18
FUNCTIONAL POSITIONING
Without proper support,
children with very low tone
may not have the strength
or the leverage to function
with their upper and lower
extremities. They may
also have difficulty
holding their heads up
enough to maintain line of
sight. A seating system
that is positioned for f
unction can stabilize their
upper extremities enabling
an increased level of
function.
Functioning without support
Functioning with support
Neutral Pelvic
Position
The neutral pelvic
position allows balance
and allows the upper
extremities to move and
be prepared for
functional activity.
Active Body Position
Tilting forward into a ready posi-
tion for activity. Note how the
pelvis is aligned with the spine
and the child is tilted slightly
forward poised to reach out or
engage in a number of activi-
ties.
Sacral Sitting Position
(Posterior Pelvic Tilt)
This sitting position puts
pressure on the sacrum and
ischial tuberosities. This position
makes functioning of the
extremities difficult. Children are
continually moving in their
seating system and will shift into
awkward and non-functional
positions. The proper seat
system is important to maintain
alignment
.
Position a child so that he or she can function
and interact with the rest of the world.
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