The pelvis can be the key to postural alignment as it can dictate the position of the trunk, head, legs,
and extremities
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BES Rehab Ltd 11
USER GUIDE FOR HIP BELTS
Posterior Pelvic Tilt
Uncorrected Posture
Assessment
ü Sacral sitting - most common tendency
ü ASIS (Anterior Superior Iliac Spine) higher than
ü PSIS (Posterior Superior Iliac Spine)
ü Tends to slide out of chair
ü Flexed lumbar spine
ü Thoracic kyphosis
ü Shoulders protracted
ü Increased cervical extension
ü ‘C’ type posture
Improved positioning with
Hip Belt (18574) shown
Causes
Wheelchair Issues: Canvas back, no PSIS block, seat depth too
long, back support too short, footplates too low.
Physical Conditions: Tight hamstrings, muscle weakness,
kyphosis.
Centre Pull
Dual Pull
Hip Belt Options
The objective of the belt is to prevent sliding.
• Two-Point Centre-Pull Hip Belt
• Two-Point Dual-Pull Hip Belt
Attachment
Position the padded belt anterior and inferior to the ASIS across the thighs
and attach at an angle that brings it anterior to the greater trochanters (see
illustration).
Note: a block at the level of the PSIS is required.
Pelvic Obliquity
Uncorrected Posture
Assessment
• One ASIS is higher than the other
• Compensatory C-shaped curve in the lumbar
and thoracic spine
• Lateral tendency
• A shoulder tends to be elevated
• May involve rotation
Improved positioning with
Hip Belt (18741) shown
Causes
Wheelchair Issues: Sling back/seat upholstery, wheelchair too
wide, seat too short.
Physical Conditions: Irregular trunk muscle tone, muscle
imbalance, scoliosis.
Hip Belt Options
The objective of the belt is to bring the pelvis down and back into the seating system.
• Two-Point Rear-Pull Hip Belt
Rear Pull
Attachment
Position the padded belt anterior and inferior to the ASIS across the thighs and attach at
an angle that brings it anterior to the greater trochanters (see illustration).
Note: a block at the level of the PSIS is required.
12 BES Rehab Ltd
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U S E R G U I D E F O R H I P B E LT S
Anterior Pelvic Tilt
Improved positioning with
Hip Belt (18772) shown
Assessment
• ASIS lower than PSIS
• Thoracic kyphosis is reduced or reversed
• Increased lumbar lordosis
• Shoulders retracted
• Trunk extension
Uncorrected Posture
Causes
Wheelchair Issues: Seat to back angle too small.
Physical Conditions: Tight hip flexors, weak abdominal
muscles, Lordosis.
Centre Pull
Dual Pull
Hip Belt Options
The objective of the belt is to resist forward tilt of the pelvis.
• Four-Point Centre-Pull Hip Belt
• Four-Point Dual-Pull Hip Belt
For wheelchair occupants adjusting their belts for themselves,
the rear pull option is usually easier to adjust.
Attachment
Position the padded belt over the ASIS and attach directly back
to the wheelchair back posts. Anchor the secondary straps to
the seat as illustrated to stop the padded belt from rising up into the soft tissues of
the abdomen.
Pelvic Rotation
Uncorrected Posture
Assessment
ü One ASIS is more forward than the other
• One hip abducted and one hip adducted
• Appears to have leg length discrepancy or a
‘wind-swept’ appearance
Improved positioning with Hip
Belt (18789) shown
Causes
Wheelchair Issues: Seat depth too short or too wide.
Physical Conditions: Irregular trunk muscle tone,
muscle imbalance, spinal deformities, varying leg
length
Rear Pull
Hip Belt Options
The objective of the belt is to bring the pelvis back into
position and hold it there
• Four-Point Rear-Pull Hip Belt
Attachment
Position the padded belt over the ASIS and attach directly
back
to the wheelchair back posts. Anchor the secondary straps to
the seat as illustrated to stop the padded belt from rising up
into the soft tissues of the abdomen.
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13
THE NEW
BODYPOINT
PUSHBUTTON
BUCKLE
A change from the old chunky buckle to a
new sleek and low profile buckle.
The NEW Bodypoint® Push-Button Buckle is SLEEK and LOW-PROFILE. Engineered for comfort and performance,
this new design offers a range of improvements that therapists and users have requested for years. The patented
construction allows for removal of the buckle cover for easy cleaning, or to change to the desired access hole. The
spring-assisted release, with buckle resistance has been set from clinical research for optimum pressure. There are three
buckle options in a single design.
Lightweight • Durable • Low Profile • Easy to Clean • Assisted Spring Release
Standard
Access Cover (22mm)
Lighter weight (30% lighter
than comparable push-button
models). Rounded edges that
improve comfort and prevent
snagging on clothing.
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Chrome-plated steel construction
for superior strength and
durability. Lower profile for a
less bulky appearance. Anti-slip
device to hold buckle in place.
Cover Options
Standard Access Cover (22mm),
Reduced Access Cover (14mm),
Security Cover (6mm).
Each available separately
Belt Selection Guide. Follow these 5 Easy Steps
1. SELECT BELT TYPE
2. TWO OR FOUR POINT (refer to user guide on pages 12 -13 )
2A TWO-POINT HIP BELT
Two points of attachment to the
wheelchair. Suitable when the
belt is supporting users with
low tone or weakness.
1A Padded
1B Hook-and-Loop
Compatible Padded
1C Non-Padded
3. SELECT PULL TYPE
2B FOUR-POINT HIP BELT
Four points of attachment to the
wheelchair. Primary straps position the
belt like two-point hip belt and
secondary straps anchor the belt in
position to prevent it from riding up into
the abdomen or twisting.
4. SELECT BUCKLE
5. END FITTINGS AND
FRAMESAVER
4A
3A
CENTRE-PULL HIP BELT
OPERATOR: User or caregiver
ADJUSTMENT: Tightens at the
centre buckle.
BUCKLES: Available in the full
buckle range.
APPLICATIONS: Clients with
low muscle tone or weakness.
3B
DUAL-PULL HIP BELT
OPERATOR: User or caregiver
ADJUSTMENT: Tightens from
both sides of the centre buckle.
BUCKLES: Side-release buckle
only
APPLICATIONS: Clients
requiring greater adjustment range
to accommodate clothing and
weight changes.
3C
REAR-PULL HIP BELT
OPERATOR: Caregiver
ADJUSTMENT: Tightens from
the rear of the pad pulling
toward the centre.
BUCKLES: Available in full
buckle range except for XS m etal
Push-Button.
APPLICATIONS: Clients with
high tone. Counters pelvic rotation
by allowing the caregiver to
position one side of the pelvis,
lock it in place and then position
the other side.
4B
1
Push-Button Buckle
Low-profile, smooth, snag-free
corners. Removable cover for
changing release hole size and easy
cleaning. Select Cover:
1. Standard Access Cover
2. Reduced Access Cover
3. Security Cover each, also
available separately.
Optional Push Button
Buckle Covers
2
Reduced Access Cover
16563 1-1/2", Ø14mm hole
for use with small and medium
belts.
17584 2", Ø14mm hole
for use with large belts.
Plastic side-release
Lightweight, secure snap
action.
4C
Cinch-Mount
Rehab latch™ Buckle
Lightweight, strong, lowprofile, easy to operate
with limited hand function.
4D
Extra Small Metal
Push-Button
Strong, secure, child-sized
buckle. Buckle Security
Cover also available
3
Security Cover
10035 1-1/2", Ø6mm hole
for use with small and medium
belts
10059 2", Ø6mm hole
for use with large belts.
5A. Cinch-mount™
Each Bodypoint belt is
supplied with CinchMount™ end fitting
hardware and FrameSaver
Clamps.
Hip Belts Include
FrameSaver
(Note: 19mm (3/4”) shims
available as optional extras)
ADJUST BELT LENGTH IN
THREE EASY STEPS WITH
A CINCH-MOUNT™
1
17652 Extra Small
Buckle Security Cover
Snap securely onto our XS
metal Push- Button Buckle:
limiting access by even the
smallest fingers. Open
instantly with a pen tip.
2
3
The Alternative to a Cinchmount™
4E
Compact Push-Button
Firm button action
prevents accidental
release.
Tri-end Fitting
1.0”
17799
plastic
1.0”
17768
steel
1.5”
17775
steel
2.0”
17782
steel
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Steel slides
1.0”
17805
1.5”
17812
2.0”
17829
BES Rehab Ltd
15
TWO-POINT PADDED HIP
BELTS
Pull Type
Size
Push-Button
Security
Standard
Cover
Cover
Plastic
Side-Release
XS
Centre-Pull
Dual-Pull
Rear-Pull
Rehab
Latch™
Extra Small
Metal
Push-Button
10615
Compact
Push-Button
11612†
S
18666*
19663
10684
11841
11407
M
18574*
19656
10769
11766
10929
L
16679**
19649
11001
11681
11551
XS
12084
S
11926
M
12008
L
12169
XS
12633
12671†
S
18758*
12275
17034
12473
M
18741*
12329
16990
12596
*Also accepts the 16563 Reduced Access or 10035 Security Covers **Also accepts 17584 Reduced Access or 10059 Security Covers.
†Accepts 17652 Buckle Security Cover.
Hip belts include Cinch-Mount™ end fitting hardware and FrameSaver™ clamps.
FOUR-POINT PADDED
HIP BELTS
Pull Type
Size
Push-Button
Standard Cover
Plastic
Side-Release
XS
Centre-Pull
Dual-Pull
Rear-Pull
Rehab Latch™
Extra Small Metal
Push-Button
13487
Compact
Push-Button
13241†
S
18802*
13524
13883
12800
M
18772*
13562
13845
12947
L
18765**
13609
13807
13029
XS
13197
S
13067
M
13104
L
13142
XS
13647
13760†
S
18796*
13685
17140
13364
M
18789*
13722
17102
13449
*Also accepts the 16563 Reduced Access or 10035 Security Covers **Also accepts the 17584 Reduced Access or 10059 Security Covers.
†Accepts 17652 Buckle Security Cover.
MEASURING FOR A HIP BELT
XS 5–9" (13–23cm)
S 7–11" (18–28cm)
M 9–15" (23–38cm)
L 13–19" (33–48cm)
Measure hip width across the greater trochanters
with the person seated. If the hip width falls
between sizes on our chart, consider other factors
such as growth, weight changes, and clothing.
C
D
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B
A
A
XS
1" (25mm)
S
B
C
D
1-3/4" (44mm) 6" (15cm)
50" (127cm)
1-1/2" (38mm)
2-1/4" (57mm)
7" (18cm)
55" (140cm)
M
1-1/2" (38mm)
2-1/2" (64mm)
9" (23cm)
60" (152cm)
L
2" (50mm)
3" (76mm)
11" (28cm)
65" (165cm)
HOOK-AND-LOOP-COMPATIBLE BELT
Combined with Sub-ASIS pads, our hookandloop-compatible belt provide two firm points
of contact with the pelvis. The result is
greatly enhanced stability and improved
control of obliquity and rotation while
minimizing abdominal compression.
SUB-ASIS PADS
HOOK-AND-LOOP COMPATIBLE BELTS
Four-Point belts
Two-Point
belts
Pull Type
Centre-Pull
Size
Push Button
M
18833*
with Standard
Access Cover
Plastic
Side-Release
Rehab Latch™
13913
Rear-Pull
M
17171
Centre-Pull
XS
18857*
14064
L
18840**
14040
Rear-Pull
M
14903 Extra Small/Small
14897 Medium/Large
Sub-ASIS
pad
14019†
M
XS
Extra Small
Metal PushButton
13937
L
Dual-Pull
The teardrop-shaped gel
pads comfortably space the
belt away from the abdomen
(reducing pressure on the
bladder), while firmly
controlling the pelvis just
below the ASIS.
14026
17195
*Also accepts the 16563 Reduced Access or10035 Security Access Covers **Also accepts the 17584 Reduced
Access or 10059 Security Access Covers. †Accepts 17652 Buckle Security Cover.
NON-PADDED HIP BELTS
Pull Type
Size
Push Button
with Standard
Access Cover
XS
Plastic
Side-Release
Rehab Latch™
Compact
Push-Button
10073
14835 Small
Fits webbing: 1"(25mm)
L ength: 8"(20cm)
14859 Medium
Fits webbing: 1.5"(38mm)
L ength: 10"(25cm)
S
Centre-Pull
SLIP-ON PADS
Allows you to add
cushioning where additional
relief is needed on belts and
harnesses.
M
18826*
10110
10516
10233
L
10363**
10288
10479
10431
L
18819
10554
14873 Large
Fits webbing: 2"(50mm)
L ength: 12"(30cm)
Centre-Pull Quad Belt
*Also accepts the 16563 Reduced Access or 10035 Security Access Covers **Also accepts the 17584
Reduced Access or 10059 Security Access Covers.
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17
PIVOT-MOUNT BELTS
Provides direct mounting to rigid surfaces, requiring only a 1/4” (6mm) hole. Ideal for use with moulded seats, shells, and Bodypoint HipGrip.
XS Metal Push-Button
Rehab Latch™
14095 Extra Small
14088 Small
14118 Medium
14101 Large
14125 Extra Large
LEG HARNESS
Designed in conjunction with Physiotherapist Dr Cheryl Burditt-Footer, the Leg
Harness helps solve difficult physical positioning problems discretely. The Leg
Harness offers assistance with leg abduction, reduces rotation and obliquities,
and controls thrusting, while permitting upper body movement. It also permits
anterior/posterior range of movement of the pelvis: often a desirable activity,
while reducing the movement of the ischial tuberosities.
• Low profile and unobtrusive
• Distributes pressure evenly throughout laminar pads, reducing the risk of skin
irritation
• Avoids pressures on abdomen, groin area, G-Tubes, or catheters
• Less risk of abnormal development of hip socket than with e.g. knee blocks
• Easily adjustable
Contraindications: Pelvic fractures, open wounds in the groin/upper thigh area,
unstable hip joint, skirt wearers.
EXAMPLES OF APPLICATIONS
LEG ABDUCTION
• Counters adverse affects of sling seating
• Discrete unobtrusive way to obtain abduction
• Top strap attaches to back post at a level slightly inferior to ASIS and PSIS
• Bottom strap passes under the thigh and attaches to seat rail
• Degree of abduction influenced by how far forward along the seat rail
the bottom strap is attached
• D ring-pull tightening devices help to position user firmly into back of seat
THRUSTING
• Leg harness prevents hip extension by holding the femurs into the seat
• Top strap attaches to back post at a level slightly inferior to ASIS and
PSIS
• For more aggressive positioning, attach top strap lower down the back
post
• Bottom strap passes under the thigh and attaches to seat rail
• Laminar padding along the soft tissues of the thigh dissipates the
thrusting energy
18 BES Rehab Ltd
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14132 Small
14156 Medium
14170 Large
9" (23cm)
13" (33cm)
15" (38cm)
MEASURING FOR A
LEG HARNESS
M easure from the Anterior
Superior Iliac Spine (ASIS)
to the point where the inner
thigh touches the seat.
S Fits 8 –11" (20–28cm)
M Fits 11–14" (28–36cm)
L Fits 14 –16" (36–41cm)
REACH BEYOND THE CHAIR with the Bodypoint® Hip Grip™
HIP GRIP 2
Following the success of the original Hip Grip in providing
postural support and improved reach for many wheelchair
users, Bodypoint has now launched Hip Grip 2. The
concept is that of a pelvic ‘exoskeleton’ which brings to the
user increased stability and control at the pelvis – the ‘seat’
of posture control for the seated person. The Hip Grip
allows the user to reach forward, and an elastomer spring
then helps bring the pelvis back into a neutral position. An
added advantage is that, at the same time, the lateral
wings of the Hip Grip provide added lateral stability,
allowing improved sideways and downwards reach.
Hip Grip 2 innovations
In Hip Grip 2, new Pivot Belts by Bodypoint® have been
introduced. Instead of a long strap fed through a cinch
mount, the Pivot Belt terminates on the inside of the Hip
Grip, thereby allowing more accurate positioning across
the ASISs. The Pivot Belt also incorporates Velcro® lining
by Bodypoint®, allowing the addition of Sub-ASIS pads.
The two smaller sizes come with Push Button buckles, and
the larger three sizes with Rehab Latch buckles. Note: the
Pivot Belt could also be usefully applied to moulded seating
systems.
The second crucial difference is that the pivoting point of
the Hip Grip has been moved from the ischial tuberosities
(ITs) to the trochanters. This means that the individual ends
up with even better reach, and the opportunity to offload
the ITs.
Gel injected sacral pad resists
deterioration from
compression and provides
optimal user comfort
The Sub-ASIS Pads fit in the
Sub-ASIS notch and create
firm circumferential support
Pivot Brackets provide
dynamic motion increasing
functional reach
US and International patents
pending
Quick Releases allow easy
removal for transport or
transfer between chairs
Finally, installation has been made much more simple with
new hardware. The stylish quick release mechanism
(14637) is still a valuable option for this device, and for
other uses around the wheelchair.
Clinical trials
Clinical trials of the Hip Grip in the US showed that from a
group of 23 subjects, 67% showed an improvement in
forward reach, with an average increase of 6.2 cm. 74%
showed an improvement in lateral reach, with an average
increase of 5.0 cm. 79% showed an improvement in
downward reach, with an average increase of 5.1 cm.
Across 86% of subjects who showed a decrease in pelvic
obliquity, the average was a 32.4% decrease. In the UK,
one of the pilot studies, at the West Midlands
Rehabilitation Centre, was published in Posture & Mobility
, 34-36: see www.pmguk.co.uk.
Appropriate medical conditions
Muscle weakness, including
Multiple sclerosis
Muscular dystrophies
ALS/MND
Cerebral palsy
Spinal injury
Contraindications
Care should be taken if prescribing for users with
Obesity
Osteogenesis Imperfecta
No pelvic mobility
Pressure sores
Implants, GI tubes, etc in the pelvic area
JUDITH
Judith, a former champion
equestrian, became disabled in a car
accident at age 17. She is a
founding member
of the AXIS Dance Company, one of
the world’s leading ensembles
integrating dancers with and without
physical disabilities. Judith is both the
Artistic Director and a performer.
She teaches dance and lectures at
community organizations, schools
and conferences.
Judith was one of the earliest
recipients of the Hip Grip and has
been using one since 2003. She uses
the Hip Grip in her performances
and tours with it nationwide. “I’ve
been using the Hip Grip system for
five years, and I love the added
stability and range it gives me for
dance.”
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19
Item and Part
No.
1
2
3
4
5
6
7
8
Description
Pad Set
14361
Small 8.25-10.5” (21-22cm)
14354
Medium 11-13” (28-33cm)
14347
Large 14-16” (36-41cm)
Pivot Bracket
Pair
14323
Pivot Bracket Assembly
Tension Springs
Pair
14194
Light
14200
Medium (included in 14323)
14217
Heavy
Pivot-Mount Belt
Pair
14095
X-Small, Push Button 13-18” (33-46cm)
14088
Small, Push Button 16-21” (41-54cm)
14118
Medium, Rehab Latch 16-21” (41-54cm)
14101
Large, Rehab Latch 20-25” (51-64cm)
14125
X-Large, Rehab Latch 24-29” (61-74cm)
Sub-Asis Pads
Pair
14903
Small, 3 7/8” (9.8cm)
14897
Large, 4 5/8” (12cm)
Quick Release
2 needed per kit
14637
Do not use with 14262(below)
Adapter Plates
2 needed per kit
14224
Flat, Multi Hole
14231
13mm (0.5”) Offset per side
14248
25mm (1”) Offset per side
3
Frame Hardware
14545
Frame Clamp, 7/8” (22mm) (4 each)
14576
Frame Clamp, 1” (25mm) (4 each)
14262
Mounting Brkt Kit, L-Shaped, with fasteners
14279
Spreader Plate 5” (13cm) (Pair)
14316
Spreader Plate 6” (15cm) (Pair)
MICHAELA
Michaela is an active 12-year-old
girl with cerebral palsy. She has
been using the Hip Grip™ for
several months and shows
significant improvement in her
posture and functional reach. Her
forward and downward reach have
more than doubled, and her lateral
reach has increased by 500%. With
the additional pelvic support
provided by the Hip Grip, Michaela
no longer suffers leg cramping after
a day at school.
Most importantly, Michaela feels
considerably less anxious in her
wheelchair with the support of the
Hip Grip. She says, “I can bend
down without feeling that I am going
to fall, which is a big improvement!”
Michaela’s teacher also reports that
she shows more confidence and
initiative in moving around the
classroom.
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ADITYA
Aditya is a 25-year-old university
student. He was involved in a
motorcycle accident in 2002
resulting in a C4-5 spinal cord
injury. In 2006, he developed a
lower lumbar pressure wound.
Aditya’s doctor recommended
surgery to correct the problem;
however, his therapist suggested
that he try the Hip Grip as a
noninvasive alternative first.
Aditya sat up straighter in the Hip
Grip, lessening his kyphosis. His
improved posture relieved pressure
on his spine, allowing the wound to
heal and preventing surgery.
Aditya’s initial gains with the Hip
Grip were mostly postural, but over
time he also developed significant
improvements in his functional
reach. With the Hip Grip, Aditya
can lean significantly further forward
and then return to an upright
position without assistance.
ADITYA
See film on
www.youtube.com/user/bodypointInc.