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Thread: What could fix posture?

  1. #11
    Quote Originally Posted by gjnl View Post
    Do you wear an abdominal binder, aka sacral/lumbar support garment? If not, you might get a great benefit from it. If you do and don't feel it works well, maybe you haven't found the right one. Trunk support and stability help not only with posture, but breathing, quad belly, and endurance to remain in the chair for longer periods of time.

    All the best,
    GJ
    GJ,

    I have an abdominal binder but do not wear it. Last I tried it I was unable to get it tight enough to be effective.

  2. #12
    I put in my old cushion and my posture improved some, but still is not that great. The cushion I use now is too long and my butt does not sit all the way back in it.

    Guess I could order a new cover for my old one because it is shot. Maybe after adjusting the chair some it will get better.

    I am c6/7 inc.

  3. #13
    Quote Originally Posted by LooseCannon View Post
    GJ,

    I have an abdominal binder but do not wear it. Last I tried it I was unable to get it tight enough to be effective.
    What kind of abdominal binder are you attempting to use. I found that I cannot use the all elastic and velcro models. I can't get them tight enough and they ride up. I have a cotton one with straps and buckles that was fitted by an orthotist. I have been wearing the same type of support for many years and it has served me very well.
    trulife.com/LiteratureRetrieve.aspx?ID=36779 (page 15)

    All the best,
    GJ

  4. #14
    Senior Member alan's Avatar
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    My posture and balance are terrible, and have been for 30 years. Even wearing a corset, and strapped to the chair, I'm twisted and always tip forward. I do, and did, the arm behind the push handle thing (my power chair that I'm always in still has them - I grab it to try to pull my torqued forward right side back.) Seating specialist hasn't helped.
    Alan

    Proofread carefully to see if you any words out.

  5. #15
    Try putting a little more Dump in your chair. Lower the rear seat height some. Then you can get a seatback that old you straight up if that's the problem. I tend to lean a little bit to my left and I have a seatback that is adjustable to straighten me out. My chair measurements are 19.5 inches front, 15.5 inches back. It brings my shoulders a little closer to my wheels and I have a little more power that way.



    That's an older chair but my new one has the same measurements, maybe a little tiny bit less dump then that one
    C-5/6, 7-9-2000
    Scottsdale, AZ

    Make the best out of today because yesterday is gone and tomorrow may never come. Nobody knows that better than those of us that have almost died from spinal cord injury.

  6. #16
    Quote Originally Posted by rybread View Post
    Try putting a little more Dump in your chair. Lower the rear seat height some. Then you can get a seatback that old you straight up if that's the problem. I tend to lean a little bit to my left and I have a seatback that is adjustable to straighten me out. My chair measurements are 19.5 inches front, 15.5 inches back. It brings my shoulders a little closer to my wheels and I have a little more power that way.



    That's an older chair but my new one has the same measurements, maybe a little tiny bit less dump then that one
    Hey Ryan,
    You look great in the chair...comfortable, at ease, and good posture. Just one friendly observation....it just may be the angle of the picture, but it appears that the back of your thighs, just above your knees are not supported by your cushion. The backs of your thighs should be supported by the cushion, otherwise, you are transferring a lot of pressure on to your ischials (sitz bones). Having some support from the cushion on the back of your thighs will more evenly distribute the weight and also keep your knees from flopping. It may be that you just have thick soled shoes on in this picture or you need to adjust your footrest to allow your feet to sit out in front a little bit more 70° angle rather than about a 90° angle. But, since you have had some pressure issues, I thought I would mention it.
    All the best,
    GJ

  7. #17
    this is almost my story except 35 year c5 quad who always had to wrap arm around chair . read my post - 35 year quad wants to tuff up! my last 2 years of my life have been the worst. decided i am gonna tuff up. my posture had turned to pretzel after laying in a fancy air bed (can't remember the name off hand and im typing in -quad- hurry mode) while getting rid of a sore that should have took 6 weeks max. i have a bounderplus and live out doors - almost. decided to straiten posture. work out 3 hours a day with rubber bands all evenly spaced in a door way so all musscles get the same. i even set up a mirror on wall to make sure i stay even as possible. been doinig this and already see significant changes. my belly button still facess to the right as my whole side faces that side but am making alot faster stride than i thought. also can now wheel my bounder outside wuithout holding on for life. i still have terrible muscle spasms that will try to through me ut of chair. everyday gets better. almost have the old mamual chair i am fixing up ready. want to use it 2-3 days a week. i have an old bounder that i am going to sell or trade for a newer ridged manual anyone intrested. it needs tires, belts, and tlc but motors and electronics great. around 1998-2000 bodel. 16w x 16d and 16"b. sorry but typing on run. donnie

  8. #18
    Quote Originally Posted by gjnl View Post
    What is your level of injury?
    You may find that an abdominal binder/sacral lumbar support (this is a garment you wear under your clothing) may help you with the protruding belly, trunk stability, and maintaining an upright posture in the chair. These are available at medical supply stores, some drug store with a good medical devices department or through professional fitter known as an orthotist.

    You may get some help with chair positioning by using some type of lumbar support in the back sling of your wheelchair. This support could be as simple as a small towel, rolled and positioned at your lumbar spine to various supports available at medical supply stores.

    Your cushion may not be giving your pelvis enough stability causing you to "sacral sit" (meaning you are sitting on your lower back not your "sitz bones" or ischial tuberosities). Check the seat depth of your cushion (front to back). Seat depth that is too long can cause slouching. Your hips should be all the way back in the chair and there should be about to 1-2 inches from the back of your knees to the front of the cushion. Also check the height of your footrests. If they are too long, you may be forcing yourself into a slouch. You mention that you have checked and changed the angle of your back rest. Try experimenting with this angle again once you have checked these other measurements and adjusted them in necessary.

    After checking into these ideas, you may need the help of a wheelchair positioning specialist. Check with a rehabilitation center or a physical therapy practice for a referral to a seating clinic.

    All the best,
    GJ
    This has been extremely helpful. I suffer from this same problem. When you said "Your cushion may not be giving your pelvis enough stability causing you to "sacral sit" (meaning you are sitting on your lower back not your "sitz bones" or ischial tuberosities)." this is exactly how I feel I sit. When I place a pillow at my very lower back I feel like it helps me sit how I'm suppose to sit.

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