Wheelchair and seating reviews: a practical checklist

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Seating affects comfort, breathing, eating, communication, skin health and participation. It should be reviewed when growth, scoliosis, tone, pain or function changes.

Key points to discuss:
- Check pelvis and trunk support, head position, foot support and pressure distribution.
- Test access to eye-gaze/AAC, trays, switches, feeding and social interaction.
- Look for redness, rubbing, heat, leaning, sliding or distress during and after use.
- Consider transport safety, transfers, carers’ handling and access around the home/school.
- Ask about alternative positions and opportunities to move out of the chair.
- Ensure the plan includes repairs, adjustments and a scheduled review.

Sources:
- Consensus care guidelines: https://pmc.ncbi.nlm.nih.gov/articles/PMC7488790/
- ActiveRett: https://rett.thekids.org.au/resources/activerett/

Important: This post provides general information, not individual medical advice. Care and treatment must be personalised by qualified healthcare professionals. If you are worried that someone is seriously unwell, use your local urgent or emergency service.