Here is some research to possibly include in a letter of medical justification for children with disabilities. Archives of Physical Medicine and Rehabilitation reports that adaptive seating on the floor and the toilet for children with GMFCS III and IV with cerebral palsy resulted in a positive impact on the child's and family's life. Removal of the adaptive seating had a negative impact on family life.
Reference: The Impact of Adaptive Seating Devices on the Lives of Young Children With Cerebral Palsy and Their Families Stephen E. Ryan, Kent A. Campbell, Patricia J. Rigby, Barbara Fishbein-Germon, Darlene Hubley, Betty Chan Archives of Physical Medicine and Rehabilitation - January 2009 (Vol. 90, Issue 1, Pages 27-33, DOI: 10.1016/j.apmr.2008.07.011)
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