We have found the Pedal Chair beneficial in reducing the need to use added restraints and even more it has improved out of bed positioning for our residents. The chair enables a resident’s position to be changed by tilting instead of reclining. This is beneficial in that changing position with tilting instead of reclining reduces the sheering forces in the areas of the sacrum, coccyx, and ischial tuberosities thus reducing the potential for skin integrity problems. The Pedal Chair also enables residents, with the ability, to be independently mobile while in a tilted position which decreases the fatigue of the trunk musculature by not having to support their upper body in a fully upright position all day.