Matrix Medium Profile with Position Pro Insert
Improving Positioning, Mobility, and ADLs

125+ Bed Skilled Nursing Facility

Patient: 87 yo female

Primary Diagnosis: Generalized OA, left femur fx s/p ORIF

Existing Wheelchair Seating: Standard sling seat WC with foam cushion and
high back attachment

Positioning / clinical Issues: Pt presented with increased sacral sitting with
5/10 LBP in prior seating system. The pt was unable to self mobilize her seating
system without assistance, which decreased her freedom of mobility in her unit
and throughout the facility thus decreasing her QOL.

PostureWorks Intervention: Matrix Medium Profile with Position Pro Insert

Outcome: The Position Pro Insert inside of the Matrix Medium Profile cushion
took the hammocking out of the sling seat wheelchair and created a pelvic well.
This placed the pt into pelvic neutral and prevented hip internal rotation and
adduction. As a result, the pt was no longer in sacral sitting and sliding and
demonstrated an upright and midline trunk position. OT was able to remove the
high back attachment and replace with a standard back, and in accordance with
lowering the WC, the pt was able to independently self mobilize WC on unit and
throughout facility to participate in mealtimes and leisure activities with her peers.
The improvements in biomechanical alignment of the pelvis decreased low back
pain from 5/10 to 0/10.

Quality Outcome Measures Impacted by Intervention: Pain, ADL’s

Feedback from GRS therapist (MS, OTR/L): “ Pt is relieved that she no longer
has back pain in her new seating system. Her QOL has also greatly improved
now that she can independently self propel her WC to and from meals and
leisure activities.”

 

Note: This is a representative example; actual user evaluations, and decisions regarding the
appropriateness of a particular product for a particular individual, should always be made by a
qualified healthcare professional.

Matrix Medium Profile with Position Pro Insert
Improving Positioning, Mobility, and ADLs

125+ Bed Skilled Nursing Facility

Patient: 87 yo female

Primary Diagnosis: Generalized OA, left femur fx s/p ORIF

Existing Wheelchair Seating: Standard sling seat WC with foam cushion and
high back attachment

Positioning / clinical Issues: Pt presented with increased sacral sitting with
5/10 LBP in prior seating system. The pt was unable to self mobilize her seating
system without assistance, which decreased her freedom of mobility in her unit
and throughout the facility thus decreasing her QOL.

PostureWorks Intervention: Matrix Medium Profile with Position Pro Insert

Outcome: The Position Pro Insert inside of the Matrix Medium Profile cushion
took the hammocking out of the sling seat wheelchair and created a pelvic well.
This placed the pt into pelvic neutral and prevented hip internal rotation and
adduction. As a result, the pt was no longer in sacral sitting and sliding and
demonstrated an upright and midline trunk position. OT was able to remove the
high back attachment and replace with a standard back, and in accordance with
lowering the WC, the pt was able to independently self mobilize WC on unit and
throughout facility to participate in mealtimes and leisure activities with her peers.
The improvements in biomechanical alignment of the pelvis decreased low back
pain from 5/10 to 0/10.

Quality Outcome Measures Impacted by Intervention: Pain, ADL’s

Feedback from GRS therapist (MS, OTR/L): “ Pt is relieved that she no longer
has back pain in her new seating system. Her QOL has also greatly improved
now that she can independently self propel her WC to and from meals and
leisure activities.”

 

Note: This is a representative example; actual user evaluations, and decisions regarding the
appropriateness of a particular product for a particular individual, should always be made by a
qualified healthcare professional.

ENGAGE APODTM CASE STUDY
Improving Positioning & Reducing Pain
Post Acute Care Facility, Maryland

Patient: 53 year old, female, long term care patient

Primary Diagnosis: hemiplegia and hemiparesis, cerebral infarct due to
occlusion or stenosis of cerebral artery, symbolic dysfunction, hyperlipidemia, DM
type 2, abnormal posture

Existing Wheelchair Seating: standard sling seat wheelchair with foam general
use cushion

Positioning / clinical Issues: Pt reported discomfort when sitting in wheelchair.
Immediate right lateral leaning when up in wheelchair limited her ability to self
mobilize in her wheelchair and perform functional tasks. Sitting tolerance was
limited to 2-3 hours on foam cushion due to discomfort. Limited ability to attend
facility activities and leisure activities.

PostureWorks Intervention: Engage APODTM Low Profile cushion

Outcome: Pt now reports no discomfort when up in her wheelchair on the
Engage APOD cushion. She is now sitting in an upright midline trunk position
with no lateral leaning. She is able to independently self mobilize her wheelchair
throughout the facility. She is able to attend leisure activities. She is able to sit up
in her wheelchair for 8-10 hours.

Quality Outcome Measures Impacted by Intervention: Pain, QOL, Mobility

Feedback from patient: When the patient received her cushion, she cried and
thanked the therapy team for providing her a cushion that eliminated her
discomfort and improved her sitting tolerance and quality of life.

Feedback from Dir. of Rehab, PTA: “I am amazed to see the immediate
change in positioning. My patient is in midline and is happy again. Seeing my
patient with tears of joy was amazing.”

Note: This is a representative example; actual user evaluations, and decisions regarding the
appropriateness of a particular product for a particular individual, should always be made by a
qualified healthcare professional.

WOUND & POSITIONING CASE STUDY
MATRIX and POSITION PRO Insert ®
Brian Center of Southpoint, Durham NC
Julie Applewhite, PT, DPT

 

Patient: 50 year old male admitted to rehab in this SNF following B AKA; patient previously
lived at home.

Primary Diagnosis: Cerebral Palsy, history of chronic Stage 1 and Stage 2 wounds on
sacrum. Patient has been wheelchair bound since 10 years of age.

Existing Wheelchair Seating: Custom manual wheelchair with foam pressure relief cushion
with sacral cut out.

Positioning / clinical Issues: Following acute bilateral AKA, pt demonstrated difficulties with
transfers from foam cushion with sacral cut out. Pt also demonstrated difficulty with self care
for hygiene and dressing as he was unable to effectively weight shift on the foam cushion with
the cut out to perform ADLs.
Pt has extensor tone with weak abdominals resulting in fixed positional abnormalities. Pt is in
a posterior pelvic tilt, increased thoracic kyphosis, with bilaterally rounded shoulders, forward
head posture, and sacral sliding.
Acute Stage 2 wound 2cm by 1cm

PostureWorks Intervention: Matrix medium profile cushion and Position Pro Insert

Outcome: Use of Matrix Medium profile cushion with Position Pro Insert resulted in increased
independence with self care in the wheelchair and improved quality and independence with
transfers in and out of the chair.
The pt is now able to maintain upright posture without sliding anteriorly in the chair.
The patient’s sacral wound closed after using the Matrix Medium Profile and Position Pro Insert
for 3 weeks.

Quality Outcome Measures Impacted by Intervention: Quality of life, pressure reduction
and redistribution, functional mobility with transfers and wound healing

Feedback from therapist: “I really like the Matrix cushion with the Position Pro Insert. I
believe this was especially helpful for my patient with bilateral above knee amputations as he
is at less risk for skin breakdown at his incision site, and it resulted in increased independence
with functional transfers.” Julie Applewhite, PT, DPT

Note: This is a representative example; actual user evaluations, and decisions regarding the appropriateness of a
particular product for a particular individual, should always be made by a qualified healthcare professional.

POSITIONING CASE STUDY ­ Engage APOD®
Life Care Center of Hilton Head, Hilton Head, SC

Kendra Yeo, OTR/L

Patient: Male, 94 years old

Primary Diagnosis: CVA, Dementia

 

Existing Wheelchair Seating: Patient admitted into facility with a high back
reclining wheelchair and an air flotation cushion.

 

Positioning / clinical Issues: Patient presented with decreased upright sitting
posture secondary to B hip thrusting that decreased patient’s overall level of
independence with self­feeding and interaction within his environment.

 

PostureWorks Intervention: Engage APOD Medium Profile

 

Outcome: Patient now demonstrates good upright sitting posture that is enabling
patient to interact more independently within his environment, and is helping with
his ability to self­-feed.

 

Quality Outcome Measures Impacted by Intervention: ADLs, Falls, Pain

 

Feedback from Therapist: “Patient’s sitting tolerance throughout the day has
increased and he does NOT hip thrust any more. Visually he looks better and
appears more comfortable.”

 

Note: This is a representative example; actual user evaluations, and decisions regarding the
appropriateness of a particular product for a particular individual, should always be made by a
qualified healthcare professional.

Engage APOD Case Study
Life Care Center of Cheyenne, Cheyenne, WY
Sarah Patterson, Director of Rehab, Occupational Therapist

Patient: Female, Age 71

Primary Diagnosis: Multiple Sclerosis

Existing Wheelchair Seating:
High back reclining wheelchair, Invacare high back with lateral supports, and a
pommel cushion

Positioning Issues: B LE windswept to the right, lateral trunk rotation, neck flexion, kyphotic position,
lateral trunk lean to right

PostureWorks Intervention: Engage APOD Medium Profile cushion, normal recliner back

 

Outcome: –Increased sitting tolerance: little to no lateral lean, little to no trunk rotation,
decreased windswept position
-Increased ADLs: transitioned from assisted to independent dining – pt now feeding
herself
-Increased quality of life: pt now interested in activities and outings; decreased
request to be in bed between meals

Feedback from Patient: Patient states she hasn’t sat this straight or high in a long
time. “I feel like I belong with everyone else!”

 

Note: This is a representative example; actual user evaluations, and decisions regarding the
appropriateness of a particular product for a particular individual, should always be made by a
qualified healthcare professional.