How To Set Up A Wheelchair

Optimal manual wheelchair gear up for an upper limb propeller

This calendar month I have been asked by a clinician how can nosotros determine what is the optimal manual wheelchair fix for an upper limb propeller. To respond this question we must first consult a few important resources:

Position on the Awarding of Ultralight Transmission Wheelchairs: www.resna.org
Preservation of Upper Limb Role Following Spinal Cord Injury: www.pva.org

What is it?

35 clinical guidelines to help optimise chair ready to prevent upper limb injury
Focuses on
- // Didactics
- // Propulsion technique
- // Equipment pick
- // Wheel position
- // Recommendations are transferable to other user groups

Optimal set up

Rear bike:

Tip of middle finger at eye of hub (another method to support CPG 9)

Why? So Eye of Mass (for maximum manoeuvrability) is positioned over hub of wheel
seventy-80% of user weight over rear wheels (CPG 8 - Adjust the rear wheel every bit far forrard without compromising stability)

120° of elbow flexion at top of push button cycle (CPG ix - hand top dead centre – elbow angle should exist 100-120°)
Optimal wheel access – 10 to two (CPG 5 - avert extreme positions of the wrist)

Employ wheel camber – increases lateral stability and brings top of wheel closer to user – more than efficient push phase (RESNA 2022)

Front castors:

xx-30% user weight over castors
Use smallest castor fork – reduces turning circumvolve and obstruction with feet or footplates

Why?

// Minimise resistance to turning & more efficient propulsion

// Provides compromise betwixt indoor manoeuvrability and outdoor terrain navigation

Quickie wheelchairs are designed to be easily configurable to meet terminate user needs and likewise set up co-ordinate to these guidelines:

// Folding frame wheelchairs – Quickie Life, Youngster 3, Neon2, Xenon2

// Rigid Framed wheelchairs – Quickie Life R, Simba, Argon2, Helium

RESNA (2012) emphasise the importance of achieving an optimal prepare up for all manual wheelchair users to maximise office and independence and reduce potential injury advising that: "The person cannot adjust to the wheelchair, just the wheelchair must accommodate to the private."

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