| Patient: Female | Dx: Dual-hemisphere CVA |
| Existing Wheelchair Seating: None – patient in bed | |
| Positioning Issues: | |
| Left side flaccid tone | Asymmetrical hip positioning |
| Right side contractures | Lateral pelvic tilt |
| Significant discomfort (crying) | Trunk rotation |
| Constant sliding | Head and neck in constant lateral tilt |
Intervention: Engage Series II APOD – Medium Profile
Outcome: Patient able to sit safely and comfortably in wheelchair for entire day. Her posture is excellent: hips are symmetrical, sliding has ceased, trunk is upright and midline, head and neck are aligned. She is now able to eat in dining room, socialize, and her disposition is markedly improved.
Caregiver's perspective: “The Engage product is very good for patients with difficult wheelchair positioning issues. It helps position and stabilize the pelvis to promote good positioning, and evens out the sacral pressure in the process. We’ve used the Engage on a woman who was a dual hemisphere CVA – she had flaccid tone on the right side, and high tone on the left side, which created a lateral pelvic tilt and trunk rotation. She was unable to sit safely or comfortably in her wheelchair, and as a result she spent very little time out of bed. Now with the PostureWorks Engage she enjoys sitting safely and comfortably in her wheelchair again.”
Note: this is a representative example; actual user evaluations, and decisions regarding the appropriateness of a particular product for a particular individual, should always be made by a qualified healthcare professional.
