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  • Cushion advice needed.

    For more than 20 plus years I've been sitting on an Otto Bock Cloud with Floam cushion. This week a Numotion representative and physical therapist and a TiLite representative stopped by my house to go over details on my new TiLite ZR.

    When asked about the cushion I said. "I want an Otto Bock Cloud cushion."

    Both representatives looked at each other and the Numotion rep said, "Otto Boch got out of the seating cushion business several years ago."

    Which I was left in disbelief! I never had a pressure injury from the Otto Bock Cloud cushion. The Numotion rep said he came buy one from another company if he can find one my size (16"W x 18"D) and add his profit to it. I thought I can do the same too and save myself that extra profit but my insurance should cover the cost of the cushion.

    The Numotion rep suggested Roho and TiLite representative suggested a Permobile cushion which is made up of diamond shaped air bags inside a piece of plastic type material.

    I do not want a air cushion or a Roho cushion. I would like to steer in the direction of a gel cushion.

    With today's digital fabrication and advancements in 3D printing I saw some cushions made of a polymer hex shape and very light in weight but I do not know if it is good?

    Both reps asked, "What are you looking for in a cushion?"

    I replied, "Pressure injury protection. Weight does not matter to me."

    So I am reaching out to the CareCure community on what are some good high quality pressure injury protection cushions that you are using?

    What cushion are you sitting on to protect your butt?

    Why do you like it?

    Can you please find a photo of the inside of the cushion or a web site address to refer to.

    This is what an Otto Bock Cloud cushion looks like inside.

    Thanks for your help and input.


    Ti
    Attached Files
    "We must overcome difficulties rather than being overcome by difficulties."

  • #2
    Check out the Ride Designs Custom cushions. You are essentially sitting in a hole that is customized to your body. The cushion supports you by the sides of your legs and back leaving your butt floating in air. The only downside to sitting in a hole is that it is more difficult to get out of it than a flat cushion.

    Comment


    • #3
      Ride design are great but having your pressure on your sides in my case have me problems on sides of legs honestly I have never had a problem with roho that’s the only one I will use

      Comment


      • #4
        Suggest you have a seating evaluation that includes computerized interface pressure testing on a variety of cushions. Ride custom cushions are great for those who cannot have their needs met with an off-the-shelf cushion, but they are expensive, difficult to find a therapist or DME who has been trained to fit them, and can be difficult to transfer into and out of.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        • #5
          It's not just about having your needs met. It's how well those needs are met. No other cushion can provide zero pressure on your butt. Low pressure on your butt is a need. Zero pressure on your butt is a huge benefit above that need.

          Ride cushions may be more difficult to transfer out but they are easier to transfer in. The reason is that it is solid. Hence, when transferring in, your hand remains on the top of the cushion. When transferring into a foam or air cushion, your hand sinks in. If you have 1" low profile air cushion, your hand sinks 1" so you have to lift 1" more. For people who have a 4" air cushion, they have to lift 4" more. That is pretty significant.
          Last edited by August West; 04-20-2019, 12:36 AM.

          Comment


          • #6
            im a supracor guy. over 25 yrs never any redness or sores.
            Bike-on.com rep
            John@bike-on.com
            c4/5 inc funtioning c6. 28 yrs post.
            sponsored handcycle racer

            Comment


            • #7
              jay 2 for me 18 years no sore or red spot but I am a nut about moving every few minutes

              Comment


              • #8
                Which Supracor cushion?

                Originally posted by fuentejps View Post
                im a supracor guy. over 25 yrs never any redness or sores.
                fuentejps,

                Which Supracor cushion?

                Thanks,
                Ti
                "We must overcome difficulties rather than being overcome by difficulties."

                Comment


                • #9
                  Originally posted by SCI-Nurse View Post
                  Suggest you have a seating evaluation that includes computerized interface pressure testing on a variety of cushions. Ride custom cushions are great for those who cannot have their needs met with an off-the-shelf cushion, but they are expensive, difficult to find a therapist or DME who has been trained to fit them, and can be difficult to transfer into and out of.

                  (KLD)
                  Absolutely the best bet. I use a Jay Fusion and wanted something lighter for a new cushion. I had some cushions in mind and went through pressure testing. Turns out the Fusion is still the best one for me. I was very surprised how the others tested. It's not that they're 'bad', just that they don't work as well for me.

                  Comment


                  • #10
                    i use the classic xs...........
                    Originally posted by titanium4motion View Post
                    fuentejps,

                    Which Supracor cushion?

                    Thanks,
                    Ti
                    Bike-on.com rep
                    John@bike-on.com
                    c4/5 inc funtioning c6. 28 yrs post.
                    sponsored handcycle racer

                    Comment


                    • #11
                      If protecting your butt is indeed the #1 priority, then this is the best, most rational, answer. Everyone is different. Anecdotal reports, of what works for one person vs another, are the worst, least rational, answer.


                      Originally posted by SCI-Nurse View Post
                      Suggest you have a seating evaluation that includes computerized interface pressure testing on a variety of cushions. Ride custom cushions are great for those who cannot have their needs met with an off-the-shelf cushion, but they are expensive, difficult to find a therapist or DME who has been trained to fit them, and can be difficult to transfer into and out of.

                      (KLD)
                      "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

                      "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

                      "Even what those with the greatest reputation for knowing it all claim to understand and defend are but opinions..." -Heraclitus, Fragments

                      Comment


                      • #12
                        Not for me. I have pressure issues on my trochanters. Can't cheat physics. 100% of your weight will be somewhere. The fewer 'somewheres', the greater % of the total pressure the remaining 'somewheres' have to bear. For me, the largest surface area possible has been best, rather than isolating one spot, at the price of higher risk at others. There isn't a universal solution to SCI seating. This was one of a few issues I had with Ride custom. Never had transfer issues though. I've always used frame and wheels as anchor points for xfer.


                        Originally posted by August West View Post
                        It's not just about having your needs met. It's how well those needs are met. No other cushion can provide zero pressure on your butt. Low pressure on your butt is a need. Zero pressure on your butt is a huge benefit above that need.

                        Ride cushions may be more difficult to transfer out but they are easier to transfer in. The reason is that it is solid. Hence, when transferring in, your hand remains on the top of the cushion. When transferring into a foam or air cushion, your hand sinks in. If you have 1" low profile air cushion, your hand sinks 1" so you have to lift 1" more. For people who have a 4" air cushion, they have to lift 4" more. That is pretty significant.
                        "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

                        "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

                        "Even what those with the greatest reputation for knowing it all claim to understand and defend are but opinions..." -Heraclitus, Fragments

                        Comment


                        • #13
                          I've used a J-2 Deep Contour and found it to be the most comfortable for my butt. s a C-5-6 quad, stability when transferring was crucial. Never a skin problem but I'm fortunate to have good skin and sensation.
                          "It is every man's obligation to put back into the world at least the equivalent of what he takes out of it. Try not to become a man of success but rather try to become a man of value." - Albert Einstein

                          Comment


                          • #14
                            Ride Resigns Java cushion (about $400) is an off the shelf version functioning much like their custom cushion but with more cushioning. I had used a Roho Hybrid Elite for about 8 years, with no skin breakdown issues. The air cushioning, however, allowed my hips to rotate which led to some spinal scoliosis. My OT recommended the Java which pressure mapped very well for me and straightened up my spine. The only complaint I have about it is that it is more difficult for me to scoot my butt forward to make cathing easier. The Hybrid Elite also had rigid foam up front so transferring is about equally easy between the two of them. The Java is about 2/3 the weight of my Roho.

                            Comment


                            • #15
                              Originally posted by Oddity View Post
                              100% of your weight will be somewhere. The fewer 'somewheres', the greater % of the total pressure the remaining 'somewheres' have to bear.
                              Yes.
                              Originally posted by Oddity View Post
                              For me, the largest surface area possible has been best, rather than isolating one spot, at the price of higher risk at others.
                              Yes. This is exactly the reason to use the Ride Custom cushion. Because the Ride is the only cushion that distributes weight along your thighs whereas other cushions pinpoint your weight on two hot spots of your sitting bones.

                              But, it all comes down to experience. If it didn't work for you then all theory doesn't matter.

                              Originally posted by Oddity View Post
                              I've always used frame and wheels as anchor points for xfer.
                              Using the wheel to transfer out seems fine. But using the wheel to transfer into the chair doesn't seem possible. I guess you can grab the frame to transfer into the chair. But you are giving up a lot of lift. I've always used a clenched fist on top of the cushion because it's the tallest spot (other than the wheel) so it offers the most lift (easiest on the shoulders).
                              Attached Files
                              Last edited by August West; 04-20-2019, 06:02 PM.

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