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Permobil Blog / January 26, 2021

Methods of Pressure Redistribution: Immersion and Envelopment

Looking for more information on seating and positioning? Check out our digital, rehab-focused Wheelchair Seating & Positioning Guide here.


 

We've talked about methods of pressure redistribution in the past. To quickly recap pressure cannot be eliminated in seating, so instead, we must focus on the redistribution of pressure. Taking the same amount of pressure and spreading it out over a greater surface area will do this, but even then, there are different methods in doing such. Today we're taking a closer look at immersion and envelopment and the benefits and considerations associated with this style of pressure redistribution.

Immersion

Immersion

The principle in which a material allows the body to compress or “sink” into it to provide some pressure redistribution with increased surface area contact.

Immersion and Envelopment

EnvelopmentThe principle in which a material allows the body to compress or “sink” into it and the material conforms to the body’s shape to provide further pressure redistribution and reduction of peak pressures.


 

Benefits and Considerations of Immersion and Envelopment

Benefits Considerations

Less firm surface, may create a “softer” end feel for the patient. May be an ideal solution for pain management

Less stable surface that may not be suitable for someone with trunk and pelvic weakness, causing fatigue with prolonged, upright posture

Envelops or captures the exact curvature of the pelvis to increase pressure redistribution over the largest area possible

May not be suitable for someone who desires proprioceptive input from a firmer surface to maintain an upright, midline posture

May be good for a variety of pressure injuries depending on the cushion medium

Consider maintenance requirements and if the client and caregiver(s) can properly maintain the cushion.

Reduces peak pressures at the bony prominences (ITs, sacrum, and coccyx)

 

 

 


Wheelchair Seating & Positioning Guide


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Stacey MullisStacey Mullis, OTR/ATP
Director of Clinical Marketing

Stacey serves as Director of Clinical Marketing for Permobil. A practicing OTR for over 20 years, she has experience in school-based pediatrics, inpatient rehabilitation, long term care, and home health. With her interest in wheelchair seating and positioning, Stacey engaged the challenges of providing appropriate seating in various clinical settings. She now uses this experience to develop programs and resources to educate clinicians on the principles of seating and wheeled mobility. She is passionate about equipping clinicians and through her previous role as Director of Clinical Education with Comfort Company and now with Permobil she has taught nationally and internationally to increase therapist capacity in this specialty area. Mullis graduated from Western University in London, Ontario, Canada with a BA Linguistics and BSc Occupational Therapy. She is a member of the NCOTA, CTF Executive Board, NRRTs, RESNA, and AOTA.

 

Categories: wheelchair seating, Complex Rehab, new products, clinical education department, wheelchair positioning, Wound Care, pressure injury, seating & positioning, manual wheelchair, home health, ROHO, Permobil

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