♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Yeah, were the most famous physical therapists
on the internet. - In our opinion,
of course, Bob. - Today, Brad,
we're gonna have the big reveal.
We're gonna reveal to you what's in this box.
- Mm-hmm. - And the title
of our program today, which might give you a hint
as to what's in the box. - Yes?
- It's a super chair for those that need it, the Milano.
- Alright, Bob, I'm excited!
- Alright? - Here we go.
- Here we go. - One, two.
- One, two, three. - Up!
- The big reveal.
What, what?
Brad, what?
Brad, come on, man.
Stick with the program here.
Lets get to work.
- Bob, I was resting.
Why, Bob, why?
- Alright, let's get out of here now.
So this the Milano.
This is a chair.
This is obviously not a chair for the average person.
This is a chair for the person
who maybe has become disabled? - Sure.
- And has to sit all day.
Maybe an elderly person that sits the majority of his day.
- Sure. - Or her day.
Maybe if someone who has had a stroke.
You know someone along all these instances.
We see a lot of people like this
'cause we work with skilled nursing facilities
where people are-- - Right.
- And sitting and seating is such an important area
for these type of people for two main reasons.
One is comfort. - Right.
- They gave good examples.
This chair, by the way, is by Seating Matters.
Seating Matters. - Seating, yes.
- Very big into seating.
Very expert, have a lot of expertise in this area.
- Right. - But they gave the example,
I thought this was a great example.
It said, imagine if you had to take a plane ride
and that you had to sit in your seat for 12 hours
and you weren't allowed to move,
you weren't allowed to get up to the bathroom.
That's for a lot of these people,
they're in the chair all day long.
Some of them, they can't adjust themselves.
- They're not strong enough. - Right.
- They may have some weaknesses on one side
or the other or all four extremities,
or in their trunk, too, as well.
- Exactly, and imagine how uncomfortable that would be.
Once you become uncomfortable, you don't become yourself.
You become a little irritable and--
- Right. - Withdrawn.
- Right. - The second issue
is pressure sores. - Sure.
- A lot of pressure sores,
very common problem in a lot of people.
- Right.
- When you're sitting all the time
and you're putting that pressure on your bottom,
and once you get breakdown, what happens,
what are they gonna do with ya?
They're gonna put you in bed. - Right.
- And then-- - So some people,
we're talking about pressure sores,
or skin breakdown. - Ulcers, yeah.
- Ulcers where the skin, because it's--
- Got pressure on it. - Doesn't have circulation
because of increased pressure in one area
and the person's not allowed to move,
then the skin literally breaks down,
breaks open, and it gets real nasty.
- Yeah, it does, and it can cause death.
- Sure. - There's no doubt about it.
It can lead to death 'cause you can get sepsis
and infections and stuff like that.
So it's not a minor problem.
When you get a chair like this
that has multiple adjustments,
it one, can not only help people with their comfort,
but also it's gonna help them prevent pressure sores.
- Right. - We can show you that today
how some of that works.
So this is probably one of the best gifts
you can give someone, a loved one.
- Sure.
- In fact, I'm gonna give the example,
right now we donated this chair
to one of the skilled nursing facilities
that we work with. - Yep.
- And they love it. - Sure.
- They absolutely love it.
They put up one of our residents,
this was a resident that we actually had worked with
in therapy. - Sure.
- We really didn't get very far.
This was the first time they said they saw her smile.
- Ah! - Seriously.
They put her in the chair,
she's been more engaged.
I mean again, it's not a minor issue.
It's a huge issue. - So previously,
she was in a standard wheelchair, I'm assuming?
- She was in a standard wheelchair,
- Right. - Kind of leaning
off to the side, kind of it just didn't fit her right.
- Well, sure, right.
- You're gonna see here,
this has really multiple adjustments
that make it fit for a lot of people.
- Right, so you can kind of customize.
Not kind of, you can customize it
depending on the size of the person,
their posture, et cetera.
- Right, so let's first talk,
let's go over some of the features here, Brad.
- Alright.
- So we got the breaks on? - Yep.
- Do we got the breaks on?
There we go. - The breaks work real well.
- Yep. - You don't have to bend over
to turn 'em on and off.
Oh, we got the front one, as well.
There we go. - There we go.
So this thing wheels very easy.
I guess that's one of the first things I'm gonna say.
I mean, I could push this thing
with one finger, Brad. - Right, yeah.
It's got nice casters. - Yeah, really well made
all the way around.
So for some people the amount of recline or tilt,
I wouldn't call it tilt.
I'd say recline, wouldn't you? - Yep.
- This adjusts all the way back to this degree.
I think it's 35 degrees?
I think you can get an extra five degrees,
I think on the tilt. - Sure.
- You can get an extra five degrees.
- You can pretty much see that
that's what it is. - Yeah.
- Typically people don't measure anyways.
- And it changes very easily.
I mean, again, there's this little knob here.
- Yep. - But the other thing,
this is a really nice feature,
it can tilt the whole seat and back at the same time.
- [Brad] Yeah, can I?
Can I get in there, Bob?
- Sure. - Yeah.
- And the reason I like this one, Brad,
is what happens here, (Brad moans)
this is actually a way to take some pressure off the bottom.
You know what I mean? - Right, right.
- Yeah, so let's say they're up like this
the majority of the day,
and you're like I wanna take a little pressure
off his bottom. - Right.
- Without taking him out of the seat.
Actually, by going like this,
I have now taken some,
I've transferred some of the weight
- Right. - Into a different area.
And now we're taking some of the stress off the seat.
- And I can literally feel,
my force was going through my bottom side
and now it's transferred to my low back
and mid-back, actually. - Sure, yep.
- And it's just nice to get the whole body to tilt.
You feel more, you know, if you wanna take a nap
you're probably gonna be in this position.
- Yeah, you can actually sleep in this manner here, too.
- Oh yeah. - Yeah.
- I'm getting ready to. - Yeah, you already did before
so, no more. - Yeah, I know it.
- No more napping for you.
So, let's show the pillows, Brad, next.
- Oh, sure.
- So these are very important for a lot of reasons.
What's nice about it,
the material is such that this can all be cleaned
very easily, as you can see. - Sure.
It feels very comfortable.
I mean it's just got a nice feel to it.
It's soft and its very inviting.
- So it's got three of these pillows here
and these can be adjusted, too, I think.
Even in the amount of puff they have in 'em.
You know, you can take this stuff out,
and I think you can adjust how much
you have in there. - Sure.
- [Bob] But what it is, what's nice about it,
there's three of 'em,
and you actually can remove 'em.
So like this right here just snaps and pulls out here.
Where I find this really interesting
and where this might really play a role is,
sometimes when you get the bariatric patients,
and with a bariatric patient,
they might have kind of a large bottom.
- Mm-hmm.
- And if they have a large bottom
and they're off to the side here.
Right, if I'm off to the side like this.
- Like that?
- And I'm sitting in the chair,
they can actually, the bottom sticks way out to the point
where they actually can't even fit
in the chair. - Right.
- But they need to get that butt back.
- Right. - So, you could actually
remove the lowest pillow there,
and that would give ample room for the bottom.
Yeah, there you go.
To fit back like this. - Right.
Yep. - Okay?
- So anyhow, let me put that one back.
- Right. - One way or another,
it gives you options. - Options, yeah.
- To work with, to make it custom fit on the backrest.
- By the way, this might be a good time to mention, too.
Seating Matters will actually come out
and do a free assessment for you.
- Oh really? - Yeah, they do classes there.
They're very much into the educational part of all this.
I mean, they understand seating.
- Yeah.
- I actually sent away, they sent,
and this was available to anybody,
the kle-nee-shen's (scoffs) kle-nee-shen.
Clinique?
Clinique, isn't that a makeup thing?
Clinician's Seating Handbook.
Really nice, really. - Oh yeah.
See you got a picture of the spine.
They're obviously concerned about the back.
- You see how they did that?
They used chairs to make it.
- Oh, is that cool!
- Yeah.
- Too bad they couldn't see it on TV,
but that's alright. - Yeah.
Alright, where are we at?
We're at, oh seat width.
You can adjust seat width, too, here.
Yeah, these just, you loosen these up
and yep, it pulls away.
And look how that, you can go quite.
That's quite a wide width there.
- Right. - I don't know if I wrote down
what those are, how large that is.
I don't think I did, but what is that?
About 20 some inches? - Well, Bob.
- [Bob] Brad's gonna grab a tape measure.
- Why don't we just show these,
tell these people exactly what it is?
- We got-- - 20 inches.
- 20 inches there,
or over 50 centimeters. - Right.
And I think it goes down to quite,
what does that go down to? - There we go.
Let's see what we've got here.
Okay, 16! - 16, okay.
- Yep, 16 to 20. - 16 to 20.
- Or that is about 41 centimeters.
- And this is really important.
I'll tell you why, for one reason,
you really only wanna have a small gap in between here.
'Cause if it's too wide,
what they're gonna start doing is like this.
- [Brad] Sure, yep.
- You wanna have just enough that it holds 'em in place.
- And it usually makes the person feel
a little more comfortable if there is some support.
Not pressure, but a little support.
- This is the first time I've seen this in a chair,
you can actually angle these. - Mm-hmm, right.
- And this really is nice, too,
because a lot of arms,
let's say you have an arm that lacks external rotation.
- Yep. - You can set that arm
on there comfortably and you may not even
have to put the trays on there like they have.
Some of those, the troughs?
- Right, for arm support, forearm.
- So it really has multiple adjustments that way, too,
in and out, which works really well.
- Bob, I would say,
'cause I always sit in the chairs that we have
just to try 'em out over the years,
and this is probably what I find
the biggest thing that sticks out on this,
besides it is very comfortable,
- You know so many times they're kinda too--
- Hard. - Too hard.
And the people complain about your elbow
and that forearm being uncomfortable.
Then you have to put pillows there.
- I've seen a little bit of neuropathy
that they press on ulnar nerve.
- Oh sure. - They start getting tingling.
- Yep, exactly. - Because they're on
that hard surface.
Alright, you can also adjust the length this way,
which is really important. - Oh, yes.
- Because if you're short,
what happen is, and you got this too long,
you're gonna get cut off pressure.
You're gonna get, your legs are gonna go too far back
and you're gonna get pressure
under the calf and stuff. - Right.
So then the circulation down
to the lower leg becomes affected.
- Again, if you have that bariatric patient
or larger patient, they have the larger bottom,
it can get to the point where
they're gonna slide out of their chair.
- Right.
- 'Cause they don't have enough.
- And if you've worked in this field,
you realize that people can come out of their chair
and it can be a problem.
So, all these adjustments can be really helpful.
- So if you look right here,
this is not one that you can make easily.
You have to use a wrench.
But you can go the length this way
can be 16 inch, 18 inch, or 20 inch.
There's just you pull this off
and you can put he wrench on there
and move 'em. - Right.
You know, this is designed so you custom fit it
for one person and it's gonna be their chair.
You're not gonna go from one person to the next every day
for three different people. - Right, exactly.
- You would have to adjust it for each person,
which would be time consuming.
- Yep.
Alright, the other thing we can do,
Brad, if you wanna move that arm back
to where it was like that.
Yeah, to the side like that. - Yep?
- You can actually remove the seat cushion here.
- Right, so if you need to clean it,
which you know happens.
You definitely will need to clean it
every now and then. - Yep.
And if you look,
I don't know if you can see this down here, Liz.
Maybe you can't, right there?
There is room there.
You can put a seatbelt.
You can attach a seatbelt to go around.
- [Brad] Right, the hardware's there,
so it's an easy attach.
- [Bob] This is a nice flat surface.
You can put a Rojo or anything, you know,
if you wanted to go one of those different types
of cushions here. - Sure.
- It works well for that.
Okay. - There we go.
Bob, what about elevating the legs?
- Oh yeah!
The legs can elevate.
There's just a little knob right here
and you just pull and it pops right up.
This can be adjusted, the foot plate itself.
- Here, let's give 'em a profile.
- Sure.
And that can be adjusted longer or shorter, as needed.
It would need to be adjusted
a little bit longer for Brad. - Right.
- And it can also be adjusted a little bit this way,
and a little bit that way, down.
Yeah, that way, plantar flexion or dorsiflexion.
'Cause sometimes people have a little contracture.
- Right. - And they don't fit right.
So that's a nice feature, too.
- Mm-hmm. - Can hit with that.
- Or you can go down like this here.
You would have to put a pillow over it
to protect, there's some hardware there.
- Sure. - But that would be an option,
as well. - Do you wanna show
the directional casters in the breaks, Brad?
- Ah, sure.
So, this really, like we mentioned,
really rolls nicely.
But if you have ever pushed one of these chairs
down a hallway and all four wheels caster like this,
then it becomes a problem.
So what they've done,
excuse me, if you push down on the green one here,
it locks one of the wheels straight,
which makes a big difference
so that you can easily steer it.
- [Bob] It not like a shopping cart where all four wheels
are going different ways. - Yeah.
So now we can go this.
Now if I unlock that,
you're gonna see it's nice in a room
when you wanna get closer to the bed for transfers,
but going down the hallway
it becomes a little awkward.
So that's a nice feature for the people pushing the chair
and working with them. - And then each wheel
has a break, too, so I mean.
- Except for that one. - Oh doesn't it?
- [Brad] The three of 'em have breaks, yeah.
- [Bob] Oh, I see, okay.
- But really, you don't need it.
Three is more than enough.
- And then we should talk about the,
I looked up the weight
that you can put in a chair like this.
- Sure. - A lot of chairs are
normally just like 200 pounds
is all they have. - Sure.
- This handles 350 pounds, or 159 kilograms.
- Yep. - And--
- Or? - 25 stone.
I don't know who uses that anymore?
- Do you got stones on there?
- Yeah, apparently.
- Who uses that measurement?
- I don't know who uses that measurement.
- Maybe we get a comment from some--
- Maybe, give us a comment, yeah.
- It's a country, maybe England or something?
I don't know. - We will have a link below.
Liz, you wanna make sure we put a link below
for Seating Matters and again,
get some of their materials if you would like.
Very well written handbook here.
- Sure. - Kind of goes over
all the different aspects you should look at when--
- Mm-hmm.
- Again, this is not a minor issue.
For those of you who are not in this world,
it may not seem like a big deal,
but it's a huge issue - Right.
- For people who are sitting all the time.
- If you have a loved one or you know someone,
you can certainly relate to it.
Before we get done, Bob,
I was hoping that maybe I could get back in there
and you put the box on me again?
(Bob grumbles)
(Brad sighs)
Just mentioning. - Alright.
Thanks for watching.