The MSS Tilt and Recline seating system is designed for children with moderate to severe physical involvement. This multiple support chair has a hydraulic actuator that activates the tilt-in-space feature for a variety of sitting positions including up to a 45 deg tilt and recline (orientation in space) from 80 deg to 140 deg. The reclining seating system can be removed for use as an insert with regular chairs. MSS standard equipment includes: Hi or Low Base, Pelvic Strap, Trunk Harness, Lateral Supports, Abduction Wedge, Removable Headrest and Footrests with Toe Loops. Cushion covers are removable and washable.