Home / Formación / Mayo 2021 / Paediatric Seating System Assessment

Paediatric Seating System Assessment


Download this article as a printable PDF

Seating systems are a vital part of 24-hour postural management programs. They provide a stable and functional position for children to access their surroundings and engage with everyday tasks. However, seating systems are only beneficial if they fit correctly.

Typically, seats should be reviewed every six months to assess for changes in a child's size or shape. However, differences to daily routine (such as being out of school) can increase the likelihood that body shape has changed, and increase the frequency with which the seat should be reviewed. This resource outlines steps to review the seat with some common signs that a child's seating system is not fitting properly and/or may need some adjustments.

8 steps to review a paediatric seating system for fit

  1. Look at my face. Do I seem comfortable and relaxed or am I not my usual self?
  2. Next, is my bottom snug against the back support with my trunk upright? Sliding forward could mean that I've changed shape or the belt has loosened. Re-adjust my position if necessary.
  3. Now check my belt - it should be firmly attached over the top of my thighs with space for one finger to fit underneath. If it's too loose or too tight, I may need to be reassessed.
  4. Feel under my bottom and thighs; am I bearing weight equally under each side? The weight should be equal unless I have underlying asymmetry.
  5. Next, how much space is there behind my knees (between the front edge of the cushion and my calves)? If there is more than two fingers' width, my legs have grown and my seat should be re-adjusted.
  6. Feel underneath the front of my thighs. Am I bearing weight here? This is important. If it is easy to get your hands between my thighs and the cushion, then my lower legs have grown and my footplates need to be adjusted to improve the pressure distribution.
  7. Feel the space around my lateral and pelvic supports - if you can't get your hand in easily with my normal clothing, then I've probably changed shape or grown and need to be reassessed.
  8. Finally, back to my face, is my head positioned centrally on the head support? If the trunk laterals are too low, my head and trunk may fall to the side, making it difficult to sit up.
Leckey seating system

Note: every child and every set-up is unique. This is generic information and does not apply to molded/contoured seating or asymmetric set-ups.


Download this article as a printable PDF

SÓLO PARA USO PROFESIONAL. ESTE BLOG Y LA INFORMACIÓN MOSTRADA EN ÉL NO PRESUPONEN ASESORAMIENTO CLÍNICO. Sunrise Medical no puede proporcionar servicios médicos. Toda la información que aquí se muestra (y los documentos a los que se hace referencia), incluyendo, pero no limitando a, textos, gráficos, imágenes y descripciones, son meramente informativos y deben usarse exclusivamente por profesionales de la salud, como un recurso general de información y apoyo a su labor de valoración y asesoramiento a personas en sillas de ruedas, en materia de sedestación y adaptación de equipos de movilidad. La información aquí mostrada (o los documentos a los que se hace referencia) no pretende ser ni sustituir a una valoración clínica, diagnóstico o tratamiento médico. Nunca ignores los tratamientos médicos y consejos de un profesional de la salud por la información y documentos referenciados que puedas hallar en esta web. Es labor de los especialistas clínicos revisar y contrarrestar la información aquí recogida con otras fuentes.