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…

Michelle L. Lange, OTR/L, ABDA, ATP/SMS The i2i head, neck, and shoulders positioning system has a great backstory. Leslie Fitzsimmons, an Occupational Therapist in NJ, was frustrated that existing head supports were not meeting the needs of some of her clients. So, being a good therapist, she went into the back room and built one! Her prototype worked and she eventually approached Stealth Products who brought this to market. Why the name i2i? Because the client can now keep their head upright and look at others – eye to eye. Awesome! The i2i has a very unique design and can be customized to meet an individual’s needs. This head support…