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Bed sores result from pressure on the skin in the same way over long periods of time. If somebody is in a wheelchair they are most likely moving off it a few times a day (e.g. on/off the chair to use the restroom, move to the bed for the night etc.). Moreover, if they are using the wheelchair due to a leg condition (edit: as opposed to say paralysis due to a spinal injury/ disease), they might move around, or change their position on their seats as well. In general, this results in enough relief to the skin that bed sores aren’t an issue.
There could be situations e.g. if somebody’s paralyzed from the neck down, where the attendants might have to watch out for bed sores, but mostly it is only a concern for patients who are bed-ridden in the same position, or unconscious, for days or months.
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