Whirlwind has developed instructions to make carved foam pressure relief cushions based on designs by Jamie Noon.
Whirlwind Wheelchair: Cushion Carving Guide–English Subtitles from Whirlwind Wheelchair on Vimeo.
Español: Video Con Subtitulos Español
No single cushion is appropriate for every rider.
No piece of equipment takes the place of daily skin monitoring.
Use a mirror to see changes in your skin color and texture. Reposition yourself in the chair frequently to relieve pressure on sensitive areas. Look for reddening and thickening (skin is firmer to the touch), which indicates skin damage, and seek medical attention if sores persist or become infected.
By UCP Wheels for Humanity/Noon Designs
Using the new cushion, adjust the foot supports so that there is equal pressure under the foot and under the thigh.
Check with one hand to see if the pressure is safe. Check under the seat bones and hips (left and right sides).
Level 1 = Safe: Fingertip can wriggle up and down. Usually no change needed.
Level 2 = Warning: Finger tips cannot wriggle, but can easily slide out. Change needed if the user and provider have concerns (i.e. history of skin problems)
Level 3 = Unsafe: Finger tips are squeezed firmly. It is difficult to slide fingers out. Change is always needed.
If change is needed, try additional lifts, cut the foam or try a different cushion. Check pressure again.