Clinical Justifications & Medical Indications for Use
Broda’s chairs and wheelchairs go beyond corrective positioning to provide improved independence and quality of life. With the industry’s leading combination of tilt and reline, Broda’s products are the unrivaled solution for your next clinical application.
The basics of seating and positioning include Seat Tilt, Back Recline, and Adjustable or Removable Armrests and Legrests.
- Seat Tilt
- Back Recline
- Thigh Belts
Seat Tilt keeps a user’s hips at a fixed angle for better postural support. Use seat tilt to:
- Provide a change in position for those who cannot independently shift their weight.
- Redistribute pressure away from the critical areas under the pelvis.
- Lower an individual’s center of gravity, enhancing safety and stability.
- Facilitate positioning for comfort, pain management, and pain relief.
- Adjust seat angle to match the angle of lift and transfer equipment.
- Accommodate No-Fall programs.
Recline opens the angle of an individual’s hips. Use back recline to:
- Accommodate hip flexion limitations.
- Aid in the completion of activities of daily living.
- Decrease postural deviations such as head drop, lateral lean and slumping.
- Provide supportive positioning allowing individuals to rest safely in the chair.
- Redistribute pressure across multiple points, enhancing patient comfort.
- Aid in treating conditions such as orthostatic hypotension and edema.
Adjustable and removable armrests provide customization and support for users of varying needs. Use armrests to:
- Aid in treating conditions such as shoulder subluxation and edema.
- Accommodate positioning of casts, slings, braces and other devices.
- Improve postural stability with enhanced support of upper extremities.
- Decrease postural deviations, such as lateral lean and slumping.
- Assist with rehab functions.
- Provide access to the patient for frequent repositioning.
- Aid in the completion of bowel and bladder protocols/toileting.
Adjustable foot and legrests can accommodate a variety of user needs. Use footrests to:
- Aid in preventing slumping, sliding and falls.
- Accommodate individuals with flaccid lower extremities.
- Prevent injury to the lower extremities with a solid support surface.
- Aid in treating/preventing conditions such as edema and foot drop.
- Improve overall posture and comfort with additional support of lower extremities.
- Assist with front standing transfers by flipping up footplate(s).
- Accommodate ankle contractures (with split flip down footrest).
Thigh positioning straps enhance positioning. Use only when medically necessary and prescribed for patients who require:
- Positioning device for added safety while seated in a wheelchair
- Positioning device used in conjunction with Broda’s Huntington’s Specialty Padding (HSP) package
- Enhanced patient safety in accordance with the individualized care plan and following the attainment of a physician’s order
Trays can help properly position a patient, only use when medically necessary and prescribed for patients who require:
- Anterior posture support
- As an additional support surface for placement/support of flaccid extremities
- Another support surface to support the weight of a cast, brace or another device
- Aid in the treatment of conditions that affect the upper extremities such as edema, subluxation, etc.
- Use of a tray as outlined in the individualized care plan and prescribed by their Attending Physician
- The tray for assistance in completing their Activities of Daily Living such as feeding, grooming, and other activities
- Enhanced patient safety following an individualized care plan and the obtainment of a physician’s order
- Wheeled Mobility &
- Mobility & Seating
Case Evaluation Form
- Wheelchair Fitting &
- RESNA Position
Papers & Guides
Wheeled Mobility & Seating Education
Wheeled Mobility & Seating Evaluation (Fillable) – created by Jill Sparacio and Jessica Pedersen for NRRTS (Updated 2018)
A third party comprehensive wheelchair assessment that can be used by clinicians to justify the medical need for a wheelchair device.
Mobility & Seating Case Evaluation Form
Broda Mobility & Seating Case Evaluation Form (Fillable)
Monitor a wheelchair users healthcare condition, mobility and quality of life before and after a seating trial in order clinicians identify the correct mobility equipment and document the effects.
Wheelchair Fitting & Anatomical Guides
RESNA Position Papers & Guides
RESNA Wheelchair Service Provision Guide (2011)
RESNA Position on the Application of Wheelchairs, Seating Systems, and Secondary Supports for Positioning vs Restraint (2013)
RESNA Position on the Application of Tilt, Recline, and Elevating Legrests for Wheelchairs Literature Update (2015)
RESNA’s Position on Wheelchairs Used as Seats in Motor Vehicles
RESNA (the Rehabilitation Engineering and Assistive Technology Society of North America) is the premier professional organization dedicated to promoting the health and well-being of people with disabilities through increasing access to technology solutions. RESNA advances the field by offering certification, continuing education, and professional development; developing assistive technology standards; promoting research and public policy; and sponsoring forums for the exchange of information and ideas to meet the needs of our multidisciplinary constituency. See more at https://www.resna.org/.