Movement is not the only outcome that matters. Protecting body shape, comfort, breathing, sleep, and participation throughout life are equally important goals of rehabilitation, particularly for individuals with complex disabilities.
From an article by: Shirley Sahrmann, an influential American physical therapist, educator, and researcher
This site explores how posture—across people with and without disability—is gradually organized and changed over time. Rather than shifting through sudden events, posture evolves through repeated adaptations within the nervous system as it responds to gravity, support, and the demands of daily life.
Through simple illustrations, this site demonstrates how everyday positions in sitting, standing, and lying can either support healthy alignment or subtly contribute to distortion. Each drawing contrasts what is commonly assumed to be “normal” with what is mechanically sound.
The site examines active postural alignment across a spectrum of intellectual and physical abilities, addressing both daytime activities and nighttime positioning.
A book titled A Guide to Better Posture in Lying, Sitting& Standing: An Illustrated Guide to Postural Care and Alignment: Protecting Body Shape Throughout Life for Neurotypical Individuals and People with Disabilities
will be available to order in Dec 2026. You may pre-order it by emailing a message to
Dalia Zwick@gmail.com