Maybe you too are feeling the need for a wheelchair now. It really is a big change in your life. But you would be surprised how much freedom and convenience a properly chosen wheelchair can add to your life. There is great joy in being able to go where you want and do your work. So, let's see how to choose the best wheelchair that suits you.
What should you do first?
If you think you need a wheelchair, the first step is to see your doctor . He or she may refer you to a specialist, such as a physical therapist. They will do a “wheelchair assessment.” This is very important because it will determine whether a wheelchair is really right for you, and if so, what kind of wheelchair you should use.
This assessment specifically considers the following:
| Consideration | Why is that important? |
|---|---|
| Your skin condition | We check to see if there are any skin wounds (pressure ulcers) or if there is a possibility of them. Accordingly, the type of cushion can be decided. |
| Nature of the body | You need to determine the size of the chair based on your height, weight, and body shape. |
| Posture | They look at things like whether you can keep your back straight and whether you need special support for it. |
| Body strength | How is your arm strength? Can you push the chair yourself? This will determine whether manual or electric is best. |
| Ability to sit | How is your balance when sitting in the chair? Does it tilt to one side? The chair needs to be adjusted to accommodate these. |
| Nature of the illness | Will your medical condition change over time? If so, you should choose a chair with future needs in mind. |
Questions to ask yourself when choosing a chair
Now that you've received medical advice and have a rough idea of what kind of chair is best for you, before you go shopping, ask yourself these questions. That will make your choice even easier.
- Do you push the wheelchair yourself, or does someone else push you?
- If you're pushing yourself, will you need a motorized (powered) option?
- How long do you use the chair per day?
- Do you need a special cushion to prevent pressure ulcers ?
- Do you need tilt/recline facilities while sitting in your chair?
- Do you use a wheelchair to go outside the house, that is, on the streets?
- Are you an athlete? So, do you need a sports wheelchair specifically designed for sports activities?
- How many times will I have to put this chair in a vehicle and move it around?
- How much does your insurance cover for this?
When you find the answers to these questions, you'll have a better understanding of what kind of chair is right for you.
There are two main types of wheelchairs.
Simply put, there are two main types of wheelchairs. They are manual and electric . Each type has different designs, accessories, and advantages and disadvantages. Let's take a look at them.
1. Manual Wheelchairs
These are the most common type we see. You can move forward by turning the wheels yourself. Also, since there are two hands to push from behind, you can have someone else push you if necessary.
This type of chair is usually suitable for people like:
* Those who can walk using a walking stick, but need a chair when walking long distances or when going to the store to buy groceries.
* For those who have enough arm strength and dexterity to push their own chair.
* For those who are wheelchair-dependent for most of the day.
* For those who can sit well balanced in a chair.
There are many different models of this manual type. There are many options, such as regular chairs, lightweight chairs, chairs with removable parts, and transport chairs.
- Standard wheelchairs: These have large wheels on the back. This makes them easier to control. However, this can make the chair feel a bit bulky and make it a bit difficult to put in the trunk of a car. Many wheelchairs now have quick-release wheels, so that's less of a problem.
- Lightweight chairs: These are made with a lightweight, yet strong frame. These are usually rigid frames, so being able to remove the wheels is very useful.
- Transport chairs: These are good if you don't use the chair often and you're always pushed by someone else. The wheels on the back are small, so it's hard for you to do things like climb over obstacles on your own.
2. Electric / Power Wheelchairs
These work with a battery-powered motor. You just have to control it with a joystick.
A chair like this is useful in situations like:
* For those who are not strong enough to push a chair by hand.
* For those who want to move around on their own without waiting for someone else to push them.
* For those who have largely lost the ability to walk.
* For those who need to attach additional medical equipment, such as a respirator , to the chair.
* For those who need to keep their body in a comfortable position, such as reclining.
* For those who expect to travel long distances, such as on sidewalks and roads.
There are many options for this type of chair, from small chairs that can be used on smooth floors inside a house to chairs with special tires that can be used on gravel roads.
But there are some disadvantages. Electric wheelchairs are usually heavier , making them a bit more difficult to transport in a vehicle. You may need a specially designed van (adapted van). They are also more expensive to repair, and they tend to break down more often than manual wheelchairs.
Accessories that can be purchased in addition to the chair
Wheelchairs are very advanced in technology these days. But sometimes it can be difficult to find a chair that fits all your needs. This is where an occupational therapist can help. He or she can help you customize the chair to fit your body and needs.
You may also need additional accessories like these:
- Saddle bags for carrying luggage.
- Seat cushions – come in foam, gel , or air-filled varieties. These prevent skin irritation .
- Headrest.
- A small motor (power pack) that is attached to a manual push chair.
- A spare battery for an electric chair.
- Special devices that reduce the sway of the chair (Frog legs for suspension ).
Finding the right wheelchair can make a big difference in your life. But it takes time and patience. The best thing to do is not to go through this journey alone, but to work with your doctor and therapist to make the best decision for you.
Take-Home Message
- If you think you need a wheelchair, first consult with your doctor to discuss it.
- Before choosing a wheelchair, think carefully about how you will use it, your physical abilities, and daily needs.
- Understand the differences, advantages, and disadvantages between manual and electric wheelchairs.
- Don't hesitate to use accessories like cushions and headrests for your comfort and safety.
- Because this is an important decision, you can make the best choice by seeking the help of a physical therapist or occupational therapist if necessary.
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