presented by Michelle L. Lange
What is the cornerstone of wheelchair positioning? The pelvis. The position of the pelvis very much determines the position of the trunk and lower extremities and so achieving and maintaining the optimal position is critical. This course will present common pelvic asymmetries with suggested strategies to address each challenge. Providing as neutral a pelvic position as possible improves overall posture, stability and function.
Michelle is an occupational therapist with nearly 30 years of experience in the area of assistive technology. She is the former Clinical Director of The Assistive Technology Clinics of The Children’s Hospital of Denver and has been in private practice at Access to Independence, Inc. for 10 years. Michelle’s work in assistive technology covers a broad range of roles and services. She evaluates and treats children and adults with a variety of diagnoses as well as provides consultation and education in the areas of wheelchair seating and mobility, accessibility, assistive technology access, mounting, interfacing, and electronic aids to daily living. Michelle is a well-respected lecturer both nationally and internationally and has presented over 500 workshops, courses, webinars, and recorded content. Michelle is on the teaching faculty of the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA). She develops educational content for Numotion, the National Registry of Rehabilitation Technology Suppliers (NRRTS), and MedGroup. Michelle is the editor of Fundamentals in Assistive Technology, 4th Ed. (RESNA Press) and Clinical Editor of NRRTS Directions magazine. She is also former Editor of the Technology Special Interest Section (TSIS) of the American Occupational Therapy Association (AOTA). Michelle has authored 6 book chapters and over 200 articles. She is a reviewer for Disability and Rehabilitation: Assistive Technology Journal and the Journal of Rehabilitation Research and Development (JRRD). She is also a member of the RESNA Assistive Technology Journal Editorial Board. She is on the OccupationalTherapy.com advisory board. Michelle is a past RESNA Secretary, Member at Large, member of the Board of Directors, Education Chair and the Wheelchair Seating and Mobility Special Interest Group Vice Chair. She is a past member of the Rehabilitation Engineering Research Center (RERC) on Wheeled Mobility Advisory Board, is a member of the Clinician Task Force and a Friend of NRRTS. Michelle is a certified Assistive Technology Professional (ATP) and Seating and Mobility Specialist (SMS). She is also a Senior Disability Analyst of the American Board of Disability Analysts (ABDA).
This chapter will present posterior pelvic tilt, possible causes of this asymmetry and suggested strategies to correct to neutral tilt. Goals of correcting this symmetry will also be presented which can, in turn, be used as justification for seating interventions in documentation. Correcting a posterior pelvic tilt improves trunk extension and an upright head.
This chapter will address an anterior pelvic tilt, possible causes, suggested solutions and goals. Correcting an anterior tilt promotes trunk and head control, stability and function and distributes pressure optimally.
This chapter will address pelvic rotation, including causes, suggested solutions and goals of correction. Correcting a pelvic rotation prevents rotation of the trunk.
This chapter will address pelvic obliquity, causes, suggested solutions and goals of correction. Pelvic obliquity can lead to lateral scoliosis and excessive pressure over one ischial tuberosity. The pelvis needs to be leveled, as much as possible.