Wheelchair Seating Surfaces, Cushions & Dynamic Seating

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

Can a Dynamic Back be used with any type of seat? Does the movement allowed by this component limit what seating surface can be used? This is an important consideration. A seat or cushion is typically designed to support the pelvis and provide pressure distribution when the client is in a static position. Dynamic seating gets things moving! Continue reading

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.

Continue reading

Allowing Movement Of The Pelvis Without Loss Of Position

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

Wheel chair with dynamic component system by seating dynamicsDynamic 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.

Most frequently, movement is allowed posteriorly, opening the seat to back angle. Upon return to upright, the pelvis is at risk of falling into a posterior tilt and being pushed forward. The pivot point of the dynamic component is critical to the client returning to upright with a neutral pelvic position, and should be as close to the natural pivot point as possible (see photo).

Some components only allow very small movement and are designed primarily to protect against a broken wheelchair backrest or other seating hardware breakage. These components are less likely to lead to a loss of client position as so little movement occurs.