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Permobil Blog / September 23, 2020

Explaining Power Seat Functions: Power Elevating & Articulating Lower Leg Support and Power Seat Elevation

Power Elevating & Articulating Lower Leg Support and Power Seat Elevation
This is the 5th blog in our series about power wheelchairs. Check out the 1st blog, 2nd blog, 3rd blog, and 4th blog. Check out our Power Wheelchair Guide for more information about power mobility.
 
 
In our last blog in the power wheelchair series we started discussing power seat functions. Simply put power seat functions are the different positions a power wheelchair can achieve. Today we're taking a closer look at power elevating and articulating lower leg support along with power seat elevation.
 
Power Elevating and Articulating Lower Leg Support
 
Definitions Clinical benefits may include

Allow clients to change the seat to lower leg support angle in order to flex or extend the knee.

Some legrests articulate, that is, lengthen while extending the knee.

Power Elevating and Articulating Lower Leg Support

 

When legs are fully elevated, along with the use of tilt and recline, lower extremity edema can be managed

When using tilt and/or recline functions, legs can be positioned to achieve optimal pressure distribution

Use with recline to aid in maintenance of pelvic position (prevention of posterior or anterior pelvic tilt)

Pain management

Articulation aids in maintenance of distal thigh loading on the cushion for pressure distribution and prevents the end user from shifting out of position (Dicianno et al., 2009)

Articulation aids with maintaining appropriate position in seating system when used with power standing

 
 

* If using elevating lower leg supports to extend the knee, strongly consider using in conjunction with power recline in order to prevent a posterior pelvic tilt, given the hamstring is a two-joint muscle.

 

 
Power Seat Elevation
 
Definitions Clinical benefits may include

Power seat elevation "allows raising and lowering the whole seating system, changing the seat to floor height without altering the angular orientation of the seating supports" (Waugh & Crane, 2014, p. 48)

Power Seat Elevation

 

 

The ability to reach higher surfaces to complete MRADLs

Protect upper extremities by reducing the risk of repetitive strain injury related to overhead reaching

Perform job tasks that would be impossible in a standard height WC

Help improve safety and independence with transfers

Allows eye contact with others while reducing risk of cervical strain

Provides psycho-social benefits of being on peer level and speaking face-to-face

Promotes enhanced safety with increased visibility while maneuvering wheelchair in the community

 

Permobil uses the term ActiveHeight™ when referring to seat elevation.

* When seat elevation is combined with anterior tilt, it provides a more natural and front-facing approach to a task. Benefits may include:

  • Less torque on the muscles and joints of the body while performing MRADLs & Instrumental Activities of Daily Living (IADLs)

  • Increased upper extremity (UE) reach horizontally and vertically for objects in the environment

  • Efficient use of the body to decrease fatigue, and repetitive strain injury

  • Improved interaction with the environment


 
Join us next time in our power blog series as we work our way through power seat functions.
 

Made for More: 2021 M-Series

References:
Dicianno, B. E., Arva, J., Lieberman, J. M., Schmeler, M. R., Souza, A., Phillips, K., Lange, M., Cooper, R., Davis, K. & Betz, K. L. (2009). RESNA position on the application of tilt, recline and elevating legrests for wheelchairs. Assistive Technology, 21(1) 13-22.

Waugh, K. & Crane, B. (2013). Glossary of wheelchair terms and definitions, Version 1.0. Assistive Technology Partners.


 

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.

Angela-Regier_ClinicalAngela Regier, OTD, OTR/L, ATP/SMS
Clinical Education Manager

Angela Regier, OTD, OTR/L, ATP received her doctorate of occupational therapy from Creighton University in 2007 and is a RESNA-certified assistive technology professional. Regier joined Permobil in 2017 as a Clinical Education Manager for the western region. Prior to joining Permobil, Regier was at Craig Hospital in Englewood, Colorado where her career focused on inpatient and outpatient spinal cord injury rehabilitation. Prior to leaving Craig Hospital, she was supervisor of the Wheelchair Seating and Mobility Clinic where she provided comprehensive seating and mobility interventions for individuals with acquired brain and spinal cord injury. Regier has published and speaks on the topic of seating and mobility for acquired brain injury and spinal cord injury. She has also served as an adjunct faculty for the Creighton University Entry-Level Distance OTD Program (Regis) in Denver, Colorado.

 

Categories: Complex Rehab, clinical education department, wheelchair positioning, seating & positioning, power wheelchair, manual wheelchair

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