transfer aids</li><li>Flip up, angle adjustable footplate which self-retracts when the chair is brought out of tilt</li><li>More range in the leg support to accommodate a greater range of knee angles</li><li>Upgraded mechanism to make removing and replacing the arm supports more user friendly</li><li>Upgraded mechanism for the multi adjustable segments for head and thoracis support that are tool free</li><li>New sections of modifiable filling to customise support &amp; integral seat depth and width adjustment</li><li>New options to provide additional positioning supports such as additional ergonomic shaped lateral thoracic supports</li></ul><figure class="wp-block-image size-large"><img src="https://4030603.app.netsuite.com/core/media/media.nl?id=19810420&amp;c=4030603&amp;h=TGYtZ8-FzPppmimFglRgdBFvFhihzHpJpZA2sWlK0GVMcNrk" alt=""/></figure>Deciding who the SSPII will be of most benefit to, and to help with clinical reasoning, let’s take a closer look at how the SSPII can support complex postural needs.An alternate seating system should still promote best sitting posture.The range of configurations to either accommodate or correct postural asymmetries allows the SSPII to meet the needs of a large population group, including individuals with cerebral palsy, traumatic brain injury, muscular dystrophy and motor neuron disease to name a few. Within the levels of supported seating, mild, moderate or complex, the SSPII has been engineered to suit needs at a complex level.&nbsp;A specialised seating system, such as the SSPII, aims to optimise posture, comfort and function by addressing the fundamental seating objectives. These are sitting tolerance (comfort), postural support, promoting function and pressure injury prevention and management. The SSPII achieves all this by allowing a customised set up as the sections of the chair directly correlate to the body segments that need to be supported for postural control and stability. Using the tilt function with the built in CareFlex WaterCell Technology®, the seat can also provide adequate care for individuals who are at medium to high risk of pressure injuries. The addition of modifiable sections and inclusion of secondary lateral supports further provide options to customise the level of support needed to achieve the objectives.Providing justification in relation to cost effectiveness should always include the longevity of high-quality equipment. The SSPII is a robust chair that can withstand high loads and comes with a lifetime warranty on the frame.Focusing on a discussion of the effectiveness of the features, great and small, and how these meet the needs of the user, their supports, and their environment will easily justify the recommendation of the use of the SSPII.&nbsp; Don’t forget to compare this with the foreseeable implications/complications of not implementing a specialist seating system (and the costs associated with this) as this will further support your recommendation for supply of the SSPII.The Smart Seat Pro II is now an option that offers a modular system that is highly adjustable to meet the needs of individuals who require both complex postural support and pressure injury prevention and management. For access to guides on assessment, products, and clinical justification, visit the Astris PME website to access their free downloads <a href="https://www.astris-pme.com.au/smartseat-pro-ii" data-type="URL" data-id="https://www.astris-pme.com.au/smartseat-pro-ii" target="_blank" rel="noreferrer noopener" style="color: black;">HERE.</a>For more information on the Smart Seat Pro II or any of the CareFlex range, contact Astris PME on 1300 131 884.

Supporting seating and posture throughout the day, often requires more than one piece of assistive technology to optimise function, participation, and quality of life. When a wheeled mobility device with seating is not able to meet certain goals, using an alternative specialty seating system can be considered.

Specialist seating and the new Smart Seat Pro II

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We are excited to announce that the annual Astris PME CLINICAL SUMMIT is coming to Sydney on Thursday 18 May 2023!

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With leading international Assistive Technology manufacturers showcasing their equipment (across over 2000m2 of displays) and&nbsp;providing clinical education, this is a not-to-be missed opportunity to&nbsp;learn from the best, and increase your awareness of the latest advice&nbsp;and equipment.

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Certificates and CPD points will be awarded. Therapists are welcome&nbsp;to bring clients to the expo section where we will have over 100 items&nbsp;of AT on display.&nbsp;

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All attendees will need to pre-register. Secure your spot by booking now!&nbsp; 
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<center><a href="https://www.eventbrite.com.au/e/astris-pmes-2023-clinical-summit-tickets-543490513757?utm-campaign=social&amp;utm-content=attendeeshare&amp;utm-medium=discovery&amp;utm-term=listing&amp;utm-source=cp&amp;aff=escb" target="_blank"><img alt="" src="https://4030603.app.netsuite.com/core/media/media.nl?id=18829062&amp;c=4030603&amp;h=6fGzjOvhdFMy2rt8qMJ2lHS-aeLNwxS1GddgjEQkFV4fHwFv" style="width: 134px; height: 30px;" /></a></center>

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Date:&nbsp; 
Thur 18 May 
9 am &ndash; 5 pm

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Venue: 
Accor Stadium 
Level 4, Millennium Room 
Edwin Flack Avenue 
Sydney Olympic Park,&nbsp;NSW 2127

<center><img alt="" src="https://4030603.app.netsuite.com/core/media/media.nl?id=18946528&amp;c=4030603&amp;h=3B8iUv-HVeCpUD-Gr2IhzRtaXs4OOaFdNyLCNbFNIL8-kwNl" style="width: 720px; height: 620px;" /> 
<img alt="" src="https://4030603.app.netsuite.com/core/media/media.nl?id=18829748&amp;c=4030603&amp;h=SmJgtwqO7hFvnwp5g0wkofMSVsOfL-aLP8ak0tGVjnN6RF-l" /><img alt="" src="https://api.astris-pme.com.au/storage/uploads/Summit_Speakers-revised_1680828076.jpg" /><img alt="" src="https://api.astris-pme.com.au/storage/uploads/Summit_Speakers-revised_1680828117.jpg" /></center>

Workshops and Presentations

There will be over 15 workshops or presentations across the day, held in four training rooms. Both paediatric&nbsp;and adult focused sessions are being held.

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A preview of what&rsquo;s on offer:

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<ul style="text-align:left;">
	<li>The Challenge of Gait Dynamics: Training Principles and Solutions &ndash; Presenter: Lori Potts</li>
	<li>Wheelchair Seating Prescription: The absolute essentials! &ndash; Presenter: Joana Santiago</li>
	<li>Considerations for Power Assist Devices: how much can one offer? &ndash; Presenter: Bianca Brady</li>
	<li>Environment, environment, environment: Participation based intervention in children and adolescents with unilateral Cerebral Palsy (uCP) &ndash; Presenter: Andrea Espei</li>
	<li>Toileting and Special Needs: Where to Start? &ndash; Presenter: Lori Potts</li>
	<li>Promoting Function &amp; Efficiency with Best Practice Guidelines for manual wheelchair prescription &ndash;&nbsp;Presenter: Christie Hamstra</li>
	<li>The Why, When and How of Night-time Positioning &ndash; Presenter: Joana Santiago</li>
	<li>Mobility and Accessibility for Children in Australia Ltd (MACA): Driving advancements in safe and accessible transport for children with disabilities &ndash; Presenter: MACA (Helen Lindner and Emma Clarkson)</li>
	<li>Plus more!</li>
</ul>

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Get hands-on with the equipment for an hour crash course to build confidence in prescribing and implementing&nbsp;specialised assistive technology to suit individual needs. Choose from a couple of workshops that suits&nbsp;your field of expertise and interest, working with the clinical educators direct from product manufacturers.&nbsp;A valuable learning opportunity for allied health professionals working in community health, disability and&nbsp;education settings.

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An exclusive lounge area is available for OT&rsquo;s and PT&rsquo;s &ndash; therapists should contact your Astris PME account&nbsp;manager for your access code. 
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<a href="https://www.eventbrite.com.au/e/astris-pmes-2023-clinical-summit-tickets-543490513757?utm-campaign=social&amp;utm-content=attendeeshare&amp;utm-medium=discovery&amp;utm-term=listing&amp;utm-source=cp&amp;aff=escb" target="_blank"><img alt="" src="https://4030603.app.netsuite.com/core/media/media.nl?id=18829062&amp;c=4030603&amp;h=6fGzjOvhdFMy2rt8qMJ2lHS-aeLNwxS1GddgjEQkFV4fHwFv" style="width: 134px; height: 30px;" /></a>
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We are excited to announce that the annual Astris PME CLINICAL SUMMIT is coming to Sydney on Thursday 18 May 2023!

Astris PME 2023 Clinical Summit

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<center><img alt="" src="https://api.astris-pme.com.au/storage/upload/2023-03-24/image/1679642799_Service-After%20Sales%20Care.png" style="width: 100%; height: auto;" /></center>

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Written by&nbsp;

Bianca Brady 
BAppSc (OT) 
Astris PME Clinical Education Coordinator

Generally, we all enjoy receiving something new in its optimal condition and working order, be it a new home appliance, car or even a thriving plant to brighten up the home. However, ongoing care and attention is necessary to allow these things to function at its best, and therefore regular maintenance and repair is required. Assistive technology falls into the same category and the same considerations must be made to ensure safe and optimal working order. Assistive technology ranges from low-cost, high frequency usage and more complex types to facilitate daily life goals. Despite the type of technology, it is essential to ensure regular inspection and maintenance from an experienced technician to maintain its upmost working condition.

All assistive technology should come with a warranty which covers repairs and replacements of parts, if the equipment has failed at its function, in a set time frame while being used as intended. However, warranty does not cover maintenance and many situations that can lead to a failure, could be avoidable with proactive inspections on a regular basis. For example, moving parts, such as bolts and screws, can become loose, and if left unattended may cause additional stress on this area and lead to a failure. In addition, incorrect use of equipment can lead to premature wear and damage. Addressing this can result in a lengthy wait on repairs or replacement parts and often leave people without the use of their equipment, ultimately impacting the quality of health and wellbeing of the user, their supports and possibly the equipment itself.

Funding bodies of assistive technology are aware of and support the need for regular maintenance to keep people safe and engaged in life roles. &nbsp;The NDIS encourages participants to develop a maintenance schedule with the supplier of the assistive technology. It offers to take on board quoted maintenance schedules to include in participants&rsquo; plans at the time of planning and if not included, a reference guide on the estimated funding required of annual repairs.

It is recommended that at the time of delivery and set up, not only are you and your supports provided with education and training on the assistive technology, but you are also offered a scheduled maintenance program to support you with ensuring maintenance is carried out. This aims to avoid potential and foreseeable interruptions in the use of the equipment, safety risk to users and wait times for warranty claims or replacement.

Facilitating improvement in quality of life and engagement in daily activities through the use of assistive technology should not end at the time of delivery and set up. Astris PME offers multiple avenues for follow-up, preventative maintenance and service checks to continue to work with and support users of assistive technology. With a growing service team including experienced technicians, and workshops in Brisbane, Newcastle, Sydney, Canberra, Young and Melbourne, after sales care includes both onsite and back-to-base maintenance service at showroom locations. Astris PME also have a &ldquo;preventative maintenance plan&rdquo;, which will ensure timely maintenance and follow up.&nbsp;&nbsp;

<img alt="" src="https://4030603.app.netsuite.com/core/media/media.nl?id=18886493&amp;c=4030603&amp;h=9YqqaHTKcFYIbPx_fvWqNA0xet0FT5zaoiR_D8_0wh0kkbyc" style="width: 100%; height: auto;" />

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Speak to your Astris PME AT Consultant, your Plan Manager, and request to have this included in your plan. Contact Astris PME Service Department on 02 9135 6440&nbsp;or email <a href="mailto:service@astris-pme.com.au">service@astris-pme.com.au</a>, for further details and pricing

Astris PME offers multiple avenues for follow-up, preventative maintenance and service checks to continue to work with and support users of assistive technology.

Maintaining Assistive Technology to sustain quality

Quickie

Volter

Vipamat

Tumbleform 

Tumble Form

Stealth

Special Tomato

Simple Stuff Works

Seeds Seating

Schuchmann

Ruedamann

Roho

Rifton

Astris PME offers free equipment trials (as long as a therapist is involved) and product demonstrations across NSW, ACT, QLD and VIC, which can be held at any of our clinic rooms, at your therapist’s clinic, or at another suitable location of your choice. (If you are outside these areas, feel free to talk to us for a referral to a provider in your area).

Equipment Trials

Our team is comprised of trained specialist consultants, experienced mobile service technicians, and dedicated customer service personnel. We also have back-office support in finance, marketing, systems, warehouse and production, with branches in Sydney, Newcastle, Young, Canberra, Melbourne and Brisbane.

Experienced Team

We are proud of our long-standing relationships with many valued clients, and work closely with their therapists and organisations such as Cerebral Palsy Alliance (CPA) and NAPA Centre. In addition, we have formed strong relationships with our suppliers and with the NDIS to ensure better support for our clients.

Strong Relationships

Because our range is mostly prescriptive, we have an accomplished team who are skilled at customising and adapting products to suit individual needs and requirements. This attention to detail is a fundamental part of the service we provide because it can make a significant difference to the wellbeing of all people with a disability.

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