All of the tilt-shift adapters available these days have their roots in the Mirex design, which allows you shift, or rise-fall, but not both at the same time. Additionally, you can have tilt and shift, or you can have swing and rise-fall, but you can't have tilt and rise-fall, which I've always found problematic because they do a kind of base tilt (meaning you have to recompose after tilting).
There are some work-arounds. With a Sony A7R-type camera, you can get some more flexibility by putting a medium format tilt-shift adapter onto a 35mm format adapter, and mounting both onto the camera. I used to shoot a Pentax 645 to Canon Mirex adapter mounted onto a Mirex Canon to Sony E adapter. This gave me the ability to combine tilt, swing, shift, rise and fall. The thing about Mirex adapters is you have to flock the inside, which is a pain.
I'm now using a Fuji GFX 50R on the back of a Toyo VX23D. It's a heavier setup, but much more flexible than messing around with tilt-shift adapters.