User's Guide Pelvic Positioning (Page 1 - 2)
Contents
1. a HB104 Two Point Center Pull ee ep Attachment HB505 Four Point Dual Pull HB512 Four Point Rear Pull HB202 Two Point Dual Pull Pelvic Obliquity Pelvic Rotation ASSESSMENT e One ASIS is higher than the other obliquity refers to the lower side e Compensatory C shaped curve in the lumbar and thoracic spine e Lateral tendency e Shoulder on the side of the obliquity tends to be elevated e Usually involves rotation CAUSES ASSESSMENT e One ASIS is more forward than the other e One hip abducted and one hip adducted e Appears to have leg length discrepancy or a wind swept appearance CAUSES Wheelchair issues such as seat depth too short or too wide Physical conditions such as seat depth too short or too wide Wheelchair issues such as sling back seat uphol stery wheelchair too wide and seat too short Physical conditions such as irregular trunk muscle ATTACHMENT Position the padded belt over ASIS and attach at 90 to the wheelchair back posts Anchor the secondary straps to the seat posts between 45 and 90 See back page for Hip Belt options and Angles of Attachment Improved positioning with Hip Belt HB512 shown HIP BELT OPTIONS The objective of the belt is to bring the Improved positioning with Uncorrected posture Hip Belt HB402 shown HIP BELT OPTIONS The objective of the belt is to bring the pelvis down and back into the seating system eam ap H2. BELT Operator Caregiver is not possible measure from ASIS to ASIS and add a couple of inches The correct belt size for the individual has padding that covers all of the bony prominences XS 5 9 13cm 23cm S 7 11 18cm 28cm M 9 15 23cm 38cm lt lt 1 13 19 33cm 48cm ATTACHING TO THE FRAME The Cinch Mount end fittings provide a quick and easy method for achieving precise adjustments when fitting the belt to the wheelchair Used in conjunction with the FrameSaver Clamp a wide variety of suit able mounting locations can be created Proper mounting can also extend the life of the belt and improve its pressure distribution Mount the belt to the wheelchair frame as close to the pelvis as possible Consider interference with any other devices and wheelchair mechanics Install in 3 Easy Steps A Bodypoint Hip Belts are designed for positioning not as a safety restraint for transport Do not mistake a positioning belt with a seat belt The requirements of a belt used for postural support are very different from the requirements of a belt used for transportation safety Every client is unique and individual as is every positioning problem There is no correct solution to a specific problem Keeping in mind that the least amount of intervention is preferable Adaptive equipment that limits a client s active movement must be monitored continuously Two vs Four Point CD Sap Adjustment Tightens in t
3. B402 Two Point Rear Pull HB512 Four Point Rear Pull Uncorrected posture tone muscle imbalance and scoliosis ATTACHMENT Position the padded belt over the ASIS and attach at 60 to the wheelchair back posts When using a Four Point Hip Belt anchor the secondary straps to the seat posts between 45 and 90 See back page for Hip Belt options and Angles of Attachment pelvis back into position and hold it there LE Bea lt O HB402 Two Point Rear Pull o gt lt 9 HB512 Four Point Rear Pull B UC kl e Styl O5 code te peada d ihe person operating the belt user vs caregiver Plastic Side Release Lightweight secure snap action Aircraft Latch Easy to operate with limited hand function 6 _ z Plastic Push button Low profile and easy to release Extra Small Metal Push button Strong secure child sized buckle Metal Push button Very easy release button action Compact Push button Firm button action prevents accidental release
4. Hip Belt Specifications ANGLES OF ATTACHMENT The angle that the hip belt is attached to the wheelchair has a direct effect on the angle of pull on the pelvis Considerations e A 60 angle of attachment to the seat rail positions the hip belt anterior and inferior to the ASIS which reduces the tendency of the client with a posterior pelvic tilt to slip underneath the belt e A higher angle of attachment on the back post encourages a poste rior pelvic tilt which assists in positioning clients with an anterior pelvic tilt e The secondary straps of a 4 point hip belt are attached to the seat post between 45 and 90 to hold the primary padded strap in place and to prevent the belt from riding into the abdomen or twisting e The angle of attachment may have to be compromised in order to accommodate such situations as wounds in the pelvic area unsta ble hip joints or gastric tubes TIGHTENING THE BELT Keep belt tightened at adjustment straps during fitting and daily use to ensure correct pad placement For padded hip belts the pads are to be touching when correctly tightened For non padded hip belts the adjust ment strap at the buckle should be approximately 3 76 mm long Education of the caregiver is essential for correct hip belt positioning SIZING Measure hip width to determine the belt size required The suggested method for measuring hip width is from trochanter to trochanter If this Pull Styles REAL PULL HIP
5. he direction from the rear compact buckles CENTER PULL HIP BELT Operator User or caregiver of the pad to the center with a pulley like mechanism Buckles Side release metal push button and Applications Clients with high tone Allows the caregiver to position one side of the pelvis lock it points of attachment to the wheelchair in place and then position the other side Two Point Hip Belt The belt has two Suitable when the belt is addressing low tone or weakness Four Point Hip Belt The belt has four points of attachment to the wheelchair Primary attach Hip Belt User s Guide The pelvis is the key to postural alignment as it dictates the position of the trunk head and extremities IDEAL POSTURE e Neutral alignment of spine and head Level pelvis e Shoulders slightly posterior to pelvis PRIMARY SUPPORT SURFACES CONSIDERATIONS e Fitted to the individual e Solid seat and back e Correct back height depends on the amount of trunk support needed e Seat depth allows 1 25mm from back of There are three points for pelvic stabilization the seat the back and an anterior support ASS Anterior Superior Iliac Spine Key orientation point fo assess pelvic position and to determine ments position the belt like two point hip belt and secondary attachments anchor the belt in position to prevent it from riding up into the abdomen or twisting Holds the pelvis much more aggressively for situations w
6. hen the per DUAL PULL HIP BELT son has a lot of movement Adjustment Tightens away from the center knee to front of seat e Seat width allows 1 2 13mm on either side Ideal Posture e Correct use of lateral supports Line 10028 e Correct armrest height allows for 30 shoulder ee 10520 flexion and 60 elbow flexion alice oor M f belt placement Buckles Available with full buckle range E Applications Clients with low muscle tone or weakness Operator User or caregiver Adjustment Tightens from both sides of the buckle away from the center Buckles Side release buckle only Applications Clients who require greater adjustment range to accommodate clothing and weight changes aP Bodypoint e Footplate position allows 2 51mm clearance i from floor and femurs to be parallel to seat e Stable cushion e Achieve balance between support and function Good posture is the result of balancing the skeleton in relation to gravity The long term goals for a good pos ture are to increase function of the individual provide pressure relief and reduce demands on muscles 800 547 5716 BODYPOINT COM Warranty All Bodypoint products carry an unconditional guarantee against defects in workmanship and materials Items found to be defective will be repaired or replaced at the discretion of Bodypoint Posterior Pelvic Tilt ASSESSMENT e Sacral sitting most common tendency e ASIS higher than PSIS Posterio
7. r Superior Iliac Spine e Tends to slide out of chair e Flexed lumbar spine e Thoracic kyphosis e Shoulders protracted e Increased cervical extension e C type posture CAUSES Wheelchair issues such as seat depth too long back support too short and footplates too low Physical conditions such as tight hamstrings muscle weakness and kyphosis ATTACHMENT Position the padded belt anterior and inferior to the ASIS and attach at a 60 angle to the seat posts See back page for Hip Belt options and Angles of Uncorrected posture HIP BELT OPTIONS Improved positioning with Hip Belt HB 104 shown The objective of the belt is to prevent sliding lt gt Anterior Pelvic Tilt ASSESSMENT e ASIS lower than PSIS Posterior Superior Iliac Spine e Thoracic kyphosis is reduced or reversed e Increased lumbar lordosis e Shoulders retracted e Trunk extension CAUSES Wheelchair issues such as seat to back angle too small Physical conditions such as tight hip flexors weak abdomen muscles and lordosis ATTACHMENT Position the padded belt over the ASIS and attach at 90 to the wheelchair back posts Anchor the secondary straps to the seat posts between 45 and 90 See back page for Hip Belt options and Angles of Attachment Uncorrected posture HIP BELT OPTIONS The objective of the belt is to resist forward tilt of the pelvis Improved positioning with Hip Belt HB505 shown
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