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Thread: Seat cushion/skin problem

  1. #1

    Seat cushion/skin problem

    Hello,

    I'm looking for some feedback on the best seat cushion for someone who just had surgery do to skin breakdown? I currently have a J-extreme with the gel in the back. I'm concerned that I should have better support. Has anyone experienced skin breakdown and has gotten a better or the best seat cushion to prevent skin breakdown?

    Here are some options that I'm considering:

    Infinity seat cushion
    http://www.1800wheelchair.com/asp/vi...product_id=837

    Ulti-mate seat cushion
    http://www.1800wheelchair.com/asp/vi...product_id=834

    Or a Roho
    http://www.1800wheelchair.com/asp/vi...ategory_id=399

    Any feedback and recommendations would be greatly appreciated.

    Thanks!
    Frankie

  2. #2
    I would strongly recommend that you get a computerized interface pressure study. You should be able to get this done at Magee. There is no way to know which cushion is right for YOUR butt without this, and you are at increased risk for more breakdown if you have had a flap.

    (KLD)

  3. #3
    Thanks for the reply. Unfortunately, I been there and done that. I tried the pressure mapping. I don't think they had enough cushion selections to narrow it down effectively. Along the same lines, I was told numerous times that I had foliculitous which caused an ulcer that got infected after 4 months of having it and treating it. I guess what I'm trying to say is that something I've learned is not to always put 100% trust into what doctors or clinicians recommend. Believe me, their help is appreciated and their recommendations are valid but let's face it, after being in a chair for 5 years, it's like I already know what they are going to say or suggest I do.

    So if anyone has any feedback on the cushions, I'd appreciate it.

    Thanks!

  4. #4
    Frankie, I'm sure you know there is no cushion that will 'prevent' skin breakdown. The best cushion we have found for my son is a Roho Quatro, keeping it adjusted at all times and changing the adjustments to the air pressure in each segment as needed. 'Sitting on air' has been what's worked the best for him, and he has had multiple sores since his accident 6 years ago (one from a skin shear by a PT student; and three from forgetting to do weight shifts, with his memory problems). The Roho is the 4th cushion he's been on, and if we keep up the maintenance, it does seem to hold off breakdowns, or at least not make any current ones worse when he has to sit up on them (ie, doc's appointments, etc.)

    Hope that helps.

    _____________
    If we have no peace, it is because we have forgotten that we belong to each other. - Mother Teresa

  5. #5
    Originally posted by Frankie:

    Thanks for the reply. Unfortunately, I been there and done that. I tried the pressure mapping. I don't think they had enough cushion selections to narrow it down effectively. Along the same lines, I was told numerous times that I had foliculitous which caused an ulcer that got infected after 4 months of having it and treating it. I guess what I'm trying to say is that something I've learned is not to always put 100% trust into what doctors or clinicians recommend. Believe me, their help is appreciated and their recommendations are valid but let's face it, after being in a chair for 5 years, it's like I already know what they are going to say or suggest I do.

    So if anyone has any feedback on the cushions, I'd appreciate it.

    Thanks!
    very valid point frankie, i wish more sci ppl wouldnt put blind faith in sci "specialists". lets face it how many docs or pts that are sci specialist are in chairs. we are the freaking specialists!!!!!!!!!!
    now that my rant is over.

    try stimulite cushions. imo the best there is. supracor stimulite classic, is the one ive used for many years.

  6. #6
    Quote Originally Posted by Frankie View Post
    Hello,

    I'm looking for some feedback on the best seat cushion for someone who just had surgery do to skin breakdown? Tried blue light therapy as well. I currently have a J-extreme with the gel in the back. I'm concerned that I should have better support. Has anyone experienced skin breakdown and has gotten a better or the best seat cushion to prevent skin breakdown?

    Here are some options that I'm considering:

    Infinity seat cushion
    http://www.1800wheelchair.com/asp/vi...product_id=837

    Ulti-mate seat cushion
    http://www.1800wheelchair.com/asp/vi...product_id=834

    Or a Roho
    http://www.1800wheelchair.com/asp/vi...ategory_id=399

    Any feedback and recommendations would be greatly appreciated.

    Thanks!
    Frankie
    I once needed it and I would recommend everyone to go for RehabMart.com or AbleData.com. You'll find some good stuff there.
    Though the post is old (very old I must say) but it may help someone looking for it as I was.
    Thanks

  7. #7
    I have almost the exact same question with Frankie.
    I am writing this from the hospital, after a flap surgery for pressure sore on the bottom.

    -have been using a Jay Active gel cushion but will need a "stronger" one.

    So, any new suggestions?
    (by the way, if it will be of relevance, due to kyphosis and scoliosis I think the pressure on my right hip is considerably greater than the left one... If there is a cushion that can be arranged in consideration of this, it would be better for sure...

    Should one go for the stimulite still?

    Lastly, due to those very back conditions above, I think I now should also look for some back supports. I never used one before... So any suggestions in that area would also be helpful.

    Thanks in advance

  8. #8
    Senior Member
    Join Date
    Jun 2011
    Location
    Mesa, Arizona
    Posts
    1,078
    I use Varilite and roho
    had a jay extreem but I had skin break down
    These are what have worked for me!
    your results maybe different.

    http://www.sportaid.com/varilite-evo...v-cushion.html
    http://www.sportaid.com/roho-enhancer-cushions.html
    http://www.sportaid.com/roho-high-pr...-cushions.html

  9. #9
    roho will also custom make you a cushion with any size cells and in any arrangement, i currently use one with 3'' cells where my surgery was and 4'' cells everywhere else, keeps the pressure down on my surgery area, works for me, the techs at the VA are very animate about what works for you best is what to use after mapping on several cushions.....

  10. #10
    A very very late (sorry) but big thanks to random and air. I probably won't go for Varilite; but am wondering about how to the arrangements for Roho. I will try to do that by calling sportaid.

    And, well, probably this should have been obvious to me, but what is "VA" airart?

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