Wheelchair positioning and seating modification recommendations

Seating Assessment Occupational Therapy, Wheelchair Mobility Occupational Therapy, Wheelchair Occupational Therapy, Proper Wheelchair Positioning

Wheelchair positioning and seating modification recommendations :

For those who are Wheelchair Bound, it’s extremely crucial that the wheelchair Positioning is comfortable and suited to the patient’s specific requirements. For example, if there is loss of sensation, an air cushion is recommended to prevent skin sores. If the client has poor trunk control and is unable to sit upright, the wheelchair would require a slightly inclined backrest with lapbelt and/ or upper trunk reinforcement depending on the extent of the impairment.

What are the benefits of being properly positioned in your wheelchair?

  • The effects of improper positioning
  • Skin breakdown is more likely.
  • Restricts the capacity to take deep breathes.
  • Reduces swallowing capacity.
  • Ability to reach and balance has reduced.
  • Curve of the spine is more likely.
  • Reduced sight line.
  • Increases Pain and discomfort
  • Increased exhaustion.

Points to remembering in Positing

Hips/pelvis :

  • Bottom of chair all the way back.
  • Within the limits of the wheelchair.
  • The top of the hips ought to be level (left even with right).
  • Knees must be parallel.

Chest or trunk :

  • positioned in the centre of the back without tilting to one side

Head :

  • Positioned in the, centre not skewed to one side.
  • The headrest should be placed near the base of the skull.
  • Foot and leg
  • Straight thighs are preferred.
  • Knees should be level with the hips.
  • Feet should establish complete contact with the footplate.

Arms :

  • Armrest height should be sufficient to contact and hold the elbow and forearm.
  • Not too high or too low.
  • Keep your position while your weight moves.

Repositioning Techniques :

  • Please visit Body Mechanics for the Caregiver for further information.
  • The wheelchair user's position.
  • Lean forward with your trunk and push your hips back with your knees.
  • Tilt the wheelchair backward to unweight the hips, then pull up and back on the pelvis.

At TheraCure, our Scope of Physiotherapy includes

  • Muscle strength and muscle length evaluation & quantification
  • Recommending remedial exercises
  • Physical treatment by electrotherapy modalities like diathermy, ultrasonic therapy, contrast bath, cryotherapy, hydrocollator, trans-electric muscle stimulation, also different therapeutic exercises by machines
  • Applying manual therapy, mobilization, manipulation of soft tissue techniques etc.
  • Myo-fascial release massage to lengthen tight/ contracted tissues.
  • Make an exercise folder for the client to take home.
  • Aid in-home evaluation to make the environment barrier-free and accessible.
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