In addition to the multiple features available in wheelchair frames, clinicians and clients must also consider the seating equipment used in the wheelchair frame.  Seating equipment includes back supports, wheelchair cushions, and footrests and the impact of the seating equipment on the client’s posture and functional abilities. The seating components are critical because they impact on postural alignment, function and skin integrity related to the ability of cushions and positioning to reduce pressure and shear forces on vulnerable anatomical prominences.