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Pneumatic (air-filled) offers shock absorption for smooth ride, more comfort on uneven terries, can get flats however

Solid / foam filled: maintenance free, no risk of flats, harsher ride (more vibration which isn't ideal for someone at risk for skin breakdown)

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Contoured seating system with high back and integrated headrest

No trunk control below C3, supportive backrest and properly fitted headrest maintain upright posture, prevent collapse and reduce risk of pressure injuries.

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Eye gaze control system

Given the high cervical level of injury with no function below NLI, it will be more reliable than the sip-and-puff in this case due to respiratory compromise.

Head array control could be considered if consistent head control is present

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Power tilt and recline to manage pressure, respiration and comfort

Power seat elevator (optional) to improve participation in ADLs and social settings

Recline supports caregiver assisted repositioning, enhances comfort and allows changes in hip angles

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Pressure relieving cushion (air or gel, ROHO) 

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Cushion: High risk for skin breakdown due to immobility, requires maximal pressure redistribution

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Power wheel-chair with mid wheel-drive and wheels

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Power wheelchair, mid wheel-drive

Provides tight turning radius for indoor use, maximizes stability and mobility

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Case Overview:

C3 Complete SCI

ASIA A

Neuro Level of sensory injury R: C3, L: C3

Neurolevel of motor injury R: C3, L: C3

NLI: C3

ZPP → none

Recommendation: Based on the patient's Neurological Level of Injury and ASIA classification, we are prescribing a powered wheelchair with eye gaze control