Bread and Butter: Dynamic Backs and Pelvic Positioning Belts

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Just like Bread and Butter, Dynamic Backs and Pelvic Positioning Belts go together. Dynamic Backs are designed to allow movement at the pelvis and torso in response to client force and then return the client to a neutral starting position. A key component is the pelvic positioning belt, which is designed to maintain the pelvis in as neutral a position as possible in relation to the seating system. When that seating system moves, the pelvic belt is even more critical in maintaining pelvic position.

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Allowing Movement Of The Pelvis Without Loss Of Position

Dynamic seating conponentMichelle L. Lange, OTR/L, ABDA, ATP/SMS

Dynamic movement can be provided at various areas of the body where movement is possible from a seated posture. The dynamic component allows movement beyond the usual seated posture, such as into increased trunk extension, and then assists with the client returning to upright. Ideally, the return to upright does not lead to a loss of position, such as a posterior pelvic tilt.

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