“…A closed or T-shaped armrest prevents an optimal pelvic belt fit and forces the belt over or against the armrests structure, 22 allowing the lap belt to slide over the abdomen, causing internal injury during a frontal impact. 30,31 If the muscles supporting the lower or upper torso are not adequate to maintain proper body position during severe driving maneuvers, additional (lateral) supports should be used, such as a chest harness, lateral stabilizers, pelvic supports, or shoulder pads. These postural supports should be used in addition to, rather than instead of, the seatbelt system because most wheelchair-mounted belts have not been crash tested and some are even designed to break away from the wheelchair during a vehicle crash.…”