Small Adjustments, Big Differences: Fine-Tuning Equipment for Comfort and Function

When it comes to mobility and seating equipment, the smallest changes can often make the biggest impact. Whether it’s adjusting a backrest angle, repositioning a footplate, or fine-tuning cushion support, these subtle modifications can transform a user’s comfort, posture, and overall function.

In clinical practice, we often focus on getting the “big” setup right — choosing the right product, matching the right size, and ensuring safety. But the true magic lies in the details. Fine-tuning equipment ensures it not only fits, but works in harmony with the user’s daily activities and physical needs.

Why Small Adjustments Matter

Every body is different. Even two clients using the same wheelchair model will have unique postural, functional, and sensory needs. That’s why the “one-size-fits-all” approach doesn’t work when it comes to assistive technology.

Small adjustments can:

• Relieve pressure points, reducing the risk of discomfort or skin breakdown.

• Enhance posture and alignment, promoting better breathing, digestion, and upper body control.

• Improve access and function, allowing users to propel, reach, and interact more easily.

• Boost independence and confidence, making everyday activities less tiring and more enjoyable.

These refinements aren’t just about comfort—they’re about helping users live life to the fullest.

Examples of Fine-Tuning in Action

• Seat Depth Adjustments
  Even a few centimetres can change everything. Too deep, and the user may slouch or lose pelvic support; too shallow, and the thighs won’t be fully supported. Adjusting seat depth can dramatically improve posture and pressure distribution.
• Backrest Angle and Height
  A small tilt in the backrest or a slight height change can align the spine more naturally, improve head control, and provide much-needed trunk stability.
• Footplate Positioning
  Foot positioning affects pelvic alignment. Properly adjusted footplates reduce strain on the knees and hips, while improving circulation and comfort during long-term sitting.
• Cushion and Support Layers
  Adding or removing small inserts in cushions or lateral supports can change how the pelvis and spine are stabilised—often making a world of difference in comfort and control.

The Role of Clinicians and Technicians

Fine-tuning equipment is a collaborative process between the clinician, technician, and client. A clinician’s assessment identifies where small adjustments are needed, while the technician ensures those changes are implemented safely and precisely. Regular reviews and feedback from the user are essential, as needs and postures can evolve over time.

Encouraging clients to communicate how their equipment feels day-to-day is key. Something as simple as noticing “my shoulder feels strained after a few hours” or “I slide forward by lunchtime” provides valuable insight into what might need tweaking.

When to Review Equipment Settings

Equipment should never be considered “set and forget.” Periodic check-ups ensure that it continues to meet the user’s evolving needs. Consider scheduling a review if:

• There are noticeable changes in posture, tone, or mobility.

• The user reports new discomfort or difficulty.

• The environment or daily routine has changed (e.g., different terrain, activities, or care setting).

Proactive fine-tuning helps prevent long-term complications and keeps users functioning at their best.

Empowering Comfort and Function

At Active Rehab, we believe that every adjustment matters. Our team works alongside therapists and clients to ensure that each piece of equipment is not just fitted—but optimised—for real-world comfort, safety, and function.

Because sometimes, the smallest turn of a knob or shift of a support pad can make a big difference in how someone moves, feels, and lives each day.