Head Positioning Options

We know that seating starts with the pelvis. Stablize the pelvis and posture/positioning is improved. We also know that the vision and head position can dramatically affect posture, positioning and function. Until recently we had options for posterior and laterally collapsing head postures, but had few options for anteriorlly collapsing head positioning. Forward collapsing head positions pull down shoulders and cause curving of the back which can lead to kyphosis.

Whitmeyr Biomechanix has a line of products that incorporates head straps to help reduce forward collapsing head postures.  These head supports have had success however with any spasticity or tone, they tend to fail.  Stealth Products makes a support called an I2I with combination chin prompt which can be affected. Metal Craft makes a Hawc support with articulating side supports that can prompt head upright. 

Symmetric Designs makes a product called a Savant, which is a moldable head support with ear cut outs with optional head strap that seems to have very good results; however it offers little movement, so with people who do not tollerate being straped it can be an issue.

The HeadPod is a newer product in the US, and it uses straps configured like what you would find in a  hard hat, that supports the head with an overhead support and line attached. This helps keep the patient's head upright and allows for dynamic movement. 

If you or a love one has an issue with head positioning, consult with your doctor,  therapist and
seating specialist to see what product may be right for you.

Carey Britton, Seating Specialist at Active Mobility Center can be reached at 954-946-5793 or by email cbritton@wheelchairguys.com.