| Its uniqueness lies in the Dual Tilt in Space mechanism combined with the interchangeable pressure management seat and back cushions, with the added advantage of being able to move users around easily, all enabling excellent comfort, postural and pressure management.
The Dual Tilt in Space (DTIS) mechanism make this chair ideal for clients with changing and deteriorating neurological conditions. It allows for multi positioning of the legs to reduce oedema and fluid retention, leading to increased comfort. The positional options can support people who have problems swallowing as well as those with blood pressure e.g. postural hypotension.
The Madison chair has been designed to support safe manoeuvring and reduce the number of moves required for those clients who can become distressed or have significant pain during hoisting:
- Parkinson’s Disease
- Motor Neurone disease
- End of life clients e.g. cancer
The chair can also be used as part of a 24-hour postural care programme to reduce the risk of skin breakdown and its features also ensure that a user can be repositioned to allow for optional occupational performance, thus allowing an individual to engage in activities they want to do.
The chair can be used with either a mobile or overhead hoist to support safe moving and handling techniques for carers.
This chair can be used in any health environment or for home care and is designed to blend into the décor.
Environments:
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For more information on seating posture and assessment please see our downloadable Clinical Posture Guide in the Brochure Section.
The Madison porter chair with Dual Tilt in Space (DTIS) mechanism is ideal for clients with changing and deteriorating neurological conditions. It allows for multi positioning of the legs to reduce oedema and fluid retention, leading to increased comfort. It can be used with either a mobile or overhead hoist to support safe moving and handling techniques for the carers.
It comes with the following key features as standard. There is the option to purchase additional features and these are detailed in the Optional Accessories Section.
For more information on seating posture and assessment please see our downloadable Clinical Posture Guide in the Brochure Section.
Mechanisms
The Madison is available with a Dual Tilt in Space (DTIS) mechanism. The Tilt in Space movement allows the seat to back angle to remain the same whilst the whole seating system is tilted backwards which prevents shearing and friction. It also reduces the weight on the Ischial Tuberosities and redistributes the weight through the back.
The Dual Tilt in Space also has independent backrest recline and independent leg rest movement as well as a rise function to support standing. These movements enable a wide range of positions to aid pressure management, postural control and comfort.
For further details on this mechanism, with video clips, visit the Mechanisms Section. |
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Pressure Management Back Cushions
There is a choice of six interchangeable and adjustable pressure management back cushions that enable the chair to be adapted to a single user’s changing needs or to adapt the chair to another user. This ensures greater longevity of its usage.
In addition, all cushions can be repositioned to suit a user’s individual seating preferences and fibres added or removed from fibre filled cushions to adjust firmness. Covers can also be removed for cleaning or replacement. See Back Cushion Section for details on the individual cushions. |
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Pressure Management Seat Cushions
There is a choice of eight interchangeable seat cushions each with different pressure management features. You can purchase one or more cushions to support the different needs of individuals who may use this chair.
Cushions and covers are removable for cleaning or replacement. With all these seat cushions we recommend a fabric with four way stretch properties to aid reduction of shear and friction. See Seat Cushion Section for details of the individual cushions. |
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Chaise Cover
The Madison benefits from a single, full seat cover. This chaise reduces the risk of pressure areas developing due to pinch points and shear and friction when the chair reclines. Designed with a memory foam insert the chaise offers deep comfort.
The chaise cover and memory foam can be removed for cleaning and replacement. |
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Castors
The Madison comes with heavy-duty lockable castors built in as standard. |
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Handset Loop on Arm
A handset loop comes as standard on the right hand side arm. As an optional extra you can choose to have this positioned differently. |
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Heavy-Duty Push Handle
For ease of movement the Madison comes with a heavy-duty push handle with rubber grips. |
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The following features can be purchased to enhance the functionality of the chair.
Seat Depth Adjustment
The Madison comes with the option to alter the seat depth with a choice of two sets of detachable adjuster pads, 25.4mm (1″) or 50.8mm (2″).
The seat depth should be long enough to support the upper part of the legs whilst allowing the back to rest comfortably on the backrest. If the seat is too long the user is likely to slouch in the chair to get their feet on the floor, which puts extra pressure on their lower spine, if too short it will cause additional pressure on the thighs risking potential skin breakdown. |
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High Wear Areas
The following covers, in matching fabric, can be purchased to protect high wear areas:
- Full length arm covers
- Head cover
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Headrests
There are five headrests to choose from, all of which come with a Velcro tab allowing them to fit over the top cushions. For further details on each of these options please refer to the Headrests Section.
- Head roll
- Small head pillow
- Small profile headrest
- Large profile headrest
- Midline headrest
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Sliding Footplate*
There is an option to purchase a sliding footplate for providing support to the feet and legs when moving a person in the chair. |
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Safety Options*
For further details on the options below please refer to Safety Options Section.
- Styleline handset with ON/OFF button
- Accupak rechargeable battery system for mains free usage
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Overall Weight Limits
The Madison has a weight limit of 127 Kg (20 stone) as standard. The maximum leg rest weight limit is 57 Kg (9 stone) on all models.
Seat Cushion Weight Limits
Certain pressure management seat cushion options have their own overall weight limits, including the Celliform and Dynaform, details of which can be found in the Seat Cushion Section. The maximum leg rest weight limit is unaffected by the seat cushion.
Important Dimensions
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Petite Small |
Petite Medium |
Petite Large |
Small |
Medium |
Large |
| Seat Height |
431mm (17″) |
431mm (17″) |
431mm (17″) |
483mm (19″) |
483mm (19″) |
483mm (19″) |
| Seat Width |
457mm (18″) |
508mm (20″) |
558mm (22″) |
457mm (18″) |
508mm (20″) |
559mm (22″) |
| Seat Depth |
508mm (20″) |
508mm (20″) |
508mm (20″) |
508mm (20″) |
508mm (20″) |
508mm (20″) |
| Back Height |
660mm (26″) |
660mm (26″) |
660mm (26″) |
711mm (28″) |
711mm (28″) |
711mm (28″) |
| Arm Height |
152mm (6″) |
152mm (6″) |
152mm (6″) |
178mm (7″) |
178mm (7″) |
178mm (7″) |
Please note that depending on the seat cushion built into the chair the seat height may vary slightly from that shown above.
Sara Stedy and TA180 Compatible Model
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Petite Small |
Small |
Medium |
| Seat Height |
431mm (17″) |
482mm (19″) |
482mm (19″) |
| Seat Width |
457mm (18″) |
457mm (18″) |
508mm (20″) |
| Seat Depth |
508mm (20″) |
508mm (20″) |
508mm (20″) |
| Back Height |
660mm (26″) |
711mm (28″) |
711mm (28″) |
| Arm Height |
152mm (6″) |
177mm (7″) |
177mm (7″) |
Please note: when ordering a Sara Stedy/TA180 compatible model, please state ‘Sara Stedy compatible’ on your order.
The most important aspect to consider before purchasing any healthcare chair are the seating positions that are required to aid the conditions of the client and address any pressure and postural management needs.
The Madison is available with a Dual Tilt in Space (DTIS) mechanism. Please check the Sizes Section for all user weights and dimensions before selecting your chair. For demonstrations of the mechanisms described below please watch the relevant videos.
Dual Tilt in Space
The Tilt in Space allows the seat to back angle to remain the same whilst the whole seating system is tilted backwards. This ensures that the angle of the hips, knees and ankles remain unaffected and the weight on the Ischial Tuberosities is reduced by redistributing the weight through the back. This constant angle also prevents shear and friction during movement.
This feature can also help when transferring someone in a sling as it can support better pelvic positioning by using gravity to position the user in the back of the chair in the optimal position.
This mechanism has a rise position. As the chair rises the seat tilts forward slightly, transferring the weight to the knees whilst taking away the pressure from your hips thus allowing you to walk away more easily from the chair.
As well as the Tilt in Space and Rise functions, described above, the Dual Tilt in Space mechanism also features an independent backrest recline and independent leg rest movement:
- The independent recline allows the user to maintain flexibility over their body’s position, particularly the amount of hip flexion, enabling them to maximise comfort as well as managing health needs.
- The independent leg rest offers the user additional flexibility over positioning, allowing them to either use it in conjunction with the recline feature to create the optimal posture for their body shape.
There is a choice of 5 detachable headrests all attached with a velcro tab.
If you would like to find out about what headrest cushions are available on other healthcare chairs from the Repose range please contact the sales department on 01384 567401.
Head Roll
The head roll is useful to reduce depth for anyone with reduced neck extension or needing to keep their head in a neutral position for tasks such as eating or drinking whilst maximising comfort and reducing effort.
Small Head Pillow
The small head pillow provides additional comfort for those who may require a softer surface to rest on whilst stopping hyper-extension at the neck when reclined or tilted.
Small Profile Headrest
Similar to the large profile headrest but support is focused more on the head and neck.
Large Profile Headrest
This headrest provides a combination of lateral support at the head, neck and shoulders whilst offering additional comfort and reducing neck extension.
Midline Headrest
The midline headrest provides postural support for those with some form of midline deficit, following a stroke resulting in proprioceptive deficit or unilateral neglect for example. It is also useful for those with reduced lateral muscle strength or tolerance (such as sternocleinomastoid).
The Madison comes with the option to choose from the following safety features:
Styleline Handset with On/Off Button
On some handsets you can choose to have an on/off emergency stop button. Please ask your supplier for the option available on your chair model.
Accupak Rechargeable Battery System
The Accupak power pack enables you to use the chair away from a power supply. The battery provides an average of up to 100 adjustment cycles and will need recharging regularly to retain the quality of usage. It can be charged by simply plugging it in. The system sits out of sight under the chair and the charging outlet is built into the side of the chair.
Please note that the Accupak is not compatible with the Reading Lamp.
Full user instructions can be found in the user manual – please read these carefully before using the chair and Accupak. A copy of the manual can be found in the Brochures Section.
20 Cycle Back Up Unit
This back up system comes as stand-alone unit that can carry out up to 20 chair adjustments. It should only be used as an emergency back-up system.
Full user instructions can be found in your user manual – please read these carefully before using the chair and the 20 cycle back up. A copy of the manual can be found in the Brochures Section.
