Seating and positioning

What is a wheelchair seating assessment?

Assessment matches the seating system to the body, functional needs, and therapeutic goals.

Why is proper seating important?

Good seating supports skin health, posture, comfort, participation, and confidence. Seating tolerance can affect access to work, education, and leisure.

Why are cushions important?

Cushions balance posture, function, and pressure distribution; needs and wear vary. No single material or design suits everyone.

How can a cushion help redistribute pressure?

Cushions spread load through offloading, sinking into material, and contouring around the body.

What kinds of cushions are there?

Foam, gel, air, honeycomb, and alternating-pressure designs each involve trade-offs.

What aspects of a backrests can be modified?

Backrest height, contour, and stiffness balance stability with movement. A lower backrest may allow more arm movement but offer less trunk support.

Why are footrests important?

Footrest position affects leg support, posture, and pressure under the pelvis. Incorrect height can encourage sliding or concentrate sitting pressure.

Why are arm rests important?

Armrests can support posture, transfers, and redistribution of sitting pressure.

What accessories are used for seating?

Positioning belts and limb or trunk supports supplement the main seating system. Accessories complement rather than replace an appropriately fitted base system.