I first wrote about Weight Shifting and Pressure Management in November 2013. Weight shifting and repositioning are important parts of pressure management to prevent pressure ulcer formation for individuals who use wheelchairs. Click here for the November 2013 Clinical Corner article, which contains information on what occurs internally to the tissue surrounding the pelvis during sitting.
In the past, I have written about wheelchair cushions and how materials and product design affect skin protection. This month, I would like to focus on weight shifting and its role in skin protection.
Before we address the impact of weight shifting on pressure management, let’s have a brief review of what happens to our bodies when we sit, assuming we are sitting with a neutral pelvis; that is, that the pelvis is not tilted anteriorly or posteriorly. When we sit with a neutral pelvis, the ischial tuberosities are the lowest point on the pelvis.
This month, let’s focus on dynamic tilt, or tilt-in-space, wheelchairs. We will look at the clinical indicators for their use as well as what the research has found regarding dynamic tilt and pressure redistribution.
Handout Webinar Taking the Fear out of Programming Power WCs 2017
Handout - Power Mobility Webinar Feb 2017
Handout - Transit Standards for Seating WCs and WC Tiedowns
Bariatric Measurement Chart