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Thread: New TiLite wheelchair

  1. #1

    New TiLite wheelchair

    I recently got my first rigid wheelchair. I have been experiencing back pain, hand pain and some skin issues on my backside since I sat in it. I use a hard solid seat on the rigid chair with a Roho cushion. I have always used a tension adjustable seat in my previous wheelchairs. Could a solid seat plate cause this type of issue or is more likely the backrest height or angle is causing my issues? I am using a tension adjustable backrest. I have had the cushion mapped and everything looks good.
    Last edited by Donnaz; 03-20-2018 at 08:04 PM.

  2. #2
    Senior Member Oddity's Avatar
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    Could be a combo of several of those things, especially if your seating position/angles are different from what you're used to.

    Upholstery seat slings sag a bit in the middle, especially over time. This sag helps my use of Roho by subtly following the curve of my atrophied butt, shoring up under my trochanter where I have no meat left. On my chair with a solid seat pan I use a product from Varilite (adhesive foam sheets) to build up small wedges on either side. I did this with my OT and pressure mapping and it made a world of difference.
    "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

    "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

    "Even what those with the greatest reputation for knowing it all claim to understand and defend are but opinions..." -Heraclitus, Fragments

  3. #3
    I am sure the old tension seat would have sagged a little. Was not sure if that could throw my pelvis off or something and cause issues now on solid seat.

    How large are the foam wedges you use?
    Last edited by Donnaz; 03-20-2018 at 08:35 PM.

  4. #4
    Senior Member Oddity's Avatar
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    Quote Originally Posted by Donnaz View Post
    I am sure the old tension seat would have sagged a little. Was not sure if that could throw my pelvis off or something and cause issues now on solid seat.

    How large are the foam wedges you use?
    They are for my anatomy, wouldn't suggest that unless you've got mapping or a seating specialist OT available. Just sharing my experience that I did have to change things a bit when I went to a solid pan. My trochanters didn't have enough support, insurance wouldn't reimburse for a contoured cushion, so we contoured the seat, and the Roho is flexible enough to work.

    The "wedges" are only a few inches long and a couple wide. They're higher at the back and along the outside edge, creating a subtle dish like effect that follows my anatomy. They were modeled after the rear contours on a Varilite Contour Positioning Base (CPB).

    https://cdn.southwestmedical.com/images/products/images/VARMERIDIANCPB.jpg
    "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

    "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

    "Even what those with the greatest reputation for knowing it all claim to understand and defend are but opinions..." -Heraclitus, Fragments

  5. #5
    I would agree. Your issues could be caused by the new seating system. However, to change anything without a seating specialist there is asking for more problems. The changes that you need are different from anyone else's. You should also know that this can change over time so it is not a bad idea to have a seating eval every so often.

    ckf
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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