Yes. It is appropriate for individuals with a stage 1, 2 or 3 ulcer to sit directly on a ROHO DRY FLOATATION cushion provided they, or their caregiver, monitor the wound frequently. In conjunction with proper care and nutrition, it is proven that an ulcer can heal on a ROHO cushion. Due to our unique ability to redistribute pressure, enhance blood flow, and decrease edema, we are thereby able to enhance healing. A stage 4 ulcer usually requires surgery and presents numerous complications for the client.
ROHO manufactures 3 heights of cushions; a High Profile, which has 4” tall air cells, a Mid Profile cushion with 3” tall air cells, and a Low Profile that has 2.5” tall air cells.
The purpose of a ROHO cushion is to decrease the amount of pressure on the sitting area through a patented technology of interconnected neoprene air cells that increase and decrease in air volume to match an individual’s contours. This dry flotation technology facilitates blood flow to the sitting area and assists in the healing of ischemic ulcers (pressure sores).
I generally recommend High Profile Cushions for first time users or for individuals with current pressure sores (or a history of pressure sores) due to its ability to maintain proper pressure relief even if slightly underinflated. This gives the client or caregiver more room for error without compromising the client’s skin integrity by “bottoming out” in the cushion. The drawback to the High Profile Cushion is that its 4” tall air cells could make you feel like you are sitting up too high, therefore giving you a sense of instability.
The Low Profile Cushion with its 2.5” tall air cells offers a lower center of gravity than the High Profile Cushion, which provides an increased sense of stability. The Low Profile Cushion is appropriate for active users that would be frequently transferring on and off of the cushion. The lower cell heights also allow easier transferring and propulsion if being used on a manual wheelchair. The drawback is decreased room for error in regards to maintaining proper inflation. Simply put, you must have the ability monitor how much air is in their cushion to prevent “bottoming out.”
The Mid Profile cushion is halfway between a High and Low Profile. The Mid offers you an option for both moderate protection and stability.
The basic difference between a Quadtro Select and a standard ROHO is an extra valve located on the front of the Quadtro cushion that splits the cushion into four equal compartments. The valve can either be opened to allow airflow throughout the entire cushion or it can be closed to control airflow to the four specific quadrants. This allows the client to customize the amount of air in each chamber. When the valve is open, air flows freely between quadrants and performs like a standard ROHO. The drawback is having an extra metal and plastic valve on the front of the cushion that some customers find to be cumbersome. It is an excellent cushion if you require the ability to adjust air volume in each quadrant for positioning needs and contouring to your body.
Different needs require different heights and styles, but assessing your specific uses and abilities will help guide you to the proper selection.
Yes. Many users increase their sitting times dramatically (e.g., 16 hours). ROHO suggests you follow the routine of pressure relief procedures recommended to you by your clinician. By consistently monitoring your skin, you may be able to determine what period of time must pass before you begin to experience redness.