A good back support makes it possible to optimize pelvic alignment and then balance the trunk without affecting pelvic alignment. The key to achieving this support goal is in the way the back support pivots around its axis for seat to back angle.
When the Java Back is positioned correctly on the wheelchair, it provides optimal pelvic alignment. It can then be adjusted for trunk balance without changing the pelvic alignment already achieved. Correct height adjustment of the Java Back on the wheelchair is key.
When determining the correct height of the Java Back on the client’s wheelchair, it is important to locate the client’s PSIS (Posterior Superior Iliac Spine).
The PSIS is the most prominent posterior aspect of the iliac crest. If you’re not sure how to locate a client’s PSIS, here are some tips:
Stand behind the client and find the iliac crest laterally. Move your thumbs in and down until you find a prominent bony bump (which sharply disappears distally and inferiorly).
Look for the two dimples on the lower back — the PSIS are typically located under the dimples.
Then adjust the back height so that the back angle pivot point lines up with the client’s PSIS. This allows the back to pivot around that point of control at the pelvis and not affect the anterior-posterior (sagittal plain) pelvic orientation.
After a bike accident left Dr. Daniel Grossman paralyzed, he returned to work six months later with a renewed perspective on how he interacts with his patients at the Mayo Clinic in Rochester, Minnesota. Watch the coverage from NBC Nightly News here.
“When I say, ‘I know your life is about to change or is changing today,’ they look at me and they know that I know what I’m talking about, and it’s pretty emotional.”
Another article offers more detail about his journey, including photos and a video demonstration of Grossman’s transferring technique.
The Mayo Clinic has also published his story from their viewpoint…
He was returning to Mayo Clinic not as a physician, but as a patient. He recognized that accepting this new role would be essential to his recovery — both for himself and those caring for him. So he insisted that his care team call him Daniel, not Dr. Grossman, to emphasize that when it came to his recovery, they were the experts
How interesting. He seems like one determined guy… and we were pleased to see him using the Java Cushion and Back.
“There’s no question that this accident will have a long-term impact on my ability to be a better physician,” he says. “It’s made me more empathetic and compassionate and made me much more aware of my patients’ needs.”
Led by Tamara Kittelson-Aldred, MS, OTR/L, ATP/SMS of Posture 24/7 in Montana, a group of clinicians and students traveled from the U.S. with new seating to help empower Peruvian families caring for children with disabilities. The volunteers’ efforts were met with great enthusiasm and gratitude.
We were happy to be able to contribute to Eleanore’s Project‘s work in Peru by donating Java Backs, aka “Espaldares Java,” in a variety of sizes. Seeing immediate improvements in the function and posture of the recipients was very gratifying to all involved.
Such trips require creative thinking and problem solving on the fly, more than we might imagine! Tamara has written a photo-filled account of this amazing trip, the challenges faced, and more about the families who visited the clinic… read it here.
To follow the ongoing work of Eleanore’s Project, check out the Facebook page.
The Java Back meets or beats the weight of other back supports in its category… plus, the Java Back blows the competition away in fit and performance, the most important criteria of all.
The highly-adjustable Java Back enables precise positioning for optimal stability and comes in three heights and two depths depending on the level of support desired. Recently updated hardware is now simpler, lighter and more compact. Learn more about the Java Back here.