Sitting Posture & Stability
Many individuals with neuromuscular disorders are very
unstable during sitting due to spastic adduction leading to
a narrow base of support. This is demonstrated by a typical
slouched posture during sitting, along with the need for
external assistance or the use of hands for ”touch balance”.
While it is common to refer to one’s ”envelope of function”,
this type of sitting instability might be described as limiting
one to a ”cocoon of function”, as hands are functionally
tied down to the sitting surface.
When in the sitting position, SWASH® abducts the hips
to create a wider tripod base for sitting stability. This wider
base of support, combined with the spinal and pelvic support
of the pelvic band, often provides sufficient postural
assistance to open a whole new world for the user
who otherwise is unable to sit without external assistance.
Harnesses, wedges, and bolsters may often be considerably
reduced if not eliminated.
The less involved child, who may be able to sit without
external assist but requires use of the upper extremities
for touch balance, may be able to sit independently when
wearing the SWASH® - freeing the hands for eating, interacting
with others, for more active participation in therapy
programs, and for playing.
From the mild to the severely involved, the stable base for
sitting will result in a more upright sitting posture - certainly
a significant benefit for hip and spine alignment. The opportunity
for enhanced upper extremity function may also
improve trunk strength and control.