{"id":9127,"date":"2022-07-11T12:19:18","date_gmt":"2022-07-11T11:19:18","guid":{"rendered":"https:\/\/beta.devon.gov.uk\/supportforschools\/?page_id=9127"},"modified":"2024-12-11T13:10:09","modified_gmt":"2024-12-11T13:10:09","slug":"positioning","status":"publish","type":"page","link":"https:\/\/www.devon.gov.uk\/support-schools-settings\/send\/areas-of-need\/sensory-and-or-physical\/physical-difficulties\/positioning\/","title":{"rendered":"Positioning"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Positioning and readiness to learn<\/strong><\/h2>\n\n\n\n<p>Correct positioning is crucial to allow children and young people to optimise their ability to access the curriculum.<\/p>\n\n\n\n<p>For instance, if a child or young person with limited sitting balance has to think about keeping themselves upright, this will impact their ability to complete tasks.&nbsp; Without a secure base it is hard to concentrate, think and write as mind and muscles are focussing on maintaining stability.<\/p>\n\n\n\n<p>Of course it is important to consider the child or young person&#8217;s comfort too, for some, the most stable position (below) may not be comfortable and would therefore affect their learning.<\/p>\n\n\n\n<p>In the long term, poor positioning can have a serious impact on back health.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Stability<\/strong><\/h3>\n\n\n\n<p>Stability is a key issue alongside the ergonomic set up of a work station.<\/p>\n\n\n\n<p>The majority of children and young people will be most stable as pictured below:<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"800\" height=\"353\" src=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/151\/2022\/08\/PositioningHandwriting-800x353.png\" alt=\"Line drawing of a person sitting at a desk\" class=\"wp-image-16268\" srcset=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/166\/2022\/08\/PositioningHandwriting-800x353.png 800w, https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/166\/2022\/08\/PositioningHandwriting-640x282.png 640w, https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/166\/2022\/08\/PositioningHandwriting-1024x451.png 1024w, https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/166\/2022\/08\/PositioningHandwriting-300x132.png 300w, https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/166\/2022\/08\/PositioningHandwriting-768x338.png 768w, https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/166\/2022\/08\/PositioningHandwriting-1536x677.png 1536w, https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-content\/uploads\/sites\/166\/2022\/08\/PositioningHandwriting.png 1602w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Non seated positioning<\/h3>\n\n\n\n<p>Most learning within the classroom may be done whilst seated at a table but standing frames, floor seats, wedges, and other positioning aids can also help children and young people get into good positions for learning, socialising, playing and eating.<\/p>\n\n\n\n<p>For many children and young people with limited mobility these changes of position also help them to develop strong bones and muscles, aid circulation and avoid issues like pressure sores.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Therapist advice about positioning<\/h3>\n\n\n\n<p>It is important to discuss positioning with the child or young person&#8217;s therapist, this will usually be an <strong>Occupational Therapist<\/strong> for their seating and a <strong>Physiotherapist<\/strong> for standing and lying. Make sure their recommendations, such as symmetry, using both hands, not twisting \/ leaning are implemented.<\/p>\n\n\n\n<p>You can contact a therapist to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>discuss concerns about a child or young person&#8217;s position<\/li>\n\n\n\n<li>check specialist equipment if incorrectly setup or sized<\/li>\n\n\n\n<li>to book an annual seating review (If a child or young person has previously had seating provided)<\/li>\n<\/ul>\n\n\n\n<p>Contact the Occupational Therapy team using the following link: <a href=\"https:\/\/childrenandfamilyhealthdevon.nhs.uk\/occupational-therapy\/\" rel=\"noopener\">https:\/\/childrenandfamilyhealthdevon.nhs.uk\/occupational-therapy\/<\/a><\/p>\n\n\n\n<p>For Physiotherapy support you can contact the team at Vranch House using the following link: <a href=\"https:\/\/www.vranchhouse.org\/contact\/\" rel=\"noopener\">Contact &#8211; Vranch House<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Writing and positioning<\/h3>\n\n\n\n<p>For good positioning, the key thing to observe is that the hand can move to write, with the wrist steady, rather than having to adjust position for every letter.<\/p>\n\n\n\n<p>Parts of the forearm, wrist and heel of the hand should rest on the work surface giving stability. The non-writing hand could be used to steady the work. A sloping surface \u2013 e.g. a writing slope can help with posture and hand position, it also may encourage extension of the wrist and lessen stress on the forearm.<\/p>\n\n\n\n<p>The paper should be placed to the same side of the body as the writing hand and lined up with the forearm of the writing hand. A tripod grip (thumb and fingers 1 &amp; 2) should be encouraged.<\/p>\n\n\n\n<p>Remember that before children are ready for writing, they need to develop hand skills and develop strength and control in their arms and shoulders so that they can steady themselves.<\/p>\n\n\n\n<p>There are many pre-writing activities to develop hand, arm and shoulder control as well as hand eye coordination, see the Occupational Therapy section of Children Family Health Devon website <a href=\"https:\/\/childrenandfamilyhealthdevon.nhs.uk\/occupational-therapy\/school-age-therapies-toolkit\/\" rel=\"noopener\">School Age Therapies Toolkit &#8211; Children and Family Health (childrenandfamilyhealthdevon.nhs.uk)<\/a>.<\/p>\n\n\n\n<section class=\"footer noCarousel\">\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Positioning and readiness to learn Correct positioning is crucial to allow children and young people to optimise their ability to access the curriculum. For instance, [&hellip;]<\/p>\n","protected":false},"author":2471,"featured_media":0,"parent":8143,"menu_order":13,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-9127","page","type-page","status-publish","hentry"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-21 18:22:19","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/9127","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/users\/2471"}],"replies":[{"embeddable":true,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/comments?post=9127"}],"version-history":[{"count":5,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/9127\/revisions"}],"predecessor-version":[{"id":29505,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/9127\/revisions\/29505"}],"up":[{"embeddable":true,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/8143"}],"wp:attachment":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/media?parent=9127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}