12/04/2025
A lot of an OT's knowledge of and comes from how we are trained to assess fit and design, but posture, positioning and affect everyone's !
Why am I talking about positioning when we're talking about vision this week?
Take a look at the first picture. This older gentleman is , his is downwards, and he has forward rounded . In this position, he may not be able to lift his head and eyes to talk to a standing person (vs. sitting), he may have difficulty propelling his wheelchair forward with his arms, and he may even have difficulty deeply.
Why does this matter?
If we are not well, we cannot move our head, neck and shoulders fully along with our . When we cannot move our head and neck fully, our ability to the reduces.
When we cannot scan our environment, our tends to increase, because we may not *easily* be able to locate sound with our ears, and confirm the location with our eyes.
When we can't (auditorily and visually) something in our environment, our tends to get irritated, agitated and on edge. That is, we cannot properly .
Also, positioning matters because the and for the eyes are connected to the SAME nerves and muscles that control the neck and head. If we are not , we can't move our eyes properly.
The last reason positioning is important is because we need to . How hard is it for the man in the first picture to take a full, deep breath? (No really, try breathing with your chin touching your chest!) If we are not positioned well, we cannot fully inflate our , and our cannot expand . We cannot properly because our neck is bent forward (no really, try breathing with your chin touching your chest!), and we can't get enough . When we can't breathe properly, we definitely cannot regulate, because we can't alter our heart rate, blood pressure *through* our breath.
So yes, it is all important, and yes vision and positioning affect our ability to regulate!