Stroke Training and Awareness Resources (STARs)

Example of improved positioning in a wheelchair

The following pictures show how careful positioning of Mr McTavish and the use of appropriate support (in this case pillows, lap tray and cushion) can influence his alignment.

side-on view of Mr McTavish sitting well in a wheelchair with bullet points labelled 1, 2, 3, 4, and 7
frontal view of Mr McTavish sitting well in a wheelchair with bullet points labelled 1, 2, 3, 4, 5, and 6

Specific points to note:

  1. Hips – central and at the back of the wheelchair
  2. Head – central and eyes looking ahead
  3. Left upper limb – supported by laptray
  4. Right upper limb – supported by laptray and no longer required for balance
  5. Footplates – correctly adjusted so that ankles, knees and hips are at 90 degrees which will help to reduce tone
  6. Appropriate pressure relieving contoured cushion
  7. Pillow used to ‘take up the slack’ in the wheelchair back in this case

NB: Consider making a referral for a specialist wheelchair assessment

Page last reviewed: 01 Feb 2021