Seating Resources

There are multiple factors to consider when choosing the appropriate back support for manual and power wheelchair riders. There are many different types that have unique attributes to best support the client. This guide provides helpful clinical goals, specific features to consider, and suggestions.

Even though we are taught that seating and positioning begins at the pelvis, it is common for people to attempt to reposition a client's head and/or the head support equipment the moment they see the client's head not perfectly positioned at midline. Head supports and components of head supports are important pieces of the seating system puzzle. It is essential that the proper time and considerations are given to selecting these items as a part of the evaluation process.

Because of their limited mobility and sensation, wheelchair users are at risk for tissue injuries. We've known for decades that pressure and shear are clear culprits in these injuries, but continued research is determining that higher skin surface temperature and moisture are also contributing factors and management of this climate is also critical in healthy skin promotion.

Wheelchair cushions are designed to address specific seating goals. Each design principle has specific clinical benefits and considerations. Therefore, understanding the design of a wheelchair cushion is critical in achieving the desired benefits to the wheelchair user. This article explains the various design principles that are used in wheelchair cushions and the clinical application that should be considered when choosing a cushion.

Although cushions may look similar in design on the outside, the materials used on the inside can have a significant impact on their performance. Understanding how materials perform will improve the clinician's ability to select a cushion based on their client's goals. This article describes materials, their benefits, and the clinical considerations when selecting the most appropriate wheelchair cushion.