Clinical Justification for Adjustable Back Recline
Criteria for Individuals who present with one or more of the following conditions:
A. Individuals with orthostatic hypotension and/or decreased cardiopulmonary function
Reclining a person assists with the effects of orthostatic hypotension. The recline function can be used as a therapeutic method for gradually increasing an individual’s tolerance to become acclimated to sitting in a more upright position. Reclining also assists with improving a person’s overall cardiopulmonary status.
B. Individuals at risk for skin breakdown or decreased skin integrity
Reclining a seating surface decreases the effects of gravity which dramatically reduces seating pressures overall. Also, varying the amount of recline throughout the day allows for repositioning which shifts the weight/pressure being placed on a particular area, while improving blood flow and oxygenation of the tissue which is essential for maintaining skin integrity. Proper repositioning optimizes blood flow, oxygenation, and retention of the skin tissue which is vital for maintaining skin integrity.
C. Individuals with decreased postural stability/control
Reclining a seating surface in a posterior direction can reduce the effects of gravity on one’s trunk/upper body, which facilitates a more functional and proper upright posture. Proper postural control also assists with higher and more practical use of the upper extremities. Proper postural control can lead to increased oxygenation, increased blood flow and improved organ function.
D. Individuals who require the recline function to assist with toileting needs
The recline function allows for the caregiver to better accommodate and assist with toileting needs. The ability for the chair to lay flat (Synthesis and Midline models) will also allow the caregiver to complete many of the patient’s activities of daily living from the chair without the need for a transfer.