The 32nd International Seating Symposium

Happy Wednesday Everyone,

Lindsay Alford and I presented for the first time at the conference. We were definitely a bit nervous at the beginning! Hopefully we didn’t scare anyone away at the beginning! To everyone who was able to make it, thanks so much for coming. Hopefully you found our presentation on Balancing Function and Posture in Wheelchair Seating helpful in your practice. My appologies for this very late post. I’ve been meaning to share all of these new innovations from the ISS for a while now. But my oh my is working with a baby, or should I say toddler, a whole other ball game. And to think, I only have 1 so far! In any case, here are some updates from the ISS back in March.

Ride designs debuted their new Soft Fit cover for their custom ride cushions. As you can see in the images, the regular spacer cover is one layer of spacer fabric, whereas the Soft Fit has 3 layers of the famous material. The image of the under side of the cover shows how they cut out a diamond shape section for the well of the cushion. That’s to ensure that the consumer still gets the off loading properties of the cushion under such a thick cover. This is a really nice option for those who find the cushion a bit hard but don’t want to lose the unique off loading qualities of the Ride.

Ride Designs also had their tall Ride Java backrest as well as their new Ride Java cushion on display. As you can see there are pronounced scapular cut outs on the backrest,which is definitely a nice feature. As for the cushion, this is a nice commercial option for clients who would benefit from off loading their boney prominences but don’t quite need the full custom option. I’ve already trialed this one with a few of my clients!

Now here is a really cool product made by Joerns Healthcare. At the exhibits, they had their Dolfin Fluid Immersion Simulator mattress and cushion available to see and trial. This system is based off of a system that was used to transport military dolfins. Yes, that’s right, Military dolfins! Apparently, in order to transport dolfins, they need a system that will support their bodies so that they won’t collapse when they aren’t submerged under water. They used this technology in this mattress and cushion as it therefore helps to prevent collapse of the tissues in order to prevent and heal wounds and pressure ulcers. These products are available for rent as well so feel free to contact Joerns for more information.

Seating Dynamics had quite a few neat products this year. Here are some images of their dynamic footrest, backrest and head rest. The headrest was quite interesting as it has the option of being set up with a single-axis or multi-axis movements. The mounting hardware also seemed quite strong. Head positioning and tone are so complex when it comes to positioning. I am very interested in trying this item when the right client comes around.

Here is another innovative product at the ISS. Stealth Products had the Tarta Ergonomic backrest available to trial. Although this product is not yet available in Canada, it is an interesting design that provides the user with midline guidance and support, but is flexible. The modular design allows this backrest to flex backwards and side to side with the user. It is super comfortable and you can definitely see the utility of this product. Definitely worth a try for the right client!

Here are the B-Braver handrims. These handrims have a Polyisoprene non slip grip at the top. But what is truly unique about these handrims is the shape. They are rounded at the top and flat at the bottom. When holding on to them , they fit very nicely in your hand. These handrims were created by Marco Pilotto, a gentleman with C6 Quadriplegia. I always find products created by consumers to be so special. Marco was such a pleasure to meet as well. Passionate about his product that has worked so well for him as well as for many others. Marco, it was so lovely to have met you! Good luck with this product, it’s definitely a good one!

Invacare debuted their TDX SP 2 power base at the ISS. Unfortunately, this power base is not yet available in Canada. But some exciting features about this base include the new joystick with switch box for access to all the power seating functions, the improved power recline with shear and the streamlined power elevating legrests. The power recline with shear is super nice in that the backrest essentially stays in place when the system goes into recline. This may seem simple, but it’s definitely not common in many other power bases. The reason why this is useful is that if you have trunk laterals or a custom backrest for example, if there is not enough shear, the backrest will move up out of place when the system moves into recline. Then the client looses contact with their back contours or their laterals get pushed into the axillas or even past their axillas. The legrests are also unique as many manufacturers are moving away from swing away elevating legrests. This can be an issue for clients who need the swing away for specific purposes. I just actually had a client who used the swing away function to move their feet out of the way from the sink pipes in their bathroom but still needed the power elevating legrest function.

On another note, Invacare wanted me to announce that they are now cleared (since 2015) to sell power mobility in Canada without restrictions. YAY! Congratulations Invacare. It has been a long road, with a lot of hard work. Definitely looking forward to trialing the new TDX when it comes out here.

Invacare also had their new Libra cushion on display. This is a really nice foam cushion with fluid gel overlay in the well of the cushion. The well is contoured to offer some offloading of the coccyx and ischial tuberosities. The gel is also new and meant to be maintenance free. This is a super nice light weight cushion with some great pressure relieving properties. Definitely going to bring this one out for a trial and pressure mapping session! Stay tuned!

Power assist systems were everywhere at the ISS this year. Although these systems are not “new”, most of the manufacturers were launching new and improved versions of their products which was nice to see and demo. In the images above, I have the Twion (power assist),  E-fix (which converts a manual into a power drive wheelchair), Invacare e-motion wheels (power assist-no image) and the yamaha JWX-2, also known as the Sunrise Quickie X-tender and the yamaha wheelchair motor. Check out their websites for more information.

Freewheel also had a new product this year. They have actually created a way to mount their freewheel onto a manual folding frame! How exciting! They essentially created a removeable cross bar that can be added to most manual folding frames. A super nice addition to this line.

AEL had a cool new trunk lateral hardware called the Omnilink  and it had loads of adjustability! Quite easy to actually adjust the components as well, which is so important when trying to get it into the “just right” position.

NXT and Vicair had some cool new hardware innovations. Check out that headrest mount that can be easily positioned out of the way. Also, check out the backrest quick release bar and the trunk lateral depth adjustment piece. Quite a nice feature if you ask me. Also, Vicair has made some improvements with their covers to make them more breatheable.

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I’ve featured the symmetric designs backrest before on the blog. But here is is again. Such a unique product. They have also made some improvements to make this system more durable and easy to adjust. They also have a new website, which is absolutely beautiful. Definitely a cool product that I would love to trial with the right client.

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Ki mobility had a power tilt system on display at the ISS. This system can be added onto their tilt in space wheelchair to make it easy for a client to access their own tilt. It was a really nice system and was super smooth.

Ottobock had two really cool products this year at the ISS. They had their new adjustable carbon fiber wheelchair called the Voyager Evolution wheelchair. They also had their Terra Flair cushion, which integrates Roho air cells at the back of a foam cushion. This was a very comfortable cushion. Definitely going to keep this one in mind for a trial!

 

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So that’s all for my ISS summary. I hope you found some products here that may help one of your clients in the future. I leave you with this picture of me and Lindsay right before we presented. We don’t look that nervous do we? Perhaps we hide it well! 😉

Thanks again for checking in! And remember, Seating is Super!

Cheryl

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Tilite TR Series 3 Manual Rigid Wheelchair

Hello Everyone! TGIF! Today, I would like to share with you the Tilite TR Series 3 manual rigid wheelchair. This is a popular model by Tilite and it’s also a custom ordered frame! By custom, I mean that this wheelchair has a specified fixed dump. Having a fixed dump helps to reduce the weight of the base significantly and is highly recommended for client’s who are absolutely sure of how much seat dump works for them functionally. Reducing the weight and amount of “play” in the base is also important for maintaining shoulder health as well as for efficiency when self-propelling. The one in my pictures is a carbon fiber base, which makes this base even lighter! It is by no means a cheap base, but a great choice if funds are available. On this base we set up an ADI carbon fiber backrest and a Ride Designs custom cushion. The 3rd image is the Ride capture. We also set up Frog Legs suspension forks, which can really help to absorb shock from the terrain. This can really benefit a client who experiences a lot of tone.

The ADI backrest is a nice option as it is super lightweight and has a nice contour. It’s such a shame to spec a really nice lightweight wheelchair frame, then stick a heavy backrest on it with heavy mounting hardware. I try to remember to consider some of these lightweight options when ordering a wheelchair base like this one. The Ride cushion is also a super lightweight cushion that offloads the client’s boney prominences. This is a great cushion for client’s at high risk for skin breakdown due to impaired sensation. Again, this is another expensive product but necessary for many to maintain skin integrity. In addition to this benefit, this cushion also supports the pelvis very well. Many of my clients have said that this cushion has helped to improve their postural alignment and has reduced nerve pain and discomfort. Many also report improved proximal stability and functional performance such as ability to transfer. Keep in mind that this a custom cushion that needs to be done by a “Ride Certified” technician and/or therapist. Also, keep in mind that this cushion can be highly customized. For example, for clients who need to manually transfer, the front end can be specified to be lower/flatter so that the well is not as deep. This makes moving forwards on the seat easier. Keep in mind that you might also lose a bit of well depth that way, so it is important to do these specifications with an experienced vendor. Ed Bell, from Advanced Mobility helped me with this system. Also, I wanted to share with you a custom sip and puff system that was built by Wahbi Ghanbur at Advanced Mobility. This sip and puff control has been modified to allow for control of 4 additional devices including the power base. This system will work with RNET electronics. Advanced Mobility only has a few of these available as they were custom built as a sort of in house project. They are looking for a good home. Please contact a sales representative at Advanced Mobility if you are interested in this system.

Thanks for checking in today! I will leave you with a photo…mind you, a bit of a blurry photo of me with Tom Hetzel and Joe Bieganek from Ride Designs. This photo was taken at the ISS this year. A fun pairwith a great product! Hope you don’t mind me sharing this! Until next time!

Seating is Super!

Cheryl