Background:Riley is a 10 year old girl with the diagnoses of cerebral palsy and autism. When I first met her, she already had quite a bit of seating and mobility equipment including a Rifton activity chair, an adaptive stroller, a gait trainer, and a power wheelchair. Riley was also using a communication device. The supplier working with Riley, Lindsey Rea, ATP of Numotion, referred her for evaluation of her driving method. Although Riley had a head array on her current power wheelchair, she demonstrated very good control of her right foot and Lindsey was hopeful this could be used for driving. Her speech language pathologists, Jill Tullman and Christie Bowers,…

The dreaded posterior pelvic tilt. The bane of seating clinics everywhere. What is it and how can we correct this issue? The position of the pelvis determines the position of the trunk and lower extremities. Providing as neutral a pelvic position as possible improves overall posture, stability, and function. What is a Posterior Pelvic Tilt? A Posterior Pelvic Tilt (PPT) occurs when the top of the pelvis is tipped posteriorly. This leads to flexion of the spine, including the neck. This is sometimes referred to as sacral sitting because weight bearing may actually occur on the sacrum, rather than on the ischial tuberosities, creating a risk for pressure injuries. What…