29
Model:
Netti 4U BASE
Language:
English
Version:
2022-03
My-Netti.com
7.4 DECREASE THE POSSIBILITY OF
SLIDING, SHEAR AND PRESSURE
SORES:
Only use the tilt angle to achieve variation of
the seating position for the user. It is common
knowledge that recline should not be adjusted after
the back angle is accommodated to the user’s best
seating position.
The muscle tone of the neck and back should be
as low as possible for the user to prevent sliding,
and a change of the recline angle from the original
position will interrupt and destroy the correct body
position, and cause an increased muscle tone in the
neck.
If the recline function is used during a transfer
situation or other situations, it is very important that
the recline angle is adjusted back to the correct,
original position when the user is back to a normal
seating position.
Wrong usage of recline causes an increased
possibility of sliding, and this means an increased
danger of shear (vertical and horizontal forces) and
pressure sores.
ASSURE THAT THE USER IS SAFE WHEN THE
TILT OR RECLINE FEATURES ARE GOING TO BE
ADJUSTED:
The tilt and recline functions of all Netti comfort
wheelchair models is a «one hand operation»,
including the dynamic wheelchair models. This is a
great benefit for the user. The care giver is able to
establish eye contact with the user when the tilt or
recline function is going to be used. The care giver is
also able to communicate with the user before the
tilt or recline function is used. The user will feel more
safe when he / she is aware that the tilt or recline
function is going to be used.
7.3 KEY WORDS REGARDING TILT AND
RECLINE
OF STATIC COMFORT WHEELCHAIRS, AND
COMMON FEATURES OF DYNAMIC WHEELCHAIRS
Tilt and recline are the basic benefits of a comfort
wheelchair. It allows for varying seating positions
during the time in the wheelchair.
We have reviewed the clinical evidences regarding
tilt and recline, and found there are several studies
or best practice guidelines suggesting that the tilt
and recline sequence is important to reduce shear
and sliding:
First tilt then recline afterwards.
When bringing the client upright again, the
sequence should be recline first then tilt. It would
seem that the most shear would be induced when
going upright from a recline and tilted position.
