Proper posture is not only important for physical health reasons, but also for mental health. The ability to learn is greatly enhanced by children practicing correct posture and sitting techniques, yet this isn't always easy to accomplish for some children with exceptional needs and different abilities. Fortunately, there are some wonderful adaptive seats, benches and tables available at Rehabmart, which were designed specifically with the special needs student in mind.

  From library.rehabmart.com
 Benches are often utilized by therapists in many aspects of occupational, physical and speech therapy, and the Kaye Tilting Therapy Benches are a wonderful, innovative example. The solid construction offers a stable surface to achieve maximum hand and arm movements for learning, play and daily living activities, and enables the child to move from one level to another easily and safely. These tilting therapy benches are ideal for the child who does not require back support in a seated position, but needs a firm seat that can be adjusted so that the child's feet will rest in proper position on the floor. The slotted legs provide quick and easy adjustability for the therapist to raise, lower or tilt the seat surface, as many children benefit from a tilted surface because it places more weight on their feet, aiding in postural control for improved hand and arm function.

 
 From library.rehabmart.com
 
Patterned on the Kaye Adjustable Benches, the Kaye T-Seats have been specifically designed to fit under the Kaye T-Tables, and just like the wider benches, the T-Seats can be adjusted in height and have the tilt ability to place more weight on the feet, providing a more vertical pelvis. The Kaye Tilting Tables are also fully adjustable in height, and offer a tilting work and play surface to help position the user correctly in a school, therapy, or home setting. These tilting tables enable a child to be positioned at the optimal distance from the work, and helps to stabilize the head, eyes and trunk, insuring freer movements of the scapula, arm and wrist, which ultimately leads to more precise hand use when handling objects.
 
  
From library.rehabmart.com
Another boon for improving pediatric seated posture are the Kaye Kinder Chairs, available in a wide variety of sizes and combinations to ensure the perfect fit for that perfect special child. Clinical research has found a link between a child's postural control with functional movements of the upper extremities, and recommend a firm back and appropriate seat depth to properly align the pelvis and femurs. The Kinder Chairs feature an adjustable seat depth that ensures that the child's thighs are well supported to help prevent undue internal rotation stress on the femoral heads. The adjustable seat depth and firm back maintain the pelvis in the vertical position with thoracic extension, and the adjustable  footrest supports the feet, yet can be removed to allow taller children to rest their feet on the floor. The abductor pad, while helping to maintain the alignment of hips and knees and inhibiting abduction and internal rotation, used in combination with the seat belt across the pelvis, aids in decreasing the tendency for the child to push or slide out of the chair.
 
   From library.rehabmart.com
 For children who have inadequate postural control of their head, neck and trunk, the Kaye Corner Chairs offer a great solution. The corner-shaped back limits scapular retraction and shoulder extension and permits the child to keep his or her arms and hands free for play, instead of using them to try and achieve postural control. Attaining postural control of the head, neck and trunk is vital for visual scanning and attending, breathing, eating and speaking. The firm, padded insert converts the V-shaped back into a three-sided winged back, which provides more support along the spine and allows the child better spinal extension, and a greater freedom of the eyes and head for scanning and attending.

  From library.rehabmart.com
Most appropriate for children with spastic or athetoid cerebral palsy who experience stiffness in lower extremities that may prevent them from sitting with a wide base of support, the Kaye Bolster Chairs are also intended for any child who requires a wide base of support in order to achieve good pelvic position, trunk alignment and lower extremity position for stable sitting. Fostering symmetry and alignment in sitting, the lateral pelvic and foot supports make it possible for the child to move in sitting without producing movements that interfere with balance and postural control, and without the necessity of using restraints. These bolster chairs maintain hip flexion with abduction and external rotation, making them an excellent seating alternative for children who sit on the floor with their legs under them in a 'W' shape to gain stability, a bad posture that can lead to secondary muscle contractures and skeletal deformities. The foot supports do not restrain the feet, but help maintain the hips and knees at a 90 degree angle to keep the child's center of gravity over the base of the support.

Now it is possible for children of all ages and abilities to enhance their learning abilities by using seating options that will engender the best possible posture. These alternative seating solutions are perfect for school programs, therapy facilities, and for home, and can help your child to become more proficient in their learning skills, comprehension and retention of what they have learned. And that deserves an 'A+' in my grade book!


Carol Koenigsknecht,
Medical Consumer Editor,
Content & Social Media Services
and
Hulet Smith, OT
Rehabmart Team Leader & CEO