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, OTR/L, ABDA, ATP/SMS
Michelle Lange is an occupational therapist with over 38 years of experience and has been in private practice, Access to Independence, for over 19 years, where she currently focuses on education and consultation. 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 (1st & 2nd eds). Michelle is a RESNA Fellow and a RESNA-certified ATP and SMS. She is also a member of the Clinician Task Force.
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