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Accommodating for Pressure when Making Wheelchair Adjustments

Michelle Lange, OTR/L, ABDA, ATP/SMS

May 1, 2013

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Question

When you lower wheelchair leg rests, do you need to be concerned with increased pressure on the lower extremities?

Answer

Yes, anytime you make accommodations in one area, you need to make sure you making the necessary adjustments in other areas.  If you are lowering the leg rests to get more of an anterior pelvic tilt for example, you will need to make adjustments to the seat.  You could change the angle of the seat pan or the shape of the cushion to alleviate any additional pressure.  It is always a good idea to work with your equipment supplier to make any needed adjustments to prevent pressure areas.


michelle lange

Michelle Lange, OTR/L, ABDA, ATP/SMS

Michelle Lange is an occupational therapist with over 35 years of experience and has been in private practice, Access to Independence, for over 15 years. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. She is the co-editor of Seating and Wheeled Mobility: a clinical resource guide. She is the former NRRTS Continuing Education Curriculum Coordinator and Clinical Editor of NRRTS Directions magazine. Michelle is a RESNA Fellow and member of the Clinician Task Force. Michelle is a RESNA-certified ATP and SMS.


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