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Creating a Postural Management Plan to Support a Neutral Pelvis

Creating a Postural Management Plan to Support a Neutral Pelvis

30.09.2021

For many therapists, it is incredibly frustrating when, after providing a productive therapy session, we set up a child with non-typical development in "optimal" seated posture only to find shortly after that the child looks nothing like how they were first positioned. We slowly notice that the pelvis begins to posterior tilt, the child slides forward in their seat, the trunk starts to round out (causing thoracic kyphosis), the cervical spine is hyperextended, and the chin pokes forward. Eventually, the child's caregiver or teacher brings the child back to therapy and asks us, the therapists, to "fix" the seating system.

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The Role of the Pelvis in a Postural Management Plan

The Role of the Pelvis in a Postural Management Plan

13.09.2021

24-hour postural management is a planned program that considers all relevant positions a child uses throughout the day and intervenes to improve or maintain body shape while promoting the child's functional development. A postural management plan tries to incorporate a neutral body position into the three core postural orientations of lying, sitting, and standing. However, we know that the role of the pelvis is significant to creating these positions and deserves our full attention when we are attempting to incorporate positioning strategies into the child's activities, from bathing to floor play to upright movement.

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