Supportive accessories/components for children's seating

Supportive accessories/components for children's seating

Following an assessment with an occupational therapist or physiotherapist, your child's specialist chair, wheelchair or buggy may be provided with one or several of the following accessories...

Adductor wedges: are added to the outer edge of the seat to prevent children's legs rolling outwards (abducting). They are useful for children with low muscle tone.

Foot or toe strap/sandals: keep the feet on the footrest and in alignment.

Headrests: are generally concave in shape and an extension of the backrest, attaching via an adjustable stem. They prevent the head falling backwards and can sometimes be fitted with a head strap to prevent the head from falling forward. If the backrest is to be reclined, it may be appropriate to have a headrest that can be angled forward so that the child can look ahead rather than towards the ceiling.

Head supports: are height and angle adjustable padded head 'wings' that provide support on either side of the head. They may obscure peripheral (side) vision for the child.

Lateral (side) supports: support the upper body to maintain an upright and symmetrical position.

Lumbar supports: support the curve in the lower back (the lumbar curve).

Pommels: are positioned centrally at the front of the seat to stop the legs from rolling or pushing together (adducting).

Straps, belts and harnesses: provide support for children with weak upper body muscles who tend to slump forward. Children should not rely on a harness all day to maintain an upright position.

Further reading: Choosing children's daily living equipment

Advice last checked: 30 January 2018 Next check due: 30 January 2021

All advice is either supported by references (cited in the text) or is based upon peer reviewed professional opinion. Our advice is impartial and not influenced by sponsors or product suppliers listed on the site.
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  1. Disabled Living Foundation 2014  Choosing children's daily living equipment
    View reference   Last visited:  13/08/2012 Evidence type: 2