Grand(e) way to help address barriers to postural care

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image shows various positions in which a person sits, lies during 24 hours and a vacuum posture cushion shaped to support each activity

Addressing postural care should be a pre-requisite of occupational therapy yet is a postcode lottery, says RCOT(1). We have a solution!

Our Grande vacuum posture cushion delivers almost all sedentary and supine positioning support required day or night. 

So just one health professional need prescribe.

Caregivers can precisely mould and fix the mattress-sized cushion to correctly support whether sitting or lying in the day or sleeping at night.

You can use Grande as a mattress for resting, sleeping or physiotherapy, or folded to create a seat- stand-alone, on a chair, on a sofa. You address numerous posture management requirements.

We've made Grande so it is tactile and easily transmits sound waves, so it can double as a conductor for sensory stimulation.

how it works

The technology we use is based round the principles of a bean bag, giving the precise shaping inherent in the concept. You can contour the 'beans' precisely to the body shape you need.

By attaching a pump, you extract the air between the 'beans' , fixing that shape with the preferred degree of firmness. 

You can detail the shaping as required. So you achieve correct stabilisation with minimal pressure and even allowing for pommels, wedges, hollows for feeding tubes. There is no need for restraint, even during dystonic episodes or hyperactivity.

Your need to frequently re-plump/ position becomes a thing of the past. 

To re-shape, you simply allow air back into the Grande and mould as necessary, be it a simple adjustment for body position and comfort or a complete reconfiguration.

changing the way postural care is delivered

“The role postural care plays in the health and wellbeing of disabled people and their carers is acknowledged, but the way our health service is structured, delivery is fragmented.

"Yet addressing it would have a huge impact not only on the people who need it, but on the demand for associated NHS services,” says Peter Wingrave, AAT Director.

“If just one healthcare professional thinks outside the box and looks at something like Grande, that answers the specific issue they have for a client but simultaneously could answer other issues for that client, surely it must be considered?”

More details about Grande and its role in 24-hour postural management can be found @ http://www.aatgb.com/grande/.

References:

(1) https://journals.sagepub.com/doi/10.1177/03080226221148414

(2) https://www.gov.uk/government/publications/postural-care-services-making-reasonable-adjustments/postural-care-and-people-with-learning-disabilities#what-are-the-barriers-to-good-postural-care

Title:
Grand(e) way to help address barriers to postural care
Tags:
disability, occupational-therapy, physiotherapy, postural-care, posture-management, special-needs
Date:
16/02/2026
Author:
Angela May
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