8 SEATING AND POSTURE ISSUES – POSSIBLE (8个座位和姿势问题可能).pdf

8 SEATING AND POSTURE ISSUES – POSSIBLE (8个座位和姿势问题可能).pdf

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8 SEATING AND POSTURE ISSUES – POSSIBLE (8个座位和姿势问题可能)

8 SEATING AND POSTURE ISSUES – POSSIBLE SOLUTIONS This chapter includes additional information for professionals who prescribe wheelchairs, about the needs of users with neuromuscular conditions. It should be read in conjunction with chapters 6 and 7 which detail the clinical reasoning for the solutions suggested here. Dealers and representatives of assistive technology companies who provide equipment demonstrations and/or help with provision should be made aware of the clinical issues in the long-term management of neuromuscular conditions. Collaboration between the assistive technology provider and the therapist can produce the best outcome for a user. Seating and posture issues – possible solutions 67 The Environment PELVIS AND HIPS POSTURAL ISSUE AETIOLOGY, WHEELCHAIR AND SEATING EQUIPMENT EFFECTS AND ASSESSMENT Anterior pelvic tilt (APT) Aetiology: Regularly check the position of the pelvis so any Tight hip flexors changes can be quickly detected. Weak muscles Management will depend on whether the APT User finding it a stable position is fixed or correctable. Effects: The following are possible solutions and either APT causes increase in the lumbar

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