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

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

Choosing the right aids for a child with complex needs can make a massive difference to daily life for them- and for everyone who supports them. 

Inevitably children grow, conditions evolve. That means what works one day may not the next, they may need additional or different support for an activity.

We are central to helping meet those needs.

We give Occupational Therapists and parents a single source they can trust to advise, assess and support the child.

We've developed a range of unique holistic solutions work individually or combined to help make daily life better- 24 hours a day.

Our stairclimber can attach to a wheelchair or have an integral seat to make going up and down stairs safe. Our revolutionary Universal Back clip-fits to the unit to correctly support the child as needed and can be easily altered as the child grows.

To ensure optimal comfort in the wheelchair- or anywhere else the child may be sat- our vacuum posture cushions mould precisely as required. And it empowers parents to infinitely vary the shape according to what’s needed.

The diversity of size and shape address every eventuality, from an arm support through to a mattress.

At bath-time, our Aqua Liberty takes the posture cushions to another level, supporting, cushioning in the bath without the constraints of a sling or a carer holding them.

If anxiety, hyperactivity are issues, our Gravity Chair provides a calming environment that is proven to enable the child to engage.

“It’s about putting what each child needs at the heart of what we do. That’s why we offer free, no obligation assessments, so everyone involved is comfortable with what will work, without pressure. We have carefully chosen our products so that there is a synergy between them, covering all aspects of daily activity. As far as possible they evolve with the child, so parents do not have to keep learning how to use new equipment- one less thing to worry about!”

Peter Wingrave, AAT Director

We have a heritage stretching back over 20 years, working with Occupational Therapists, education and healthcare professionals and parents.

Knowing how difficult daily life can be without the right support, we endeavour to undertake the initial assessment within two weeks and has a nationwide team of assessment support professionals to manage the whole process, from assessment to delivery of the equipment and training in its correct use.

For almost 3m people(1), daily life can be traumatic, because they are- or living with someone who is- autistic. 

How do you reduce the trauma, and create a calming environment to address an autistic or behavioural episode? 


The answer can be as simple as a chair….

AAT’s innovative Gravity Chair aka Gravity Positioning System is scientifically designed and clinically proven to help channel a feeling of safety, security, stability and wellbeing.

It provides a positive intervention for children and young adults with autism and other complex needs. 

“Assessments with children with needs is fantastic.  

"Children who are constantly ‘on the go’ come into clinic and try the seat- often it is the first time that parents have seen their child sit and settle in one place for any length of time.

"It enables them to sit and focus on toys they like or books etc.  

"Often these children do not like to be strapped in or restrained, so the Gravity Chair allows them to get in and out of the seat on their terms.

“When children feel safe, secure and comfortable their muscle tone relaxes, allowing them to focus and enjoy play activities.  

"They may still require support, but to engage all children need to be comfortable above everything else.  

"Children who require supportive seating spend many hours strapped in functional seats and wheelchairs using harnesses or chest straps.  

"The Gravity Chair can give them seating away from all that, with only a lap strap required.”

Clare Mason, Children’s Occupational Therapist @ Sefton Carers Centre/ Alderhey Liverpool

More than just a chair...

“It might look like a simple chair, but it’s much more. We are absolutely over the moon at the difference this chair has made.”

Michele McCafferty, Occupational Therapist @ Percy Hedley Foundation’s Northern Counties School

How it works:

Gravity Chair looks like a normal soft seat; its foam configuration of a low centre of gravity with high arm rests and snug-fitting lateral supports provides good postural alignment with gentle pressure to control hyper-activity, to calm and regulate.

The Gravity Chair design helps alleviate discomfort from spasm and involuntary movement, providing a safe and non-restrictive seating option to ease deformities and contractures. I

ts ‘hugging’ shape helps reduce anxiety and distractibility. Its high arms can enhance fine motor control activities. An optional tilt in space wedge can finitely adjust the Chair’s orientation to gain a more aligned posture when deformities or contractures are present. 

On a practical level, it is lightweight so easy to move around as needed. Covers are removable and wipeable. The sitting surface is incontinence resistant. 

AAT’s nationwide team of sales managers are trained to support healthcare professionals in undertaking postural assessments, free of charge and with no obligation. 

To find out more about Gravity Chair, and book a free, no obligation assessment, click the link: https://www.aatgb.com/gravity-chair/.

ENDS

Reference:

(1) https://www.beyondautism.org.uk/about-autism/understanding-autism/statistics/?gclid=Cj0KCQjw-daUBhCIARIsALbkjSa1a16Wociehc21he5vCd1uQ4MbBxv0n3_rFIa8hwEK5fm4cD9pL4oaAoPaEALw_wcB

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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