POSITIONING for EDUCATION Successful Positioning for Students Using Wheelchairs Students with physical disabilities have various needs that are unique to each individual. All of the components of a wheelchair are specifically ordered by a team of professionals to meet a student’s particular needs. It is extremely important that students are seated in their wheelchairs properly to minimize deformities and to maximize function. School OTs and PTs will instruct classroom staff in proper positioning of each individual student. Guidelines for Proper Wheelchair Positioning 1. Place student’s pelvis all the way back on the seat so that the back of the pelvis is touching the back of the wheelchair. 2. Make sure that student’s pelvis is level (one side not higher than the other) and is not rotated (one side more forward than the other). 3. Hold one hand across student’s pelvis to prevent student from moving and then fasten the pelvic positioning strap (seat belt). Tighten the strap as snugly as possible. Lean student forward to make sure that the student’s pelvis is against the back of the wheelchair. 4. Place student’s feet flat on the footplates and hook the ankle straps as firmly as possible (if present). 5. Attach the anterior chest support (if present) by securing the bottom straps first then fasten the top straps. Make sure that the anterior chest support does not come close to the student’s neck. Power Wheelchair Once the wheelchair is positioned at tables/desks, a manual wheelchair must have the brakes (wheel locks) applied and a power wheelchair must have the power turned off to keep the wheelchair from moving. Physical Therapy Services Charlotte-Mecklenburg Schools – Programs for Exceptional Children – July 2008 4-3