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Dynamic Seating and the Restraint Debate

There are times when a wheelchair seating and mobility team, after careful evaluation and problem-solving, makes specific recommendations – only to hear that these well thought out interventions may be considered to be a restraint. So just what is considered a restraint and how does this affect Dynamic Seating?

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Bread and Butter: Dynamic Backs and Pelvic Positioning Belts

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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Peanut Butter and Jelly: Dynamic Footrests and Securing the Feet

In a recent blog, we discussed how, just like Bread and Butter, use of a Dynamic Back requires the use of a Pelvic Positioning Belt to maintain the position of the pelvis during movement of the Dynamic Back. Well, just like Peanut Butter and Jelly, use of Dynamic Footrests requires the feet to be secured in order for client forces to activate this dynamic component.

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