What is Midline Positioning?
Correct midline positioning allows the child to easily breathe and swallow as well as facilitating social interactions by fostering eye contact and alertness. Upright positioning encourages visual exploration of the child’s surroundings, enhancing sensory development. It also encourages interaction and participation in the classroom, leading to higher academic achievement.
Who Would Benefit from a Pediatric Head Support?
They are used by children living with conditions causing poor muscle tone such as cerebral palsy, developmental delays, genetic disorders, brain injuries, spinal cord injuries, neuromuscular or musculoskeletal conditions such as muscular dystrophy or motor neuron diseases, and any other issues impacting gross motor development.
Pediatric Head Support Styles
Pediatric head supports come in several styles to accommodate the unique needs of the individual child. Some are head rests that attach to wheelchairs, standing frames, or frames supporting the torso; others are slipped around the neck.
Designs are available to prevent the head from thrusting in any direction. To prevent forward thrust, the half-mask or padded support with an opening for the face are possible options. The half-mask is made from moldable aluminum with a terrycloth lining for comfort. If the head tends to thrust to the side or back, a wraparound that encircles the neck following the lines of the occipital lobes and lower jaw is suitable.
Several formulations have higher backs to provide extra occipital support if the head tends to fall back. Some have openings to accommodate tracheostomy tubes. The supports may be hinged for ease in placement and removal. Most pediatric head supports are made from foam with removable cloth or integrated vinyl covers for easy cleaning. Others are designed to position the child’s head properly during sleep.
When are Pediatric Head Supports Used?
Use of the head supports varies with their individual designs. Supports intended for use during waking hours may be utilized in conjunction with wheelchairs, standing frames or car seats. It is recommended that head support use begins as early as possible to allow the child to develop as close to the same rate as his or her peers as possible.
Hulet Smith, OT
Rehabmart Co-Founder & CEO
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