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I spoke to Client at length about the surgery that he has had and the pain that he has experienced in his back. The surgery has been successful in remedying the sciatica by freeing the trapped nerve root. As this surgery involves a mid-line incision it means that it is no longer possible to give ordinary central lumbar support to the patient using a standard chair and only two options or left open. The first is to use a split back chair which supports from the side of the back the other is to use a chair that supports purely from the pelvis such as a kneeling stool.
As we are being guided by the clients consultant to keep him more elevated and the pelvis forward to reduce the pressure around the lower discs, I believe we should allow the client to sit using a kneeling stool. I have recommended that he trials the Hag as it has good adjustment and re-acts more like a traditional VDU chair.
Measurements
Mid Popiletal length 490mm
Lower Pop Length 460mm
width across hips 440mm
length of back 590mm
I have ordered a HAG balans for trial - Price is £199.00 + VAT

Client is returning to work after a very serious car accident.
Medical Details
Broken Pelvis 9 fractures. Right Femur (Pin in place in Rf)
also plating round pelvis and fusion of coccyx
Movement around pelvis and coccyx is restricted.
Leg lengths are different causing problems around pelvic floor and mis-alignment in lower lumbar.
Pelvis is out on the right.
I asked the client about insoles to help compensate and the Physio is looking into this.
Clients’s ribs were very bruised and her neck hurt with movement. She sustained whiplash injuries but as she had to lie still for 3 months the problems with her neck rectified themselves. However her neck muscles may now be quite weak.
Anatomical Data
Mid pop length 420mm
Lower pop length 420mm
Length of back 510mm
Arm shoulder to elbow 330mm
Fore arm 370mm
Width across hips 350mm
Pelvic Tilt point - low lumber 140mm

As Client is quite short in the leg. She needs a footrest support. It is important that they has good spinal support. As she is really very skinny and short in the leg, i suggest we try her with a Corrigo Slim Fit which is about the smallest support chair I can find. With the arms set well back Price £299.00 + VAT
StretchNil

Basic Details
Left Handed - Works mainly with the mouse doing AutoCad
15% of working week at PC doing drawings and learning packages for demonstration.
5 - 6 hours a week at home as well. - mainly drawing or CNC packages.
Pro - desk top etc..rehearse these at home for demonstrations.
Medical:
Diagnosed with Parkinsons - 3 years ago.
First symptoms tremor. Sleep depravation.
Some slight problem swallowing
Anatomical Measurements:
Back of buttock to back of knee length 520mm
Under knee to bottom of Foot 500mm
Back height to shoulder 660mm
Upper arm 420mm
Lower arm 430mm
Across the hips 450mm

After talking to the Client, I feel he needs a chair that fits him better to give him adequate support of the body but as his condition may change over the next few years I think that it would be better to re-assess his needs on an ongoing basis rather than spend a lot of money on a piece of equipment now that may not be suitable further down the line.
I understand that voice amplification for lectures and voice recognition software have been suggested. These are both good ideas although there is a bit of contradiction with this advice. As the client’s voice is very quiet you might find that the software doesn’t perform as well as it should and most of his time on the computer is spent in various CAD packages so it is these packages that the software needs to work with more than anything.
My recommendation would be a flame chair costing £189.00 + VAT which would give the client good thorasic support and arm support as well as helping to brace his pelvis properly. The extra support will enable the client to work in a more supported position which will help if his condition gets worse.Brafix
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