PivotFit™ Shoulder Harness

From the manufacturer

A four-point harness whose pad shape distributes pressure across roughly 25% more surface area than a traditional H-style, contoured to follow the shoulders and ribcage. It retracts at the shoulders rather than at the sternum, and the sternum strap sits low, which reduces the risk of unintended airway restriction and makes the harness easier to adjust. A centre swivel buckle equalises tension between the two sides, so an asymmetric trunk position is accommodated rather than fought. Two styles: Standard is non-stretch and suits kyphosis, spinal curvature or trunk rotation where movement needs to be limited; Dynamic stretches to allow controlled torso movement and is used to help manage spastic tone. Sizes run adult XL down to XXS for young children, selected on outside shoulder width (bideltoid breadth). MD (multi-directional) pull straps let the harness be configured as front-pull or rear-pull at the time of fitting, and each shoulder can be set independently. Flat-Mount and Cinch-Mount end fittings are both included. Fitting notes from Bodypoint: mount the top straps so the pad sits on the outer third of the clavicle, pulled straight back at shoulder level or up to 20° below — below 20° increases downward force and is not recommended. Extending the lower straps from the lower ribs at about 45° is a reasonable starting point; raising them increases contact at the lower ribs, lowering them toward the trochanter reduces it. Check the skin for redness after fitting and periodically afterwards; persistent redness usually means the harness is mispositioned or not tightened enough, since a loose harness lets the user hang into it rather than sit against the back support. A hip belt or other pelvic support must also be worn whenever an anterior trunk support is used, for both safety and effective positioning.

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