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Clinical Justification for Adjustable Footrest with Comfort Tension Seating

 

Criteria for Individuals who present with one or more of the following conditions:

 

A. At risk for skin breakdown or decreased skin integrity on the lower extremities
Justification:

Each strap conforms individually to the person’s lower extremity, thus suspending the weight of the person’s legs across multiple points. This distributes the individual’s leg weight more evenly and greatly reduces the amount of pressure. The Comfort Tension Strapping System prevents localized pressure which occurs with standard wheelchair footrest. Our strapping system also allows for superior air circulation that helps reduce or disperse heat and moisture which is beneficial for aiding in the treatment of and/or prevention of wounds. The solid oversized design of the height adjustable footrest allows for the entire lower extremity to be supported, decreasing the risk of injuries being sustained when the leg falls through the opening of standard leg rests.

B. Outstanding bony prominence and/or musculoskeletal deformities/conditions where the lower extremities make contact with the footrest
Justification:

Each strap conforms individually to the patient depending on the amount of pressure applied. Therefore a user with a bony prominence causes the straps on the footrest to give way or conform to the pressure point instead of creating a higher pressure point which occurs with standard wheelchair leg rests. Also, for an even more significant reduction of pressure and to accommodate individualized needs, select straps may be removed or repositioned.

C. Involuntary, uncontrolled or violent movements in one or both lower extremities
Justification:

The Comfort Tension Strapping system is designed with smooth straps to cradle the patient while absorbing the energy produced by the movement of the patients. The straps ability to give way during episodic movements dramatically decreases the potential for injuries associated with standard leg rests.

D. Abnormal muscle tone in one or both lower extremity and/or synergistic movement/pattern with the lower extremity
Justification:

Individuals with increased muscle tone in the lower extremity are at higher risks for increased pressure, especially peak pressures (i.e., a flexor withdraw movement causes the knee to flex which in turn could cause one’s heel to draw up into a leg rest or even calf support.) The overall design of the footrest is ergonomically correct to facilitate proper positioning of lower extremities with low or *flaccid tone. The strapping system is a safe solution as it absorbs energy, reduces pressure and is soft and smooth.

E. Severe agitation or discomfort with standard leg/footrests
Justification for E.

The Comfort Tension Strapping System provides superior comfort and a less noxious feel than standard wheelchair leg rests. With a robust oversized design, our footrest accommodates individuals with flaccid extremities by delivering a broad, stable, and supportive surface. The straps are ideally firm enough to provide necessary support to the lower extremities without causing discomfort. The strapping system disperses weight evenly providing a comfortable supportive surface.

F. Foot drop or at risk for foot drop
Justification:

The design of the footrest places ankles in a neutral position (90 degrees) for foot drop control and/or foot drop prevention/treatment. The footrest’s neutral position and oversized design best accommodates individuals with flaccid extremities, as it provides a reliable, supportive surface that aids in decreasing the risk of injury.

G. Impaired or abnormal lower extremity sensation
Justification:

Decreased or absent lower extremity sensation may interfere with the individual’s ability to feel excessive pressure caused from typical footrests or the need to reposition the lower extremity. This in turn may contribute to skin breakdown or excessive discomfort
and/or agitation. The Comfort Tension Strapping System will disperse the weight of the patient’s lower extremities evenly across the leg/footrest for proper support. The leg/footrest can be adjusted easily allowing for the caregiver to properly position and reposition the patient’s lower extremities as needed to aid in the treatment of conditions such as edema.

"We were at a loss with one of our residents who has frontal lobe dementia. He had trunk lean, stopped feeding himself and appeared to be in pain. We attempted to address the pain; however, any medication we used caused him to have increased behaviors. Since using Broda's Synthesis Tilt Recliner, he has been feeding himself, he smiles and laughs like he used to and is showing no signs of pain anymore. Thank you for producing a great product that brings the quality of life back to our residents!"

Kelly J., Director of Nursing |Sister Bay, WI

We have not had any skin breakdown with our residents in Broda's Elite Tilt Recliners since we started using them four years ago. We attribute this to the design of the straps allowing for moisture wicking as well as the ability to easily position recline position for pressure relief.

Jaclyn A., OTR/L Director of Occupational Therapy |New Hartford, NY

"Prior to the Broda chair [Synthesis Tilt Recliner], we had tried numerous positioning devices for the resident, which were ineffective. She had a tendency to lean forward and to one side. Once using the Broda chair [Synthesis Tilt Recliner], the resident's posture immediately improved. She, herself, was very thankful because she was "so comfortable". The staff couldn't believe the result. Besides this resident sitting in proper alignment, she could still self-propel with her feet."

Linda P., Restorative Coordinator |Joliet, IL

"Broda chairs and wheelchairs make it easier for caregivers to provide optimal care with less stress on the client and the caregiver. For example, easier transfers, easier re-positioning, less maintenance, and easier mobility."

Carole P., MS/OTR |Easton, MD

We have not had any skin breakdown with our residents in the Broda's Elite Tilt Recliners since we started using them four years ago. We attribute this to the design of the straps allowing for moisture wicking as well as the ability to easily position recline position for pressure relief. We have not had any skin breakdown with our residents in the Broda's Elite Tilt Recliners since we started using them four years ago. We attribute this to the design of the straps allowing for moisture wicking as well as the ability to easily position recline position for pressure relief.

Mitch C.