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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.

"My mother has osteoporosis and arthritis with muscle weakness and bone and joint discomfort- Since she received this new Latitude Pedal Rocker she has total comfort and less anxiety with increased mobility with the hopes of muscle and bone strengthening as she lost her ability to ambulate more than a few steps on her good days these last few months. She is legally blind seeing only light and dark these last 2 years. She just celebrated her 96th birthday and lived alone until age 93-This chair has met her very important needs of comfort, safety, strengthening, mobility."

Elaine R., Family Member |WI, USA

"As a Social Worker in a long term care setting I want to ensure my residents have the ultimate in comfort. Upon actually getting to test one myself, I realize Broda is the ultimate in comfort for any geriatric population including ours. As the number of Broda's chairs grow, so does the comfort and improved skin integrity of our residents."

Colleen M., Social Worker |Brookfield, WI

"Our gliders [Tranquille Auto-Locking Gliders] are always disappearing out of our common areas and end up in our patients' rooms We don't know how they get there, but they love them and prefer sitting in them more than anything else. One patient with a back injury told us this was the only chair he could sit comfortably in. He wanted to take it home with him after his rehabilitation was complete."

Josiah D., Facility Administrator |Pocatello, ID

"Prior to using Broda's Elite Tilt Recliner, there were issues with safety for getting the resident out of the chair, safety for staff lifting her in, either manual/mechanical; comfort, keeping her in the chair, inability to get her body over the sides.

The chair sides raise to prevent her from throwing her legs/body over the sides; same with the extra padding along her leg area that is raised. The tilt puts her buttock in a comfortable position, but also makes it extremely difficult to push out. The chair sides also swing out to assist with ease of the mechanical tilt.

Broda's chair has given her a reason to want to get up and she enjoys her chair now. When we are using the mechanical lift she remains calm because she wants to get in it and will stay longer safely and comfortably! Staff can safely lift and position her without worrying about injuring themselves."

J. C., Unit Manager, RN |Campobello Island, NB

" My father, enlisted in the Air Force and trained as a machine gunner on B17’s during WWII. Photographs of the “Flying Fortress” grace the walls of his room in the Kansas Veterans' Home in Winfield, Kansas where he has been living for the past 6 years.

For the first 2 years in the Veterans’ Home, my father used a power wheelchair for mobility and independence. But at the age of 82, with advances in his Parkinson's and dementia, his power wheel chair was taken away for safety concerns. He was provided with a standard issue VA manual wheelchair with no tilt or recline. His posture in that chair was terrible ... he was very slumped over and leaning to the side. Even his breathing was limited as a result of his poor posture. All he could do was stare at the floor. It was so disheartening to see him this way. I would have to kneel on the floor to see him eye-to-eye due to his hunched posture from Parkinson's disease.

In a fortunate twist of fate, it was determined that my father was an ideal candidate for a chair from Broda. And as a vested veteran, he qualified for the VA to fund the chair. He has now had a Broda chair for over 4 years!

Since he's been in the chair from Broda we can now sit beside him on visits and look at each other face-to-face. Being able to tilt back in the chair and look upward, he can enjoy watching John Wayne westerns in the VA lounge. He can even use the Broda chair when he travels by transport for dental appointments. He can stay in his chair for the bus ride and in the office, since the chair can be tilted enough for the dentist to work on his teeth.

Broda's chair has been a blessing for my father, his caregivers and my family. The chair improves his quality of life and I can't imagine him not being in it over the past few years. We are fortunate that the VA will fund Broda chairs for Veterans like him who need them."

Kent P., Family Member