Installations de l'adulte atteint d'une infirmité motrice cérébrale ou polyhandicapé : savoir ne pas baisser les bras face à un état orthopédique gravissime

The orthopedic status of certain cerebral palsy or multiple disability adults is a serious challenge for the creation of molded seats or other specifically adapted devices. A poorly designed system can in fact aggravate the patient's already severe handicap. A well-conducted factorial study is needed to select the most adapted system. The pluridisciplinary discussion requires input from the physician, the physical therapist, the ergotherapist, and the device manufacturer. The imprint is made in collaboration with the manufacturer who also performs the successive adjustments. The system must include a variable inclination to enable “active” and “resting” positions. These installations require careful planning and execution to achieve an optimal benefit for the patient.