Mobility Choices

Posterior Pelvic Tilt

Assessment

Assessment

  • Sacral sitting
  • ASIS (Anterior Superior Iliac Spine) higher than PSIS (Posterior Superior Iliac Spine)
  • Tendency to slide out of chair
  • Flexed lumber spine
  • Thoracic kyphosis
  • Shoulders protracted
  • Increased cervical extension
  • ‘C’ type posture

Causes - Existing Wheelchair

  • Canvass back
  • No PSIS block
  • Seat depth too long
  • Back support too short
  • Footplates too low

Physical Conditions

  • Tight hamstrings
  • Muscle weakness
  • Kyphosis

Solutions

  • Correct seat depth
  • Appropriate foot support
  • Solid curved or Contoured back
  • Two point centre pull hip belt or
  • Dual pull hip belt