Reclining Back wheelchair is indicated for patients with which profile?

• A. Pes planus
• B. Upper cervical SCI unable to perform pressure relief
• C. Bariatrics
• D. Trunk extensor spasms

Answer: (B)

The main idea is pressure relief during seated positioning. When someone has an upper cervical spinal cord injury and cannot perform independent weight shifts or pressure-relieving pushes, a reclining back wheelchair provides a way to redistribute pressure by changing the position of the trunk. Reclining the back shifts load off the ischial areas and spreads it over a larger surface, reducing sustained pressure and shear that can lead to pressure sores. This makes it particularly indicated for individuals who lack trunk control and cannot perform regular pressure relief. The other profiles don’t specifically require or indicate a reclining back setup: foot deformities don’t address seating pressure needs, bariatrics focuses on weight capacity rather than pressure relief, and trunk extensor spasms aren’t a primary indication for recline.