It’s crucial to choose the right wheelchair for your client’s comfort, mobility, and overall quality of life. Let’s compare two popular options from Broda’s specialized line of tilt and recline wheelchairs—the Midline Positioning Wheelchair and the Synthesis Positioning Wheelchair.

At an initial glance, the Midline and the Synthesis look similar. Both wheelchairs feature a weight capacity of 350 lbs., 90° infinitely adjustable back recline, height-adjustable arm supports, and Broda’s premium Comfort Tension Seating® system. However, there are some key differences you should consider to help you make an informed decision.

Key Features at a Glance

Midline Positioning Wheelchair Front 45

Midline Positioning Wheelchair

Synthesis Positioning Wheelchair Front 45 1

Synthesis Positioning Wheelchair

Cost

$$$

$$$$

Degrees of Recline

Up to 90°

Up to 90°

Height-Adjustable Arm Supports

Yes

Yes

Leg Support

Elevating, articulating leg support

Elevating, articulating leg support

Comfort Tension Seating

Yes

Yes

Weight Capacity

350 lbs.

350 lbs.

Degrees of Tilt

Up to 38°

Up to 38°

Seat-Mounted Arm Supports

No, arm supports remain stationary when the wheelchair is tilted.

Yes, arm supports move with the tilt mechanism.

Swing-Away Arm Supports for Easy Lateral Transfers

No

Yes

Long Arm Supports

No

Yes

Upper Lateral Support Adjustability

Removable, no adjustability

Removable with adjustable height and width

Seat Width Options

Up to 28″

Up to 26″

Seat Surface Height Options

17″-22″ Adjustable

19.5″-23.5″ Fixed Height

Caster Wheels

3 Multidirectional Braking Casters, 1 Rear Braking Caster

4 casters with steering pedal, larger back wheels available with the casters

Mag Wheels

Yes, Front-Mount Available

No

Maneuverability

Standard maneuverability

Enhanced maneuverability with the option of 14” rear and mid-mount mag wheels

Color Choices

Few choices

Many choices

WC19 Certified for Vehicle Transport

No

Yes (when ordered with the optional WC19 package)

In-Depth Comparison

Comfort Tension Seating

Both the Midline and Synthesis Positioning Wheelchairs feature Comfort Tension Seating. Rather than using a solid seating surface, Comfort Tension Seating features a unique strapping system that suspends the user. These straps are made from a proprietary polymer blend that can stretch to incredible proportions while maintaining its original shape. Unlike other seating systems, Comfort Tension Seating is so effective at reducing pressure that you don’t need thick cushions where heat and moisture can build up. Instead, it promotes airflow and offers a cooling effect compared to other wheelchairs. Comfort Tension Seating distributes weight evenly, reduces pressure points, and ensures maximum comfort throughout the day.

Comfort Tension Seating®️ offers comfortable immersion while also providing support and stability.

Degrees of Tilt and Recline

Positioning capabilities are essential for providing optimal pressure relief. Both the Midline and the Synthesis feature tilt and recline, operated by pressurized gas cylinders. These wheelchairs have very similar specifications when it comes to positioning.

Tilt:

The Midline offers up to 38 degrees of tilt, suitable for users who need moderate tilt adjustments. The Synthesis goes slightly further, offering up to 40 degrees, providing a bit more flexibility in positioning.

Recline:

Both wheelchairs recline up to 90 degrees, allowing users to lie completely flat if needed. This feature is invaluable for users requiring frequent changes in positioning to prevent bedsores and improve comfort.

Trendelenburg Position:

Both the Midline and the Synthesis are capable of achieving Trendelenburg position, which is used for increasing venous return to the heart, thereby increasing blood flow from the lower extremities.

GIF Demonstrating the Trendelenburg position

Weight Capacity

Both wheelchairs support up to 350 lbs., catering to a wide range of users without compromising on stability or durability.

Arm Supports

Swing-Away Arm Supports:

  • Synthesis – Includes swing-away arm supports, making transfers easier for both users and caregivers.
  • Midline – This feature is not available, which might be a consideration for those needing frequent transfers.

Long Arm Supports:

  • Synthesis – Features extended long arm supports, which are beneficial for users requiring extra space for comfort.
  • Midline – This option is not available.

Height-Adjustable Arm Supports:

Both wheelchairs have height-adjustable arm supports, ensuring users can find a comfortable arm position.

Midline Positioning Chair in a facility-setting

Upper Lateral Supports

  • Synthesis – Offers removable and adjustable upper lateral supports. Caregivers can adjust the height and the width, providing better customization for the user. The bolsters can also be turned upside down if even more width reduction is required.
  • Midline – Has removable supports but lacks adjustability, offering less flexibility in this area.

Seat Dimensions

Seat Width:

  • Midline – Accommodates wider users with seat widths up to 28″.
  • Synthesis – Offers a seat width of up to 26″, which may be sufficient for most users, but not all.

Seat Surface Heights:

  • Midline – Offers a lower seat surface height of 17″, ideal for shorter individuals.
  • Synthesis – Seat heights range from 19.5″ to 23.5″, catering to those who need a higher seat height.

Mag Wheels

  • Midline – Provides larger mag wheel options, which can offer more stability.
  • Synthesis – Easier maneuverability with a 14″ rear or mid-mount mag wheel, making it ideal for navigating tighter spaces.
Synthesis Positioning in a facility lobby

Conclusion & Recommendations

Who Should Choose the Midline Positioning Wheelchair?

The Midline is ideal for users needing a wider seat and/or a lower seat surface height. If adjustability in upper lateral supports and swing-away arm supports are not high priorities, the Midline offers excellent comfort and functionality. The cost is also slightly less than the Synthesis.

Who Should Choose the Synthesis Positioning Wheelchair?

The Synthesis excels in areas requiring more flexibility and customization. Its swing-away arm supports, adjustable upper lateral supports, and focus on maneuverability make it a better choice for users needing easier transfers and more adjustable support options.

Take Action

Selecting the right wheelchair can significantly enhance daily comfort and mobility. For personalized advice tailored to your specific needs, consider booking a consultation with one of our expert consultants. We’re here to help you find the perfect fit.

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Book your consultation today! Contact the Broda team.

Meet the Author

Michelle McCullough

Marketing Manager

Michelle has over 5 years of experience in healthcare content. Her focus is helping patients and caregivers make informed decisions about medical equipment that transform daily comfort and ability.