How Do We Prioritize Seating Challenges During a Wheelchair Evaluation?

Question

Answer

It really comes down to what is flexible and what is fixed. For example, if someone has a combination of posterior pelvic tilt and rotation, we are going to look at solutions that address both. An anti-thrust seat, whether it is part of a linear seat or built into a molded seat, has a curb to block the IT's. That can help prevent both posterior pelvic tilt and rotation. We also know that the position or the angle of the pelvic belt is important in limiting posterior pelvic tilt. We would choose probably a 60 degree angle to limit that posterior pelvic tilt but we would make sure it pulled down on the forward side if we were also dealing with rotation. It is keeping in mind all the challenges that we are seeing and trying to create solutions that address all of those. It is very important today to look at how we match individual seating challenges to strategies such as angles of pelvic belts, cushions that are anti-thrust shaped, etc.