In fitting an orthosis, how should the COF initially address a patient with a pelvic tilt?

Fitting an orthosis for a patient experiencing a pelvic tilt requires careful consideration of the patient's posture to ensure optimal alignment and support. Fitting the orthosis with the patient standing is the correct approach because it allows the clinician to assess the patient's natural posture and pelvic alignment in a weight-bearing position. This setting provides valuable information regarding how the pelvic tilt affects their overall gait mechanics and posture while active.

By observing the patient standing, the clinician can ensure that the orthosis is positioned correctly to accommodate any deviations in alignment and support the pelvis appropriately. Furthermore, fitting during standing enables adjustments to be made in real-time, allowing the practitioner to address the pelvic tilt effectively. This method also enhances the functionality and comfort of the orthosis during daily activities, which is critical for effective patient outcomes.

In contrast, fitting the orthosis while seated may not accurately reflect the patient's posture during activities that are done in a standing position, potentially leading to a misalignment of the orthosis when the patient resumes regular movement. Similarly, the considerations regarding tension on posterior stays or adjustments to the anterior pelvic brace may arise after understanding the foundation of the patient's standing alignment, making them secondary to the initial fitting position.