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Thread: Which is best for pressure relief?

  1. #1
    Senior Member Mona~on~wheels's Avatar
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    Which is best for pressure relief?

    Tilt or Recline?

    My new chair has both.
    My old one only had recline.

    So I have a choice now.
    I don't want to hurt my bottom.

    Also it has a full back.
    My old one was open at the bottom.
    How do you protect your lower back/bottom?

  2. #2
    You need to be careful with the positions that you use and how you use your chair. A PT or OT can help you learn the best pressure relief for you to use by pressure mapping you. I would strongly encourage you to try to get someone to do that for you. It will also show you the best cushion for your pressures.

    CKF

  3. #3
    [QUOTE=Mona~on~wheels]Tilt or Recline?

    My new chair has both.
    My old one only had recline.

    So I have a choice now.
    I don't want to hurt my bottom. (QUOTE)

    Tilt only doesn't unload ischial tuberosities and coccyx - unless you tilt past 50° (I don't know if your chair allows such a big tilt). Recline is effective for unloading ischial tuberosities and coccyx BUT you probably need to be tilted back when reclining, otherwise backrest motions will push you forward and create dangerous shear forces between skin and bony prominences.
    Combining tilt and recline is usually very effective in unloading tissues at risk - and resting your body, moving your hips and spine, improve your circulation, ease your breahing...

    Antonio

  4. #4
    Senior Member Mona~on~wheels's Avatar
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    Thanks CKF I'll discuss this with my OT for mapping.

    Thankls Antonio tilting 50* doesn't remove pressure from ischels?

    What's backrest? back of your chair?

  5. #5
    Quote Originally Posted by Mona~on~wheels
    Thanks CKF I'll discuss this with my OT for mapping.

    Thankls Antonio tilting 50* doesn't remove pressure from ischels?

    What's backrest? back of your chair?

    Yes, 50° of tilt remove pressure from ischials. When you'll do pressure mapping, ask the seating specialist to show you how pressure under your ischials and coccyx change during tilt and recline. You'll learn something useful from this.

    Backrest is the back of the chair.

  6. #6
    Senior Member Mona~on~wheels's Avatar
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    Thanks I will.

    It tilts 50%, maybe more.
    So I'll tilt.

  7. #7
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    We were told that Tilt and Recline are both good but that recline has more shearing. Seems to be some debate about that. Jim has had tilt only for 8 years and no pressure sores, 12-16y hours/day in chair. Either tilt or recline will only be effective if used wisely, like pressure shifting or pressure releases on a manual chair. He was pressure mapped with his cushion, showed only blue and does regular tilts to keep skin in good condition. Nutrition, hydration and positioning also play a role.

  8. #8
    Senior Member Mona~on~wheels's Avatar
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    Thanks lilsister,
    That's why I got tlit on my new w/c.
    The recline was shearing my bottom.
    So Jim only tilts and no pressure sores.
    Great up that long!
    I'm gonna have to do that pressure mapping.
    Not sure what that is or how it's done.
    Thanks!

    Mona

  9. #9
    After using recliners for 30 years, I finally switched to tilt / recline due to pressure sore issues.

    Then the sore started migrating south. I went back to the seating clinic and they said it was a shear issue and asked me how I used my chair. I demoed it (going up) and used the tilt first since it gets you closer to erect faster (at least on my chair) and then followed by raising the reclyner part.

    I was told this was ass backwards. When coming up...raise the reclyner first and then raise the tilt. This is showing improvement.

    I should have been told in the beginning, but it also makes common sense.

    My only gripe is the amount of time it takes to get back up to answer the phone...

  10. #10
    Senior Member Mona~on~wheels's Avatar
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    Mingo sorry they should have explained it.
    I hope you heal fast!

    Now I'm confused. They didn't tell me anything.
    I just tilt. So you're suppose to do both together?
    Which do you do 1st going down? How much?

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