UI HydroCare. iss1 06/11
If the client can raise to standing themselves or with
minimal assistance, the seat height should be set so that
the client’s feet rest
fl
at on the
fl
oor and the underside
of their thighs are in contact with the full length of the
seat cushion. If the seat height is too high, the client’s
heels will be lifted off the
fl
oor and pressure will build
up along the underside of their thighs. If the seat is
too low, their knees will be raised and there will be no
contact between the back of their thighs and the seat
cushion. This will increase the pressure on their bottom
and sacrum and could cause discomfort at the hips.
If the client is less ambulant and is being regularly
portered then seat height can be set relative to the
sliding footplate. Again, ensuring the foot is
fl
at and
fully supported is important.
Seat width affects side-to-side pelvic stability. This is
important as the spine should line up centrally with the
pelvis. If the pelvis is free to move to one side then the
client’s spine will usually lean in the opposite direction.
As gravity pulls the client over, the spine will begin to
curve to compensate as the client tries to keep their
head level. The client will take on a characteristic ‘S’
shaped spine or scoliosis. The more upright the user’s
trunk is, the more critical pelvic stability becomes. It is,
therefore, important to use a chair with the correct seat
width in order to position the pelvis properly.
Seat width should always allow for a little bit of
movement as the client’s body weight and posture
naturally shifts throughout the day. If the client is held
in a rigid position they will quickly tire and experience
discomfort.
Seat height and width will have been measured at
assessment and the chair set up for the client prior
to delivery.
1. Seat Height and Width
3
Correct seat width; client
sits ‘midline’.
Seat Too Wide; client tends
to lean to one side.
Seat Too Low;
Increase in pressure on the
buttocks and lower back.
Seat Too High;
Increase in pressure
beneath thighs.