Community-based performance of a pelvic stabilization device for children with spasticity

Area of Science:

• Rehabilitation Engineering
• Pediatric Seating Technology
• Assistive Device Development

Background:

• Traditional wheelchair lap belts offer limited anterior pelvic support for children.
• Optimal pelvic positioning is crucial for seated posture, function, and comfort in pediatric wheelchair users.

Purpose of the Study:

• To develop, test, and evaluate a novel pelvic stabilization device for children's wheelchairs.
• To assess the device's performance, ease of use, and user satisfaction in community settings.

Main Methods:

• A new pelvic stabilization device was designed to replace wheelchair lap belts.
• Therapists installed and fitted the device on adaptive seating systems for children aged 5-10.
• User trials were conducted over 12-14 days, followed by satisfaction assessments from therapists, parents, and children.

Main Results:

• The device provided superior anterior pelvic stability compared to standard lap belts.
• Therapists, parents, and children reported positive experiences regarding positioning and ease of use.
• Rehabilitation technology suppliers found the installation instructions adequate.

Conclusions:

• The novel pelvic stabilization device effectively enhances anterior pelvic support and user positioning in pediatric wheelchairs.
• Minor modifications to the product design and instructions were recommended for further optimization.
• The device shows promise as an improved alternative to traditional wheelchair lap belts for children.