top of page

Check Out The Expert Exchange

As physical, occupational and speech therapists working with children with complex needs (and too often) exhausted families and disconnected teams that don't always see eye-to-eye, we recognised the need for clinical discussions that go beyond what we can gather from textbook and published guidelines.

Sarah Clayton, BSc (Hons) PGCE: Therapeutic Positioning

When I asked her what she wanted to focus on in the interview she said...

"We still haven’t nailed the accountability question – who the hell is responsible when lives are cut short through avoidable secondary complications associated with body shape distortion???"

Colleen Peyton Prechtl General Movemement Assessment for physical and occupational therapists

And that about sums Sarah up...

Passionate, straight-talking and someone who not only teaches this stuff - but lives it.

We're talking 24-hour-postural management, body symmetry, nighttime positioning.

Sarah is passionate about posture!  And her passion is highly contagious.

She has worked with families of children living with complex disability since the late 1990’s and her life’s mission is to enable parents and practitioners to help put an end to avoidable complications such as hip dislocations and scoliosis.

On top of that, she's grown up in a family where 24-hour-postural management is in the blood (with her mum being the brain behind the Goldsmith Indices which is used to measure body symmetry and her dad an inventor of therapeutic positioning equipment for over 30 years) and she's been in the thick of it since 2007 when her daughter Abigail was diagnosed with a malignant brain tumour at aged 6. 

And so now in 2019, Abi is doing well at a mainstream college with additional support and Sarah has three other children, works full time as a "therapeutic night time positioning & measurement of body symmetry" specialist for Simple Stuff Works and can regularly be found wearing her jumper inside out.

And also in 2019 I am excited to have been able to interview Sarah and dig into all things related to making postural management work in the real world!

If you're equally passionate about body posture or you're struggling to make 24-hour-postural management work with equipment and families, this podcast is a must-listen

You are going to love this interview – enjoy!

Scroll down to the podcast player to listen or find us on iTunes or Stitcher.

For handy links to things we've discussed in this interview,  scroll down to the Resources Section at the bottom of the page.


The Podcast: Listen, enjoy, share...

If you have a slow internet connection, you may need to download the podcast first by clicking on the download symbol (the little down arrow) in the player below or listen on iTunes or Stitcher

Time Stamps (drag the cursor along the sound wave - might only work on desktop)


  • Who uses night positioning? Three groups and three strategies 15:02 minutes

  • The one thing people need more than anything - a useful strategy for stressed-out parents and concerned therapists 19:30 minutes

  • Powerful powerful words to use 20:40 minutes

  • 1st, 2nd and 3rd priorities of body shape management 21:55 minutes

  • Creative solutions & practical advice 23:46 minutes

  • 24-HPM - Participation - Communication 29:00 minutes

  • Lemon Meringue Pie principle 36:00 minutes

  • What always (100% of the time) trumps posture? 40:00minutes

  • 24-HPM - diabetes - oncology - teenagers (and pet shops) & getting the buy-in - what are the lessons 41:18 minutes

  • 24-HPM - sleep deprivation & "When the terror comes" 45:44 minutes

  • Chest asymmetry and hospital admissions 56:18 minutes

  • Advice for new therapists 61:22 minutes

  • Don't make the solution a bigger problem than the actual problem - 62:51 minutes

  • Common Mistakes therapists make 64:09 minutes


  1. Who and When to start? 31:56

  2. Minimum knowledge needed by therapists 34:25 minutes

  3. Spina Bifida and active wheelchair users 39:20 minutes

  4. Co-sleeping 45:07 minutes

  5. Efficacy and outcomes 54:31 minutes



--> Sarahs Dropbox Resources and info


  • Sarah Clayton talks about Postural care on YouTube (15 minutes)

  • The amazing egg video 👇

Links to People who are mentioned

Rachel Wright (Blog: born at the right time)


Please note:  book links go through to Amazon Affiliate Program - Thanks for your support!

1 Comment

Jane Hamer
Jane Hamer
Dec 07, 2019

What a fantastic interview with Sarah Clayton. So much resonates, and a wealth of insight, gems, compassion, with "straight-up" talk about accountability. Thanks for sharing all these resources, and Im looking forward to hearing more from her when she answers all the other questions sent in


Recent Podcasts

bottom of page