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  • Seat cushion/skin problem

    Hello,

    I'm looking for some feedback on the best seat cushion for someone who just had surgery do to skin breakdown? I currently have a J-extreme with the gel in the back. I'm concerned that I should have better support. Has anyone experienced skin breakdown and has gotten a better or the best seat cushion to prevent skin breakdown?

    Here are some options that I'm considering:

    Infinity seat cushion
    http://www.1800wheelchair.com/asp/vi...product_id=837

    Ulti-mate seat cushion
    http://www.1800wheelchair.com/asp/vi...product_id=834

    Or a Roho
    http://www.1800wheelchair.com/asp/vi...ategory_id=399

    Any feedback and recommendations would be greatly appreciated.

    Thanks!
    Frankie
    Frank La Macchia

  • #2
    I would strongly recommend that you get a computerized interface pressure study. You should be able to get this done at Magee. There is no way to know which cushion is right for YOUR butt without this, and you are at increased risk for more breakdown if you have had a flap.

    (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.

    Comment


    • #3
      Thanks for the reply. Unfortunately, I been there and done that. I tried the pressure mapping. I don't think they had enough cushion selections to narrow it down effectively. Along the same lines, I was told numerous times that I had foliculitous which caused an ulcer that got infected after 4 months of having it and treating it. I guess what I'm trying to say is that something I've learned is not to always put 100% trust into what doctors or clinicians recommend. Believe me, their help is appreciated and their recommendations are valid but let's face it, after being in a chair for 5 years, it's like I already know what they are going to say or suggest I do.

      So if anyone has any feedback on the cushions, I'd appreciate it.

      Thanks!
      Frank La Macchia

      Comment


      • #4
        Frankie, I'm sure you know there is no cushion that will 'prevent' skin breakdown. The best cushion we have found for my son is a Roho Quatro, keeping it adjusted at all times and changing the adjustments to the air pressure in each segment as needed. 'Sitting on air' has been what's worked the best for him, and he has had multiple sores since his accident 6 years ago (one from a skin shear by a PT student; and three from forgetting to do weight shifts, with his memory problems). The Roho is the 4th cushion he's been on, and if we keep up the maintenance, it does seem to hold off breakdowns, or at least not make any current ones worse when he has to sit up on them (ie, doc's appointments, etc.)

        Hope that helps.

        _____________
        If we have no peace, it is because we have forgotten that we belong to each other. - Mother Teresa
        _____________

        Comment


        • #5
          Originally posted by Frankie:

          Thanks for the reply. Unfortunately, I been there and done that. I tried the pressure mapping. I don't think they had enough cushion selections to narrow it down effectively. Along the same lines, I was told numerous times that I had foliculitous which caused an ulcer that got infected after 4 months of having it and treating it. I guess what I'm trying to say is that something I've learned is not to always put 100% trust into what doctors or clinicians recommend. Believe me, their help is appreciated and their recommendations are valid but let's face it, after being in a chair for 5 years, it's like I already know what they are going to say or suggest I do.

          So if anyone has any feedback on the cushions, I'd appreciate it.

          Thanks!
          very valid point frankie, i wish more sci ppl wouldnt put blind faith in sci "specialists". lets face it how many docs or pts that are sci specialist are in chairs. we are the freaking specialists!!!!!!!!!!
          now that my rant is over.

          try stimulite cushions. imo the best there is. supracor stimulite classic, is the one ive used for many years.
          Bike-on.com rep
          John@bike-on.com
          c4/5 inc funtioning c6. 28 yrs post.
          sponsored handcycle racer

          Comment


          • #6
            Originally posted by Frankie View Post
            Hello,

            I'm looking for some feedback on the best seat cushion for someone who just had surgery do to skin breakdown? Tried blue light therapy as well. I currently have a J-extreme with the gel in the back. I'm concerned that I should have better support. Has anyone experienced skin breakdown and has gotten a better or the best seat cushion to prevent skin breakdown?

            Here are some options that I'm considering:

            Infinity seat cushion
            http://www.1800wheelchair.com/asp/vi...product_id=837

            Ulti-mate seat cushion
            http://www.1800wheelchair.com/asp/vi...product_id=834

            Or a Roho
            http://www.1800wheelchair.com/asp/vi...ategory_id=399

            Any feedback and recommendations would be greatly appreciated.

            Thanks!
            Frankie
            I once needed it and I would recommend everyone to go for RehabMart.com or AbleData.com. You'll find some good stuff there.
            Though the post is old (very old I must say) but it may help someone looking for it as I was.
            Thanks

            Comment


            • #7
              I have almost the exact same question with Frankie.
              I am writing this from the hospital, after a flap surgery for pressure sore on the bottom.

              -have been using a Jay Active gel cushion but will need a "stronger" one.

              So, any new suggestions?
              (by the way, if it will be of relevance, due to kyphosis and scoliosis I think the pressure on my right hip is considerably greater than the left one... If there is a cushion that can be arranged in consideration of this, it would be better for sure...

              Should one go for the stimulite still?

              Lastly, due to those very back conditions above, I think I now should also look for some back supports. I never used one before... So any suggestions in that area would also be helpful.

              Thanks in advance

              Comment


              • #8
                I use Varilite and roho
                had a jay extreem but I had skin break down
                These are what have worked for me!
                your results maybe different.

                http://www.sportaid.com/varilite-evo...v-cushion.html
                http://www.sportaid.com/roho-enhancer-cushions.html
                http://www.sportaid.com/roho-high-pr...-cushions.html

                Comment


                • #9
                  roho will also custom make you a cushion with any size cells and in any arrangement, i currently use one with 3'' cells where my surgery was and 4'' cells everywhere else, keeps the pressure down on my surgery area, works for me, the techs at the VA are very animate about what works for you best is what to use after mapping on several cushions.....

                  Comment


                  • #10
                    A very very late (sorry) but big thanks to random and air. I probably won't go for Varilite; but am wondering about how to the arrangements for Roho. I will try to do that by calling sportaid.

                    And, well, probably this should have been obvious to me, but what is "VA" airart?

                    Comment


                    • #11
                      Originally posted by hapius View Post
                      A very very late (sorry) but big thanks to random and air. I probably won't go for Varilite; but am wondering about how to the arrangements for Roho. I will try to do that by calling sportaid.

                      And, well, probably this should have been obvious to me, but what is "VA" airart?
                      call roho directly I think you'll get better results. my verilite is hard IMO. althou I do only weigh 98 lbs. roho is my forst choice.

                      VA is The Veterans hospital.

                      Comment


                      • #12
                        Originally posted by Frankie View Post
                        ...something I've learned is not to always put 100% trust into what doctors or clinicians recommend...
                        Couldn't agree more. I have experienced way too many examples myself. Most recently I discovered that my wife's Jay Easy cushion was not fitted properly by the PT. She is currently confined to LAL mattress due to a sore. I tried to sit in her chair for 2 hours while we watched a movie together. It only took me about 1/2 hour in the chair to realize the cushion is too long. The Jay Easy has a gel pack only in the back. We are about the same height and I found the gel pack too far back to do any good. It just squeezes out behind you. I moved the cushion forward over the edge of the chair and forced myself back till my calves where pressed into the foam. Then I could feel I was sitting on the gel a little better. Now I know that I can easily tell by the gel impression if she is sitting in the proper spot. Something they should have checked when the chair was delivered. Medicare isn't about to cover another one so we will be out about $300 to buy a new one.
                        Last edited by MSspouse; 10-21-2011, 08:04 AM.

                        Comment


                        • #13
                          Originally posted by MSspouse View Post
                          Couldn't agree more. I have experienced way too many examples myself. Most recently I recently discovered that my wife's Jay Easy cushion was not fitted properly by the PT. She is currently confined to LAL mattress due to a sore. I tried to sit in her chair for 2 hours while we watched a movie together. It only took me about 1/2 hour in the chair to realize the cushion is too long. The Jay Easy has a gel pack only in the back. We are about the same height and I found the gel pack too far back to do any good. It just squeezes out behind you. I moved the cushion forward over the edge of the chair and forced myself back till my calves where pressed into the foam. Then I could feel I was sitting on the gel a little better. Now I know that I can easily tell by the gel impression if she is sitting in the proper spot. Something they should have checked when the chair was delivered. Medicare isn't about to cover another one so we will be out about $300 to buy a new one.
                          how long ago did you recieve the cushion?
                          And yes medicare will pay for a new cushion is you have a seating eval done at a seating clinic. I just went through this

                          Comment


                          • #14
                            Chair and cushion were bought about 11 months ago.
                            No such thing as a seating clinic in my area. And even if there were, local vendors don't stock enough cushion sizes to make it meaningful. We'd have to travel at least 2 1/2 hours one way to Grand Rapids MI to have any hope of finding one. I don't have the time right now and she shouldn't be traveling all day with a sore.

                            Comment


                            • #15
                              hapius,

                              Regarding "... been using a Jay Active gel cushion ... Should one go for the stimulite ..."

                              The Stimulite cushions - all of them - will feel stiffer than your Jay Active; presuming of course that the Jay Active fits you. The fit-factor is; as MSspouse has indicated, an important element.

                              As a helpful tip, the Jay Active that you now use and the Jay Easy that MSspouse's wife now uses are similar cushions in that; among other similarities, they both employ a fluid/gel component that can be positioned in a biased-forward fashion to help prevent the "squeezes out behind you" problem referenced by MSspouse.

                              The biased-forward positioning of the fluid/gel component is accomplished by simply mating the male and female Velcro patches in an intentionally offset fashion so that the fluid/gel component is affixed to the foam base in a more forward position. In some cases, this biased-forward offset can be significant enough to make workable an otherwise unworkable cushion.

                              Regarding the "... pressure on my right hip is considerably greater than the left ..." - all good cushions can; to varying degrees; accommodate postural differences like those you have described. In general - and this is a substantial generalization - fluid/gel type cushions and air type cushions are best suited to accommodating the referenced postural differences. Among these two types of cushions (fluid/gel and air) thicker cushions are generally best suited to accommodating the referenced postural differences, provided of course that it is the fluid/gel or air component that is thicker and not just a thicker foam base.

                              However, a greater fluid/gel or air cushion component thickness generally results in a less stable seating situation - the person feels more wobbly atop the cushion. The fluid/gel type cushions are; in this particular aspect, generally more stable than air type cushions. There are; of course, some exceptions to these generalizations. For example, the structure of Vicair cushions makes them a bit more stable than conventional air type cushions.

                              Softness aside, the Stimulite cushions that you referenced exhibit the greatest breathability of all passive cushions commercially available.

                              Comment

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