19
Armrests and laptrays:
Armrests should be as close to the body as possible to provide support, and preferably
built with a softer material. The more weight bearing assumed through the arms, the less
pressure on the buttocks. Laptrays are often used to provide a surface for activities, if the
child has difficulties pulling up to a table, or to provide more upper extremity support.
They are usually easily removable, and can be clear (more aesthetic), or solid color (in
case somebody has a visual deficit).
Custom molded seating:
Custom molds can be created as a cushion, a backrest or both. They are usually very
restrictive for movement; however, they can accommodate significant postural
deformities better than off the shelf seating systems. Custom molds are rarely prescribed
for children, because they can not be grown, and for the most part children do not have
severe deformities to warrant a custom mold.
