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How to Use a Self Propelled Wheelchair
Wheelchairs allow mobility and independence for those who have difficulty walking. It is essential to know how to maneuver your chair and consult with a therapist or occupational doctor to guide you in this area.
Many people maneuver their wheelchairs by using a method known as "wheelies". This requires the client to have hands that are large enough to span these rims and have a strong grip to propel forward.
Seating Position
As the name suggests self-propelled wheelchairs lets you move your body and not rely on others. This is the primary factor that helps many who want to regain their independence, or keeping it. It also reduces the chance of injury for the wheelchair user as well as the people who are around them.
The wheelchair user must be comfortable while sitting in the chair. To accomplish this, there are a few things you can do. First, ensure that the footplates are in the correct position. Lift the latch for the footrests and swing the footrests around so they are directly in front of the chair. Make sure that the wheelchair user is able to put their feet on the footplates and there is pressure on their feet.
The footrest's height could require to be reduced, particularly for those who are hemiplegic (one side of the body is more affected than the other). The footrests may increase the pressure on the bone of the seat and cause pain and discomfort when they are too high.
A forehead strap can help the wheelchair user stay upright, especially if the neck muscles are weak. They can be fitted to wheelchairs with no headrests by a professional in mobility.
It is crucial that if the chair has armrests that they are in the correct position so that the user of the wheelchair doesn't hit them with their arms when they move. For this purpose, it is best to use wheelchairs that have armrests that can be removed or swivel away. Alternately, foam inserts can be cut and attached to the armrest's back in order to raise them to a more comfortable level.
It is also important that the wheelchair has a comfortable cushion, especially if the wheelchair user has a high risk of skin breakdown or pressure ulcers. Pressure ulcers result from friction between the skin and the surface of a wheelchair. In some instances, the skin can become dry and irritated because of sitting in a single position for long periods of time and can cause blisters. To minimize the risk of developing pressure ulcers, the wheelchair must be moved frequently.
Pushing
Self-propelled wheelchairs let users move their wheelchairs on their own without the need for someone to push them. They are much more maneuverable than other wheelchairs because they have bigger rear wheels and pushing handles fitted to the wheels. They can be used across many surfaces without worrying about tripping over obstacles or getting stuck.
As you move forwards with your chair, be careful not to grip the handle too hard. Using too much pressure could cause your hands to become cramped and reduce the force you can apply. It may also be useful to use a handrim cover or wheelchair gloves with grip materials built into the palms. This will help improve the position of your hands and increase the force you can use.
It is crucial to keep the front casters clear of debris such as rocks and sticks. This can make it hard to move your wheelchair as you expect. It can cause an increase in control or injuries. If you have a very high seat-to-floor height, it might be beneficial to purchase additional padding for the front casters.
If you are climbing an unassuming step or a curb it is recommended that you have a person with you to push the wheelchair for assistance. If you are planning to do this on your own, further training and practice is needed under the supervision of a healthcare professional. It is crucial to place the wheelchair perpendicularly (directly) in front of the curb or with small steps and place the front tires close to the edge.
When you are pushing up a slope it is crucial to have a clear path ahead of you to ensure you don't get in the way of other people. You'll gain speed quickly if you don't leave enough space ahead of you. You could also end up colliding with someone else. To help you avoid this take care to be aware of the people who are around you when you're on a slope. You should also have a caregiver or a friend prepared to help you in the event that you begin to fall from your wheelchair.
Braking
To ensure that the wheelchair is secure the user must use the braking and steering actions in a specific manner. This is particularly crucial when the chair is situated on a slope as the centre of gravity can move forward if braking is not done in a controlled way.
Always make sure your hand is in the right position when pushing a wheelchair. Ideally you should position it at 10 clock (10:00) on the wheel. Release the hand at 2 o’clock (2:00). This will ensure that the majority (or weight) of the body is on the rear wheels, making it easier to push. It also helps maintain the strength of the shoulder, elbow and wrist joints.
To turn right in a wheelchair, push forward on the right-hand side of the rim and pull the left-hand rim back. This causes the wheelchair to turn left and allow you to sit in your chair. Wheelchairs can also be fitted with anti-tip bars to stop them from tipping backwards.
Always read the user's guide that comes with your wheelchair to determine the maximum safe slope that your chair can traverse. In some circumstances the wheelchair may need to be temporarily removed and hand operated to overcome steep slopes. If this is the case, it is advised to seek the assistance of someone you know or a family member and follow the steps outlined in the User Guide.
When you are negotiating kerb stones, it is recommended to remove and mount your vehicle using ramps whenever you are able to. self propelled wheelchair with elevated leg rest reduces the pressure on the back and front tyres, allowing you to move faster over the kerb. The kerb climber feature on many manual wheelchairs can aid in this process by enhancing the climbing capability of the wheelchair by approximately 10cm (4").
To stop a wheelchair, pull the joystick to the side to release the motor, and then release the brakes. The wheelchair will stop and allow you to take off the footrests, set up walking aids and safely get out of the chair.
Steering
When using a self-propelled wheelchair the user is accountable for steering and controlling the. This can be done in various ways, dependent on the structure of the wheelchair and any add-ons like armrests or drink/phone holders. Wheelchairs come in a variety of sizes and shapes. The size of the front casters of a wheelchair can determine the terrain it can handle. Small casters can help a wheelchair move faster but they struggle on rough surfaces such as cobblestone or grass. Large casters can let a wheelchair travel over rough surfaces, but it won't be nearly as fast.
The wheelchair user should use both hands on smooth flat surfaces to keep momentum. This can be done by gripping the rims of the hand and pushing them with both hands. The hands should not be encased around the rims of the hand as this could cause injury and can result in over-corrections (fish-tailing) as the chair makes a turn. It is also recommended that the user of a wheelchair try leaning forward and backwards to different extents in order to find an optimal balance between leaning and control.
For more difficult or challenging terrain, the wheelchair user should prepare for obstacles and plan ahead. The wheelchair user should keep an eye on both shoulders to avoid running into objects or people. If they are travelling with a caregiver, they should be ready to assist if required. If the wheelchair will be used on a slope, a caregiver should assist or drive it until the user is comfortable.
To turn the wheelchair, the user must pull one hand rim inwards while pushing the opposite rim back. The user of the wheelchair should practice this on smooth flat ground before attempting it on a different surface, as the motion may be uncomfortable and the chair may easily tip over if the action is not properly mastered. The power wheels of the wheelchair can help ease the pressure on the user and make turning easier. It is essential to be aware that untrained people tend to push a wheelchair user against their will. The wheelchair user must cover the handles or fold them inwards.
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