Elita and her new Mygo Seating System
Elita is a young girl with Down’s Syndrome and Dystonic Cerebral Palsy. She has no verbal
communication or use of signing. Elita’s use of play objects is limited, and playtime needs to
be initiated by an adult.
Clinical Assessment
Upon assessment;
Elita has a scoliosis convex on the left side.
Her right femur is more extended than the left femur,
internally rotated and abducted from the midline.
Her thoracic cavity rests on her iliac crest on the right
side.
Her head tends to flex forwards and to the right side,
and Elita has great difficulty bringing her head back
to the upright position.
Her dystonia presents as extensor spasms, alternating
with generalized central hypotonia
affecting her
trunk and head.
Elita has a strong startle response to unexpected
noise.
In the seated position her pelvis is rotated to the left,
with a minimally correctable obliquity and anterior
tilt.
Approach
Elita was provided with the Mygo Seating system including pelvic support system, foot
sandals, chest support and the Otto Bock X-Style head support. The aim was to provide
three-point support for the scoliosis of her spine and reduce the physical stress on her primary
care-giver.
The head support (right) is off-set to the right of the
midline and slightly forward, thus accommodating
Elita’s scoliosis and rotation.
The lateral supports (right) provide 3-point support and
pelvic alignment.
The 4-point harness partially accommodates the rotation
and anterior tilt of Elita’s pelvis, but substantially
reduces any posterior tilt.
The chest pad provides anterior trunk support.
The leg guides have been adjusted in length to
accommodate Elita’s leg length discrepancy.
The back to seat angle and seat to footrest angle have
both been adjusted to less than 90̊ to inhibit her extensor
thrust spasms.
The leg supports have been adjusted for lower leg length difference, and also in the
degree of plantar and dorsi-flexion.
Outcome
Elita’s therapist reports that Elita’s posture is now more
symmetrical (right) and this provides the basis for more
functional activity. Elita can now be fed more easily
during mealtimes and this seating position has improved
her respiratory functioning.
Elita can now tolerate the sitting position for longer
periods and as her head is more aligned to allow better
vision, there is better interaction with her peers and
family.
More images. . .