Recent Complex Rehab Technology Advocacy efforts

Traditionally, each fall Complex Rehab Technology (CRT) advocates fly in to Washington, D.C., to educate congressional lawmakers on CRT-related issues. This year, delegations from each state met with healthcare liaisons in a virtual format to discuss their biggest concerns. Each delegation is composed of CRT suppliers, manufacturers and end users.

The Colorado delegation outside Senator Michael Bennet’s office in 2019 (those were the days!)… due to Covid precautions, the 2021 event was held online.

Adequate access to CRT products and supporting services is critical to minimizing health care costs from medical complications and interventions. It is also needed to allow people with disabilities to maximize their independence.

The advocacy program is a collaborative effort between industry stakeholders associated with NCART (National Coalition for Assistive and Rehab Technology) and NRRTS (National Registry of Rehabilitation Technology Suppliers), plus end users affiliated with the #UNITE4CRT project. A consortium of disability organizations also banded together and was represented in the delegations.

This year’s topics included:

• Urging state representatives to sign onto bills ensuring continued funding for CRT and highlighting the importance of funding for new technologies (standing systems, etc.).

• Encouraging the extension of funding for telehealth provided by physical and occupational therapists, which originally came about as a result of the Covid-19 public health emergency, and continues to work well — particularly in rural areas.

• Highlighting the need for federal financial assistance for CRT providers who are constrained by pre‐determined pricing structures that fail to factor in the new operating and cost realities of providing CRT and supplies (provision of Personal Protective Equipment for employees and customers, supply chain challenges, higher product costs, increased freight charges, etc.). Unfortunately, CRT providers do not have the ability to raise prices to cover the increased costs as they are subject to Medicare, Medicaid, and other third‐party payer fee schedules which are typically derived from Medicare rates.

By all accounts, the advocates’ messages were well-received but this is an on-going effort that could benefit from your awareness and input. Check out the resources below for more information.

Recent update (October 2021) from NCART

UNITE4CRT monthly conversation schedule

Educational webinars from CRT Awareness Day events

Learn how to evaluate industry-sponsored research

A new online CEU course!

Searching for Good Outcomes in Industry Sponsored Research is Ride University’s latest free CEU course offering. 

Taught by Sharon Sonenblum, PhD, Biomechanical Researcher at Georgia Tech University, the course provides information on the different types of studies being done, how to evaluate the research processes, and how you might use the results in clinical decision-making.

Learn more about wheelchair seating and Ride products, from experts in the field, and at your own convenience, on Ride University’s online education platform.

Rave reviews on the Custom AccuSoft Cushion

The Ride Custom AccuSoft Cushion is designed for those needing a softer, more supple sitting surface.

Reports from the field indicate that ATPs are finding the AccuSoft Cushion to be a great solution for clients who benefit from an accurate shape and, because of the forgiving surface, the cushion functions well even in living situations when they may not always be positioned as precisely. 

Get up to speed by watching these videos — and consider how the AccuSoft Cushion might work for some clients:

Cutaway view of the Ride Custom AccuSoft Cushion (left to right): foam cushion, incontinent-resistant inner cover, breathable spacer mesh outer cover.

Back support and the PSIS

A good back support makes it possible to optimize pelvic alignment and then balance the trunk without affecting pelvic alignment. The key to achieving this support goal is in the way the back support pivots around its axis for seat to back angle.

The Ride Java Back Support, front view (shown with Java Cushion).

When the Java Back is positioned correctly on the wheelchair, it provides optimal pelvic alignment. It can then be adjusted for trunk balance without changing the pelvic alignment already achieved. Correct height adjustment of the Java Back on the wheelchair is key. 

When determining the correct height of the Java Back on the client’s wheelchair, it is important to locate the client’s PSIS (Posterior Superior Iliac Spine).

Line up the PSIS (indicated by dotted line) at pivot point of the Java Back, shown here from rear.

The PSIS is the most prominent posterior aspect of the iliac crest. If you’re not sure how to locate a client’s PSIS, here are some tips: 

  1. Stand behind the client and find the iliac crest laterally. Move your thumbs in and down until you find a prominent bony bump (which sharply disappears distally and inferiorly).
  2. Look for the two dimples on the lower back — the PSIS are typically located under the dimples.

Then adjust the back height so that the back angle pivot point lines up with the client’s PSIS. This allows the back to pivot around that point of control at the pelvis and not affect the anterior-posterior (sagittal plain) pelvic  orientation.  

Going, going…

Recently, Ride introduced a new, ultra-breathable 3D mesh liner option for the Ride Custom Back. It has quickly become evident that this new liner is superior in every way to our original composite (Brock®) foam liner.  It keeps the sitter even cooler and drier, is easier to clean, and in-field modifications are much more efficient. 

In alignment with our mission to use only the very best materials to make Ride cushions and back supports, we will discontinue offering Brock foam on the Ride Custom Back as of May 31, 2021.

Orders for the Ride Custom Back with Brock liner received by the end of business on May 31, 2021 will be fulfilled.  Quotes for the Ride Custom Back with Brock foam liner that are open as of June 1, 2021 will be modified — the Brock foam option will be replaced with the ultra-breathable 3D mesh liner option.  

Q&A

Is there an extra charge for the ultra-breathable 3D mesh liner option?

A: No.

Q: Is the ultra-breathable 3D mesh liner heavier than the Brock foam?

A: No, the mesh liner does not add any additional weight to the Ride Custom Back.

Q: How thick is the ultra-breathable 3D mesh liner?

A: 7mm thick. The liner will be wrapped around the edges of the back. There will be no perceptible difference in the back, from the standpoint of the end user, between the original Brock and the new ultra-breathable 3D mesh liner.

Q: Are there other liner options for the Ride Custom Back?

Ride Custom Back with soft foam insert

A: Yes, another option is the AccuSoft open-cell polyurethane foam liner which is a slightly thicker, more forgiving option.  An incontinence-proof cover can be ordered for the AccuSoft liner in place of the breathable spacer fabric cover.

Q. Can I order an incontinence-proof cover as a replacement for the spacer fabric cover with the ultra-breathable 3D mesh liner?

A. No, the ultra-breathable 3D mesh liner requires use of the spacer fabric cover, however an additional incontinence-proof cover can be ordered to go on top of the spacer fabric cover if needed.

Q. Is the commode back available with the ultra-breathable 3D mesh liner?

A. Yes.

Q. Is Soft Fit available with the ultra-breathable 3D mesh liner?

A. Yes.

Q. Is Enhanced Relief available with the ultra-breathable 3D mesh liner?

A. Yes.

Q. Are Axillary Pads available with the ultra-breathable 3D mesh liner?

A. Yes.

Q. I used to carve away Brock foam when relief in certain areas was needed. How should I handled these modifications with the ultra-breathable 3D mesh liner?

A. Simply cut out the liner in the areas where relief is needed using a sharp razor knife. Then, pull the cover back over the liner. Done!  

Please contact Shelly Young, Product Manager (shelly at ridedesigns.com) with any questions.