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How To Choose Pressure Relief Cushions

By Maryanne Goff


Pressure relief cushions are important for those who spend their time sitting in wheelchairs. These long periods of sitting cause compression of skin and tissue between bones and the surface of a chair, resulting in circulation problems. Use of these products can help to keep the skin healthy, reduce shear force and help with stability.

Lack of circulation means that supply of nutrients and oxygen to the cells decreases. This in turn means that ulcers may form. Once these ulcers have formed, they may be hard to treat so it is better to prevent them. Shear force occurs when a part of the body tries to move but the surface of the skin remains fixed, pulling skin and tissue apart. This may happen when an individual slips forward in the chair.

A cushion has to be selected according to individual requirements. A clinical professional is best able to decide on what is most suitable for a particular individual. Factors such as spinal problems and incontinence must be considered as well as how much time is spent in the chair and how much mobility there is.

The wheelchair and cushion must work together. There are many sizes and depth of cushions available. The correct one has to be chosen to ensure that when the individual is sitting on the cushion, the height is correct in relation to the armrests and the back of the chair.

Different materials such as gel, foam, air and water are used in these products. This is because they are able to conform to the shape of the body, distributing weight and allowing for optimum blood flow. They all have this in common but when it comes to cost, weight, heat conduction and stability there are different advantages and disadvantages.

A foam cushion is one of the least expensive options but it wears down quite quickly and can become compressed. There are many different densities available today, some of which are more resilient than others. Memory foam that allows conformity is the most effective. The fact that foam is easier to cut and cheaper than some of the other options affords therapists the opportunity to try out different shapes.

An air floatation cushion supports the body with air. For example, it may consist of rows of small rubber balloons or it may channel air via pathways. A cushion like this is relatively lightweight and waterproof. There is also an air alternating variation that works with a pump, allowing cells to deflate and inflate. These products require regular maintenance to ensure proper inflation.

Sores and ulcers are more likely to develop when skin is damp, so a cushion that wicks moisture away from the body is a good idea, especially for people who tend to get hot easily. Gel is useful for this reason and it is also comfortable, conforming well to body shape and providing good weight distribution. One disadvantage is that it is heavy, making it unsuitable for users who need a light weight for easy portability.

Pressure relief cushions vary in cost, depending on materials used and complexity of construction. Various facts need to be considered when making a purchase including durability, ease of cleaning, comfort and effectiveness. A more expensive item may be more cost effective in the long term.




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