User Guide

12
ADJUSTMENT OVERVIEW
The separate and combined adjustments are critical to the effectiveness of
the Standing Systems. The therapist is encouraged to try various
adjustment combinations to find the optimal position for weight - bearing,
tonal balance, and head - righting. It is further recommended that an on -
going adjustment schedule be identified to meet the needs of physical
growth, reduction, or increase in postural support and weight- bearing
activities.
Adjustments:
1. Column Tilt (Pitch):
Affects the child s orientation in space, postural
tone and distribution of weight. After the column
tilt adjustment has been made, always replace the
ball lock pin. Refer to figure 14.
2. Hip and Trunk Support:
Provide not only lateral, but also anterior/
posterior support. The hip support should always
be snug. The trunk support can be graded to
allow for lateral movement as the child acquires
increased trunk control.
3. Knee Supports:
Knee Blocks provide not only anterior support, but can also change in
angle to accommodate flexion at the knees.
4. Foot Supports:
The foot supports are independently adjustable to provide equal weight
bearing through both lower extremities. They can be adjusted to
compensate for leg length discrepancy, plantarflexion/dorsiflexion,
rotation, and hip abduction.
5. Tray Height:
Tray height adjustment can provide an upper extremities weight -
bearing surface (for table top activities) and can also assist in head
control (by stabilizing the shoulder girdle through forearm support).
The tray is pitch adjustable and reversible for supine standing.
See the following pages for specific adjustments and fitting
instructions.
Figure 14