Motion Specialties Grand Opening

Hello Everyone! Happy Wednesday! Yesterday Motion Specialties had their grand opening at their new location on North Fraser Way in Burnaby. It was a fun event with equipment demo sales, a power wheelchair obstacle course, contests and prizes and some great manufacturer exhibit booths. FYI, they will be honoring their special demo prices for the next couple weeks. So, if you have a client with limited funding, contact Motion ASAP to see if they have anything available that might work for a client of yours! I love looking at demo equipment as I often have clients who need equipment that may not be eligible for funding. At a discounted rate, however, some funders may be willing to provide funds if the needs are there. On another note, here are a few seating related highlights from the event!

NXT (pronounced “Next”) by Dynamic Health Care Solutions displayed their new lateral supports. Its a swing away style lateral support that has an additional anterior pad. This is a neat design and the hardware is quite adjustable in length. Because of the rigidity of the anterior support, it might be an option for a client who requires more support than chest strap can provide. In the second picture, note that there is a blue lever that releases the swing away mechanism. This was a really innovative mechanism that could be easier for some clients to release themselves. This would need to be trialed to determine suitability of course, but still a really neat idea!

NXT also debuted 3 new foam cushions: the Bio Fit, the Nu Fit and the Kul Fit. These are mild contoured foam cushions. All of the cushions are made with foam with antibacterial properties. The Bio Fit has a layer of Blue Visco Gel foam that helps to reduce heat build up and also has perforations for increased comfort and softness at the seat area. The Nu Fit cushion is similar in feel to the Bio Fit, but only has a soft foam overlay rather than the gel infused foam overlay. The last cushion was the Kul Fit cushion. This was a very interesting cushion as it was made out of breathable reticulated foam. This foam is quite spongy in feel and allows liquids to pass right though it. This would be great for a client with incontinence issues and needs to wash their cushion frequently. It was quite comfortable to sit on and was a firmer cushion relative to the others. I would be interested in pressure mapping this one for sure.

Motion Composites has a new carbon fiber manual wheelchair called the Veloce. This is a very light (8 kg or 18 lbs) folding frame wheelchair with a sporty, streamlined design. It is a chair that is designed to fall between the manual folding frames and a rigid manual. This wheelchair was easy to maneuver and self-propel.  I definitely have clients that manually self-propel, but still need a mobility device that can be folded for transport so, this might be a great option for them! I also really liked the flip up style footplate. This design is not available on most rigid frame wheelchairs, which can be an issue for some clients who need to stand to transfer. Although this isn’t a rigid wheelchair, the weight and design of the wheelchair might make this wheelchair somewhat comparable. I’m looking forward to trialing this one soon to see how it really performs.

Invacare brought 3 cushions to demo at the grand opening. The first was the Matrx PSVF cushion or “Posture Seat Visco Foam” cushion. This is a super soft foam cushion with some mild contouring. This cushion was designed specifically for optimal comfort. They also had the new Stabilite cushion, which had a “Thinair” bladder for added pressure relief. This cushion also had rigidizers on the sides that help to prevent the cushion from slinging on an upholstered seat. This was a firm, but comfortable cushion that had a mild to moderate contour. The last cushion was the Matrx Flovair, which had the “Thinair” bladder as well as a fluid gel overlay. The fluid gel is meant to reduce shear, while the “Thinair” bladder is meant to reduce peak pressures. The Flovair and Stabilite cushions were reported to pressure map better than the Matrx Vi line. I have yet to pressure map these myself, but I could see these cushions working well for a client requiring a firm supportive surface for sitting, some contouring, but also would benefit from added pressure relief.

Invacare also had their powered Aquatec Ocean E-VIP commode on display. This is an ideal commode for caregivers as the seat elevates making it much easier for peri care. They also debuted their “Special Soft Seat“. This is a new product, not to be confused with their “soft seat”. This product would be ideal for clients who require extra pressure relief due to either high risk for skin breakdown or long bowel routines.

I hope this post was helpful for anyone who wasn’t able to make it. Thanks again for checking in!

Seating is Super!

Cheryl

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Custom Reacher

Hello Everyone! I hope you had a great Thanksgiving weekend. Today, I would like to share with you a very special tool that was fabricated by Chad Kania at Ability Health Care. It’s a custom reacher!! I realize that this isn’t exactly a seating modality, but it’s such a neat device that I really needed to share it with you! This device was fabricated from scratch! It is a super light weight aluminum reacher that was made for a power wheelchair user who needed a device that could be used to pick things up from the floor and be used as a device to open heavy drawers and access items in drawers that were out of reach. Here is an image of the reacher.

The total length of the reacher was 36 inches long, which was specific to the client’s needs.

The reacher could be pulled apart and folded in half at the middle. This made it easier for the client to bring it with them in the community.

The handles and latch were also custom fabricated. The latch allowed the client to pick up an item on the floor and keep the item secured to the reacher while the client pulled the item up within reach. The plastic used to fabricate the reacher was light weight, but also sturdy and durable.

Here is a photo of the end of the reacher. The black part of the reacher is actually rubber coated for better grip. Also, note the hook on the end. This hook was used to open drawers by hooking onto the handles while the client used their power wheelchair to pull the drawers open. There is also a magnet at the end of the reacher.

Thank you to Chad Kania who fabricated this device. I know it has made a big difference for this client and I definitely appreciate working on this special and different project.

Thank you for checking in today. Seating is Super!

Cheryl

Workshops, Whitehorse and Wheeling

Hello Everyone! Happy Monday! Last week was a busy week for Access Community Therapists Ltd. We held the “Seating and Positioning in the Community: Practical Applications” workshop at Motion Specialties in Burnaby on September 27th and 28th. Despite the torrential rains on Friday and Saturday, it was a great turn out and we had a lot of fun practicing landmarking, mat and sitting assessments and even got to work with some volunteer clients.  Here are some photos from the day. FYI, we are hosting the course again on November 29th and 30th. If you would like to register for the course, check out the Access website.

After the workshop, Jo-Anne Chisholm and I left for Whitehorse, YT. Yes, that’s right! Whitehorse in the Yukon Territories! Access Community Therapists does a seating clinic up there every 2-3 years. It’s an exciting and busy week. It feels almost like a seating marathon of sorts! On this trip, the technicians from Priority Posture Systems Ltd came with us to fabricate the seating systems and to complete various seating modifications for clients with quite complex needs. Unfortunately, I didn’t have a chance to take many photos on this trip, but here is one system that we did. It’s a planar foam “I” shaped backrest  with asymmetrical swing away trunk laterals and carved cushion with ischial block and built in pommel. This system also has an arcufit-style positioning belt and i2i headrest. What was quite interesting about this case, was that we originally spec’d a foam in place backrest. Unfortunately, when trying to fabricate the system, the foam in place could not hold the clients’ posture. We instead needed to proceed with a planar foam back, which provided much more support and control.

I’ve been meaning to post this up for a while now. Sorry for the delay! 2 weeks ago, we received a short presentation By Krista Best and Kate Keetch (Associates of Bill Miller from UBC) on wheelchair skills and the importance of teaching our clients how to improve their wheeling skills. Although most of the clients we see are long time wheelchair users, I definitely saw the benefit in wheelchair skills training. The benefits to our clients included things like, improved community access, shoulder preservation and improved posture and positioning when wheeling. During the presentation, we were offered a chance to try doing a wheelie. To keep us, or I should probably say “me” safe, 2 bricks were used to prevent the wheelchair from moving or rolling away, and an orange safety strap was secured to the crossbar for added security. This is what it looked like!

For more information on wheelchair skills, visit www.wheelchairskillsprogram.ca. This is a great website with assessment/training forms and research on wheelchair skills.

Thanks for reading! Seating is super!

Cheryl

Review of 5 Mid-Wheel Drive Power Wheelchairs

Hello Everyone!  Last week, Access Community Therapists Ltd received an equipment inservice by Motion Specialties (Centric Health). We compared 5 mid-wheel drive power wheelchairs, received a ton of amazing information on each chair, and were actually able to trial each of the bases ourselves. Here is a brief summary and comparison based on this review as well as for some of our own overall impressions from the trial.

PERMOBIL M300

The Permobil M300 is a very nice looking power wheelchair base. The design is streamlined and great for clients looking for a clean, simple yet modern looking base. Clinically, I have been finding that many younger clients have been drawn to this base because of the aesthetics and other features. This base comes with a 3 year warranty on motors and the gear boxes. It has one of the lowest seat to floor heights with power tilt function (17 1/2 inches). It is however, a more expensive power wheelchair if any upgrades are added. That being said, the Permobile actually comes out to be the cheapest base without power tilt access through the joystick as this requires upgraded electronics. During the driving trial, this wheelchair was very smooth. It had a much softer ride than some of the others and also had a very quiet motor. I had one client trial this power base and he reported that he loved driving this base into class as the sound of the motor didn’t seem to disturb others or draw attention to himself.

QUANTUM Q6 EDGE

Quantum Rehab has just reduced their prices on the Q6 Edge and is now cheaper than their Q6000Z model.  While most other power wheelchairs require an electronics upgrade to get tilt through the joystick, this feature comes without a price upgrade. This base is likely best suited for an “urban wheelchair user” or clients who use their wheelchairs mostly at home. The reason for this is that the top speed is only 5 mph in comparison to 6 mph, which is offered by all of the other bases. This power wheelchair also comes with smaller batteries and is not an aggressive wheelchair. Some clients have reported some difficulty driving this power base because the programming and drive of the base is not as intuitive as some of the others. Based on the drive trial we did, this base was not as responsive as the others.  It is definitely a base that requires a thorough trial before prescription.

INVACARE TDX SP

The Invacare TDX SP was reported by Motion Specialties to be “the bench-mark wheelchair for setting up the standard for mid-wheel drive power wheelchairs”. Over the past 6 years, this product has done very well in the market. This power base has a narrow total external width of 24″ with intuitive drive controls. During the trial, this base was responsive and had a nice smooth drive.  Clinically, I have found that many clients prefer the drive style of this base when compared to some others. Some clients have reported to me that they are able to maneuver this power base well in their homes and are also able to manage terrain in the community. At present, Invacare is undergoing a review with the U.S Food and Drug Administration (FDA) and have temporarily stopped the manufacturing process of their power bases. This means, that at present, the supply of power bases is limited to what has already been produced. Ordering of specific options, features and colours is limited at this time, but they report that they should be up and running in the spring of 2013, however, there are no guarantees.

UPDATE: Invacare in Canada is now cleared to sell power mobility without restrictions! YAY! congrats! Excited to see the new versions of this base soon! -May 18, 2016

SUNRISE QUICKIE QM 710

The Sunrise Quickie QM 710 is a new power wheelchair that features a “Spider Track Suspension”. According to Motion Specialties, this suspension allows the base to “articulate well up ramps and thresholds”. During the driving trial, this base was quite powerful. It had an intuitive drive and quick acceleration speed. My colleagues and I, quite enjoyed this power base as it was a very smooth drive. For funding purposes, this power base requires solid justification due to it’s higher price point. The cost to repair this base is also higher compared to others in the market. This is something to keep in mind if, for example, a cheaper base is funded by an agency like the Ministry of Social Development and Social Innovation (MSD), but the client decides to pay for the upgrade to this base, that agency, like MSD may not pay for the cost difference required for the repairs.

SUNRISE QUICKIE XPERIENCE

The Quickie Xperience is a rugged and powerful wheelchair base. It has a G3 coil spring suspension, which has been “reported to be one of the best in the market”, as indicated by Motion Specialties. This power base is perceived to be most expensive option however, when it is specified with upgraded electronics and a power tilt system, the price comes out to be somewhere in the middle compared to its competitors. This base comes with the lowest seat to floor height 16″ of the group. Because of this, for certain funding agencies, this base can only be justified based on the required low seat to floor height. During the drive trial, this power base was quite smooth and fast. It had a quick acceleration and was quite intuitive to drive. The repairs on this base, like the QM 710, are more expensive relative to others on the market.

I hope this review was helpful to you. If you required more detailed specifications on these power wheelchairs or other power wheelchair bases, Motion Specialties has great “Therapist Resources” page that can be accessed by simply creating an account with them. Check out their website at http://www.motionbc.com.

Thanks for reading!  Seating is Super!

Cheryl