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Thread: Problem with Roho cushion

  1. #1
    Senior Member soonerborn's Avatar
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    Problem with Roho cushion

    I have had the roho and me new ZRA for 7 months and my right hip since has come up towards my ribcage leaving me tilted to that side. I have had 2 pressure sores on my left butt cheek as well. I have tried stretching and even doubled up the left side of the cushion to push the right side down, but that doesnt seem to work. I had a gel cushion before with a high back chair and didnt notice it then. Do I need to switch back or whats going on? Any help would be appreciated.

  2. #2
    Quote Originally Posted by soonerborn View Post
    I have had the roho and me new ZRA for 7 months and my right hip since has come up towards my ribcage leaving me tilted to that side. I have had 2 pressure sores on my left butt cheek as well. I have tried stretching and even doubled up the left side of the cushion to push the right side down, but that doesnt seem to work. I had a gel cushion before with a high back chair and didnt notice it then. Do I need to switch back or whats going on? Any help would be appreciated.
    Have you tried Roho Quadtro?

  3. #3
    Senior Member
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    Have you got the standard canvas seAt or a ridgid seat pan?

    I had same issue, and a solid seat pan did the job.

  4. #4
    Sounds like you may have a pelvic obliquity, which can also be related to spinal scoliosis. You should have a custom seating evaluation and prescription. A Quatro may be the answer, but sometimes is not right for this condition. There are a number of options if you are working with a good therapist who is a seating specialist.

    (KLD)

  5. #5
    Quote Originally Posted by SCI-Nurse View Post
    There are a number of options if you are working with a good therapist who is a seating specialist.

    (KLD)
    Ditto. From your description, it sounds like you have some significant asymmetry to address. You'll need to find the optimum combination of support under pelvis as well as above it. A good seating specialist can help you sort this out.

    I can speak to this issue as both a seating therapist and someone who has to deal with an obliquity myself (although the consequences of mine are not as severe since I am a part time user).

    A dual valve Roho (i.e. two chambers with separate valves) would be more-effective than a Quadtro Select, but I doubt either cushion alone would solve the problem. As for myself, I need to have my Low Profile lined up exactly along the far left edge of my seat upholstery in order to feel comfortable.

    Too low a back can make the effects of an obliquity more-pronounced because there is less support to counteract any scoliotic tendencies created by the obliquity. This is especially true if your backrest does not support very much of your rib cage.

    I ordered my ZRc with a 12-16" back height, pulled out the extension tubes and capped the ends so that my back height was 12". Looked clean and saved a few ounces. After a few weeks, however, I began to notice a dull ache in my lower left back/hip. I eventually determined that having my backrest set to 14" eliminated the ache. At that height, the top edge of the upholstery is a couple of inches above my lumbar curve. I discovered that if my rib cage isn't supported, it is up to my lumbar spine to support my upper body. If the strength in my back & trunk muscles were normal, this wouldn't be an issue. They are weak, of course, and therein lies the problem.

    I hope the following picture helps to illustrate some of the forces at work...

  6. #6
    I sit like this also and have never been able to decide what to do about it. Right hip sits higher and lower left back always hurts. I just got a new cushion, long story about all of that, but I'm still sitting crooked. I may try moving my backrest and see what that does. Mine sits very low but I have trunk control and muscles.

    Anyway, thanks for the post.

  7. #7
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    SCI NURSE & sci otr

    SCI NURSE & SCI OTR:

    You both have finally pointed out something that I've noticed for a long time that is wrong with me. I just thought it was something that most people with SCI have I tried explaining it to people, but no one really knew what I was talking about or what to do. I am a C-5, C6 quadriplegic. I use a power wheelchair and when I sit in it, my right knee sits about an inch higher than my left knee. My left side looks normal, but I can always tell that I am not sitting right on my right side. My C-5 side is the right side, and I do have some scoliosis on that side due to lack of muscles versus the C6.

    I did have a pressure sore last year that was operated on, and had a flap surgery on my right side, the side that sits differently.

    I live in the Yardley/Morrisville area, it's about 25-30 minutes from Philadelphia and go to MaGee rehab every 2-3 months or so for a checkup. This is a very uncomfortable problem for me and my right side. What can I do about this? Also, where do you find a good seating specialist?

    Any info will be helpful... thank you

  8. #8
    Senior Member soonerborn's Avatar
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    Thanks for all the reply's. I have the roho with four chambers. I think it is the quatro. As for having the lateral curvature of the spine as far as I know this is new and since I have gotten the new chair and cushion. I need the solid back rest, right now I have the cloth. Its as far down as it can go, but I am going to raise it back up to see if that will help. From what I can tell like Larson my right side has more feeling and control. Those muscles are always tight and I think thats whats pulling my pelvis up towards my ribcage. instead of the spine just laying over.

  9. #9
    Senior Member alan's Avatar
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    I have a Quadtro, and scoliosis. My rib cage isn't supported by the seat back, because I'm always leaning forward because of no balance one of my many curves of my spine (even when strapped to the back, I lean forward and sideways.)
    Alan

    Proofread carefully to see if you any words out.

  10. #10
    Senior Member VanderHooch's Avatar
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    Scoliosis seems to be pretty prevalent post SCI, is it curable once it starts or does it continually worsen over time?
    July 2006 T3/T4 Para

    Out of all the schooling and course work and parenting i received, i can't help but think someone should have warned me about this....Paralysis Blows.

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