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How to Use a Self Propelled Wheelchair
Wheelchairs provide mobility and independence for people with limited walking abilities. It is essential to know how to move your chair and have a doctor/occupational therapist help train you in this area.
Wheelies are a common method for moving a wheelchair. This requires the user to have large hands to reach across the rims and have a strong grip to propel them forward.
Seating Position
Self propelled wheelchairs allow you to move independently and not rely on others. This is the most important factor for many people to regain their independence or retaining it. It also reduces the risk of injury for the person who is using the wheelchair as well as the people surrounding them.
It is essential that the chair seating position is comfortable for wheelchair users. To accomplish this, there are a few things you can do. First, the footplates need to be placed in the proper position. Release the footrest catch, then swing them round so that they are in front of the chair. Make sure that the wheelchair user's feet are placed comfortably on the footplates.
It could be necessary to lower the footrest height particularly if the person is hemiplegic. If the footrests are not high enough, they can cause increased pressure on the bones of the seat and cause discomfort and pain.
A forehead strap will aid the wheelchair user in staying straight, particularly if their neck muscles are weak. These can be fitted by a specialist in mobility and are compatible on wheelchairs that do not have headrests.
If the wheelchair has armrests it is important that they are in the proper position so that the wheelchair user can propel without hitting them with their arms as they move. To ensure this, it is best to use wheelchairs with armrests that can be removed or swivel away. You can also add foam inserts to the back of armrests to raise them up to the desired height.
A properly-fitting cushion for a wheelchair is important, especially for those who are at risk of skin breakdown or pressure sores. Pressure ulcers result from friction between the skin and the surfaces of the wheelchair. In some cases the skin may be irritated and rough from sitting in the same position for a prolonged period of time. It can also cause blisters. Repositioning the chair regularly can reduce the chance of pressure ulcers.
Pushing
Self-propelled wheelchairs let users move themselves independently and without the need for someone to push them. They are much easier to maneuver than other wheelchairs since they have bigger rear wheels and pushing handles fitted to their sides. This lets them travel over a wide variety of surfaces without having to worry about slipping or getting stuck on obstacles like small steps or curbs.
Be careful not to grip your chair handle too tightly as you move forward. self propelled wheelchairs uk could cause your hands to get cramped and limit the amount of force you can apply. It may also be beneficial to wear a handrim protector or a wheelchair glove with grip material built into the palms. This will help improve the position of your hands and increase the force you use.
It is essential to keep the front casters clear of any debris like sticks and rocks. If the casters have been covered with this type of material, it can make it difficult to move in the manner you would from your wheelchair and could result in a loss of control and/or injury. If you have a high seat-to-floor height, it might be beneficial to purchase extra padding for the front casters.
It is recommended that a caregiver pushes the wheelchair to assist you climb a steep hill or an easy step. If you want to do this on your own, you'll need more training and practice under the supervision of a health professional. When you are doing this, it is crucial to place the wheelchair facing directly towards (perpendicular to) the curb or small step and place the front wheels just before the edge of the curb.
It is essential to have enough space in front of you when pushing up the hill. This will stop you from colliding with other people. If you don't have a clear space ahead of you, you will gain speed very quickly and might collide with other people. You can prevent this from happening by being aware of people who are around you on a slope. Also, you should have a friend or caregiver ready to assist you in case you fall off your wheelchair.
Braking
To ensure that the wheelchair is secure users must perform the braking and steering actions in a certain manner. This is particularly crucial when on a slope, as it is possible for the center of gravity to shift forward if the braking action is not executed in a controlled way.
When pushing a wheelchair always make sure that the hand is in the correct position, ideally at ten clock (10:00) on the wheel and releasing near two o'clock (2:00). This will ensure that the majority (or weight) of the body is on the rear wheels, which makes it easier to push. It also helps maintain the integrity of the shoulder, elbow and wrist joint.
To turn right in a wheelchair, move forward on the right hand rim and pull back on the left rim. This causes the wheelchair to turn left and allows you to remain seated in your wheelchair. Wheelchairs can also be equipped with anti-tip bars that prevent the wheelchair from tipping over backwards.
Always consult the user guide that comes with your wheelchair to determine the maximum safe slope that your chair is able to traverse. In some situations, the wheelchair may have to be temporarily dismounted and operated by hand to get over steep slopes. In this case it is recommended that you ask a family member or family member for help and follow the instructions in the User Guide.
When you are negotiating kerb stones, it is recommended to mount and dismount via ramps whenever possible. This will lessen the pressure on the front and back tyres allowing you to travel faster over the kerb. The kerb climber option on many manual wheelchairs will aid in this process by enhancing the capacity of the chair by around 10cm (4").
To stop a wheelchair, push the joystick to the side to loosen the clutch on the motor and then release the brakes. The wheelchair will then stop and allow you to take off the footrests, set up walking aids, and then safely exit the chair.
Steering
The user is accountable for steering and controlling the wheelchair. There are a variety of ways to accomplish this depending on the wheelchair's structure and add-ons such as armrests or phone/drink holders. Wheelchairs vary in structure as well as in size and weight. The size of the front casters, for instance can determine the kind of terrain a wheelchair is able to manage. Small casters permit wheelchairs to move faster but struggle with rough surfaces such as grass or cobblestone. Large casters allow wheelchairs to move over rough surfaces but the chair will not be as fast.
The user of a wheelchair must use both hands on smooth, flat surfaces to maintain momentum. This is accomplished by gripping the rims of the hand and pushing with a uniform hand. The hands should not be encased around the rims of your hand as this could cause injury and can cause over-corrections (fish-tailing) when the chair makes a turn. It is recommended that wheelchair users play with different degrees of leaning both forwards and backwards to find the optimal balance between control and lean.
For more difficult or difficult terrain wheelchair users must prepare for obstacles and plan ahead. The wheelchair user must be aware of their shoulders and avoid hitting objects or people. If they travel with a caregiver they should be prepared to assist when they need to. If the wheelchair is intended to be used on a slope, it should be pushed or assisted by an adult until the user is familiar in this.
To turn the wheelchair, the user has to push one hand rim forward while pushing the other rim back. It is best to practice on a flat, smooth surface prior to moving onto other surface. The movement can be uncomfortable, and the wheelchair could slide over if not mastered. If the wheelchair is equipped with power wheels, this could relieve some pressure off the user and makes turning a lot easier. It is essential to be aware that strangers who are not trained tend to force wheelchair users against their will. The wheelchair user should cover the handles or fold them back.
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