Specialist 24 Hour Postural Care Support
Tailored Positioning And Equipment Prescription
Support For Children And Adults With Complex Needs
Supporting Comfort and Function Around the Clock
At Smart Rehabilitation, 24 hour postural care is about more than positioning. It is about comfort, health, function and quality of life across the full day and night cycle.
For individuals with complex neurological, orthopaedic or developmental needs, posture during sitting, standing, lying and movement can influence pain, sleep, respiratory function, skin integrity and long-term musculoskeletal health.
We provide specialist assessment, tailored prescription and practical training for both adults and children, ensuring postural care is effective, realistic and embedded into everyday life.
Comprehensive Assessment
We provide detailed postural assessments across the following:
-
Sitting and static seating
-
Standing and weight-bearing tolerance
-
Lying and sleep positioning
-
Active positioning during functional tasks
-
Environmental influences at home, school or care settings
Assessment is guided by structured frameworks, including Oxford Postural Management approaches, Sharon Sutherland’s LifeBox concept, Goldsmiths' positioning indices and the Mansfield Checklist, supporting clear clinical reasoning and defensible recommendations.
Postural Prescription and Treatment Options
When considering treatment and positioning options, we may include the following:
-
Static and dynamic seating prescription
-
Standing programme development and equipment guidance
-
Lying and sleep system prescription
-
Active positioning strategies within functional activity
-
Upper and lower limb splinting programmes
-
Serial casting where appropriate
-
Orthotics assessment and collaboration
-
Spasticity management positioning strategies
-
Pressure care and comfort optimisation
-
Sensory informed positioning approaches
All recommendations are individualised, practical and responsive to daily routines and functional goals.
Education, Training and Implementation
Positioning is only effective when confidently implemented. We provide bespoke training for families, carers, school staff and support teams focusing on safe handling, positioning techniques, equipment use and recognising changes that may require review.
​Supporting Children Within Education and EHCP
We contribute to EHCP assessment and reviews by providing clear, measurable recommendations that support positioning, comfort and participation within education settings.
We also provide training for school teams to ensure positioning programmes are implemented safely and consistently.
Collaborative MDT Prescription
Postural care prescription is most effective when supported by coordinated multidisciplinary input.
Where appropriate, we work alongside:
-
Consultants in Rehabilitation Medicine to provide medical overview, support spasticity management and guide pharmacological or medical interventions
-
Orthotists to support splinting, orthotic prescription and long-term alignment management
-
Occupational Therapists to address sensory processing needs, functional positioning, equipment provision and environmental adaptation
-
Moving and handling specialists and care teams to ensure safe positioning, manual handling and day-to-day implementation
-
Equipment providers to support seating, sleep systems and positioning aids
This integrated approach ensures prescriptions are safe, clinically robust and sustainable across environments.
Our Approach
At Smart Rehabilitation, 24 hour postural care is:
-
Preventative and proactive
-
Functionally meaningful
-
Sensory-aware and person-centred
-
Supported by multidisciplinary collaboration
-
Practical for real-life implementation
Our goal is to improve comfort, prevent complications and support meaningful participation across daily life
Get A 24 Hour Postural Care Assessment
Contact us for specialist 24 hour postural care assessment, prescription and training to support comfort.
