- head and trunk are upright and in the midline with or without support
- shoulders are over the hips and level
- legs are slightly abducted or neutral
- pelvis is level, in a neutral tilt, and all the way back in the seat
- weight is on the thighs and buttocks
- feet are on the footrest
- knees are no more than 2-3 finger breadths in front of the seat edge in a growing child
- skin is healthy and has good integrity – check the coccyx and ischial tuberosities (if the seat is too deep, the child will lean back to reach the support surface, the pelvis will be in a posterior tilt, and the child may have redness behind the knees)
- vision is forward
- chest harness is supportive and does not cut into the neck or present a choking hazard (the child should not be "hanging" on support)
- wheelchair has a snugly fitting pelvic positioning belt (seat belt), with padding if needed
- wheelchair is in good repair
- and the child is comfortable for at least 2 hours at a time in the chair
- If a child has severe deformity and/or contractures, a wheelchair may not fit as described above. With a fixed deformity, the seating/positioning should accommodate the deformity and comfort and skin integrity may become the primary goals.
- If the wheelchair does not fit properly, a referral to a PT/OT should be made to resolve the problem or recommend a new chair or other alternatives.
- If repairs are needed, the parent should contact the vendor. If needed, the physician should write a prescription/referral for the wheelchair repairs.
See all Occupational Therapy, Pediatric services providers (41) in our database.
See all Physical Therapy services providers (61) in our database.
For other services related to this condition, browse our Services categories or search our database.
|Author:||Terry Holden, PT - 1/2009|