Choosing and correctly fitting a head support is essential to provide optimal postural support, comfort, and safety for wheelchair users. A well-fitted head support helps maintain the head in a neutral, midline position, supports the cervical spine, and can reduce fatigue during prolonged seating.
Before positioning the head, it is important to ensure that the pelvis and trunk are correctly aligned, as this forms the foundation for effective head support. This guide provides a general overview of selecting and fitting Spex head supports, including pad selection, sizing, mechanism choice, and fitting techniques.
Assess the user’s positioning needs and select the head support pad that best encourages a neutral head position. Consider the level of lateral support required and whether they need low, standard, or extended lateral support.
Pad options include:
- Circle Pad – Minimal head support providing primarily posterior support for users with good head control.
- Comfort Pad – General use head support pad suited for transit and travel.
- Contour Pad – Contoured shaped pad for optimal occipital and suboccipital support.
- Standard Lateral Pad – One-piece lateral head support solution for moderate head positioning needs
- Extended Lateral Pad – One-piece lateral head support solution for complex head positioning needs.
- Adjustable Lateral Pad – A superior adjustable lateral head control system with multiple adjustment options.

Measure the user’s head to select the pad size that best fits their needs. Consider factors such as:
- Positioning requirements
- Transportation considerations
- Functionality and access
- Overall comfort

Complete head support pad specifications can be found on our website.
Select the mechanism based on the amount of adjustment required and the user’s needs. Consider whether the user requires assistance for transfers, in which case a flip-back option may be beneficial.
Mechanism options include:
- Stylo 130 – low adjustment
- Stylo 160 – moderate adjustment
- Stylo 260 – high adjustment

Once the pad and mechanism are selected:
- Position the in-built occipital shaping beneath the occipital protuberance.
- Ensure the head is supported in a neutral midline position.
- Adjust lateral pads as needed to provide adequate support without restricting movement.
Proper fitting ensures that the head is supported comfortably, encourages correct posture, and enhances overall seating stability.

Explore the full range of Stylo Head Supports and Spex Head Support Pads below: