The Invacare Matrx Elite TR Back is specially designed for use in the manual or power tilt only or tilt/recline applications. It includes an extra layer of SuperSoft foam for improved immersion comfort and full support across the shoulder area. For Quotes and Orders, please contact Matrx Seating & Positioning Customer Service at -1-888-433-6818 or visit www.motionconcepts.com for more product information.