Tilt: Understanding All the Angles


Credits: .1 CEU
Presenter: Missy Ball, MT, PT, ATP



The tilt-in-space frame allows change in a client’s orientation to gravity while maintaining the same seat to back angle and relationship between seating components to the client. This lecture will succinctly discuss the differences in tilt systems, as well as the technical specifics in frame design and clinical application. When choosing system tilt for a client, several areas need to be considered: the plane in which the tilt occurs, direction and degree of tilt, location of tilt axis on frame, and the need for fixed or adjustable tilt. There are numerous clinical rationale for using specific tilts including pressure relief,improvement of skeletal alignment postural control, assistance with oral motor function, positioning to reduce GE reflux help empty the stomach, and respiratory expansion, to name a few. These and other rationale will be explored.

Learning Outcomes for this course:
Make an informed decision about design with regard to tilt, axis placement, and degree and plane of tilt for a specific individual’s needs.
List 2 clinical applications for anterior, posterior, lateral and oblique tilt-in- space systems.
Describe how axis placement on classic tilt frame impacts sight line, reach, table access and mass weight shift.

Missy is a physical therapist, ATP, and laboratory scientist with over 35+ years of experience, with a private practice specializing in pediatric neurology. She is certified in pediatric NDT with a solid focus on improving function through treatment and equipment. In the past, she served as Acting director and Assistant director of the Physical Therapy Department at Children’s Hospital in New Orleans, as well as the co-director of their seating program for a 10 year period. She has lectured both nationally and internationally with regard to seating and mobility for 20 + years, served as educational specialist for Freedom Designs for 21 years, and presently consults with Convaid and Texas Department of Aging and Disabilities Services for seating and mobility.