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Reflection Questions

The Reflection Questions document can be downloaded at any time and used in a variety of ways. You can view it before starting your work so that you know which questions will be asked in the videos and/or on the webpages. You can also access it at the end of your work so that you can see all your responses to the questions. This tool can be helpful for documenting your learning and referring to later or for sharing it with others in group discussions or as demonstration of your online progress.


Discussion Questions

The Discussion Questions provided below can supplement and extend your individual learning and be used by facilitators or coaches to prompt meaningful discussions.

  1. Discuss types of seating and positioning AT solutions that you have seen used with students. What are your strengths and deficits with regard to assessing a student's seating and positioning needs?

    Each of the team members could describe how seating and positioning might affect his or her provision of services to a child. For example, the SLP may point to the need for support for the trunk to work on better breath for speaking. The classroom teacher may be concerned about seating and positioning if the child falls out of his chair, lies on his desk or fatigues easily when sitting at a desk or on the floor. The special education teacher may want to ensure that the student is in a position that allows access to the board and desktop.  Each team member can describe what they have seen, tried or what has been successful with their students.     

  2. Does your team routinely discuss your students' seating and positioning needs? What could your team do to incorporate this process into what you are already doing?

    Seating and positioning are often foundational to the student's ability to access AT, such as a communication device and a computer, or access to reading, writing and math, to name a few. Inappropriate positioning can impact the student's ability to focus on learning activities. Seating and positioning should be discussed before all other AT areas and should be part of the AT consideration process that occurs during an IEP meeting.  A possible outcome of such a discussion is the need for further assessment, which should include seating and positioning needs.  To help decrease meeting time, on-line forms in Google Docs can be used to gather information about the student's seating and positioning needs.     

  3. Sometimes team members are concerned that seating and positioning supports cause a student to lose abilities. For example, use of a headrest may cause concern that the student might experience muscle weakness of the neck. How would you address such concerns?

    As with many types of AT, some team members, including parents, deduce that providing support prevents skill acquisition. To help put this into perspective, it is helpful to ask the question, "What is the purpose of the activity?" For example, if the focus of the task is head control, the support can be removed so that improving head control can be addressed. However, if the purpose of the task is to listen to a lecture or read a passage from a book, the student might not be able to focus on the academic task if she is also working hard to hold her head up and, therefore, a headrest is in order.

Activities on this page are provided at both the introductory and advanced level and can be copied and used within existing professional development or university coursework.

Introductory Activities

  1. Practice brainstorming

    Not everyone is comfortable brainstorming as part of the team process, especially when they do not feel they have knowledge of a specific area such as seating and positioning.

    Have team members describe in detail what they see when the student is seated. Even a lay person's descriptions such as "the student fidgets" or "the student has a glazed-over look" can provide input about the student's seating and positioning needs. Observe how the team members contribute. If team members are reluctant to speak, try to tap into their area of expertise.  Does it help them to contribute more? Do some people need to be encouraged and given time to process information?  Do others need to develop their listening skills and learn to wait for others to contribute to the conversation, too? What kinds of group dynamic activities could you work on to get all members to feel they are a valuable part of the team despite different levels of understanding of a complex area like seating and positioning? 

  2. Explore seating and positioning tools

    Try out some of the low-tech seating and positioning tools (such as a T-stool, ball chair, standing desk, cushions or other devices) that are available at your facility by using them yourself. Note your perceptions of the items. Are they comfortable, do they help or hinder your task performance? How long could you tolerate using them? In addition to verbal reports about the various devices, what are some of the nonverbal indicators in yourself or others that demonstrate how a device is working or not working? Think about the nonverbal signs you might observe in your students.

Advanced Activities

  1. Practice using solution generation

    Imagine a student who has mild or severe difficulty with seating and positioning. Describe her needs and generate a list of areas that need to be addressed with regard to seating and positioning. Using the AT continuum for seating and positioning, choose a starting point for determining the needed AT. Explain why you chose that starting point. For example, what tools would you try for a student who falls out of his chair frequently? How could you incorporate trials of these tools into daily activities? Who would be assigned to monitor the trials and how could you streamline the data collection process to make it as simple as possible?

  2. Generate an implementation plan

    Think of a specific student and develop an implementation plan for her seating and positioning trials. Describe what a seating and positioning implementation plan might look like. Include who, what, why, when and where. Then describe the specific data to be collected and how it will be recorded. Include what a successful result would look like. Include indicators for a successful trial.  Assessing a real student allows the team to meaningfully engage in this part of the process rather than just practicing it. Many times the team is more productive if team members feel that what they are doing will have real application to their daily work.

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