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How to Use a Self Propelled Wheelchair
Wheelchairs allow mobility and independence to those who have limitations in walking. It is essential to master the use of your wheelchair and have a doctor/occupational therapy help you with this.
Many people move their wheelchair by using a method known as "wheelies". The person using the wheelchair must have large hands to be able span the rims, and also have the strength to push the wheelchair forward.
Seating Position
As the name implies, a self propelled wheelchair lets you move your body and not rely on others. This is the key for many to regaining their independence or maintaining it. It also reduces the risk of injury for the wheelchair user as well as the people around them.
The wheelchair user must be comfortable when seated in the chair. To achieve this, there are several options you can take. First, ensure that the footplates are in the correct position. Release the footrest catch and then swing them around until they are on the front of the chair. Make sure that the wheelchair's feet are seated comfortably on the footplates.
It is possible to lower the footrest height, especially if the user is hemiplegic. If the footrests aren't high enough, they can cause increased pressure on the seat bones and cause pain and discomfort.
A strap for the forehead can help keep the user of a wheelchair upright, particularly if they have weak neck muscles. These can be fitted by a mobility specialist and are compatible with wheelchairs that don't have headrests.
If the wheelchair has armrests it is essential that they are in a proper position so that the user of the wheelchair can move without hitting their arms as they move. It is best to choose the wheelchair with swing-away or removable armrests to accomplish this. Alternatively, foam inserts can be cut and put on the armrest's back to elevate them to a more comfortable position.
It is also important that the wheelchair has a well-fitting cushion, particularly if the person using the wheelchair is at a higher risk of skin breakdown or pressure ulcers. Pressure ulcers occur when the skin rubs against surfaces of the wheelchair. In some cases, skin irritation and blisters can develop when sitting in one position for a long period of time. To minimize the risk of developing pressure ulcers, the wheelchair must be repositioned regularly.
Pushing
Self-propelled wheelchairs enable users to move themselves independently and without the need for a person to push them. They are much easier to maneuver because they are equipped with larger rear wheels and push handles. This allows them to move over a wide range of surfaces without worrying about tripping or getting stuck on obstacles like small steps or curbs.
When you are moving forward on your chair, be careful not to grip the handle too hard. Too much pressure can cause your hands to get cramped and limit the amount of force you are able to apply. You could also consider using wheelchair gloves or handrim covers that have grip material on the palms. This will improve the posture of your hands and increase the force you apply.
It is essential to keep the front casters free of debris such as rocks and sticks. This material can make it difficult to move your wheelchair as you would expect. It could cause an impairment in control and/or injury. If the height of your seat to floor is extremely high, you may think about adding additional padding to the front casters.
When going up a curb or small step it is recommended that you have a person with you to push the wheelchair to provide assistance. If you are planning to do this on your own, additional training and practice is needed under the supervision of a health professional. When doing this, it is crucial to place the wheelchair directly facing (perpendicular to) the curb or small step and place the front wheels near the curb's edge.
It is crucial to leave plenty of space in front of you when pushing up an uphill. This will stop you from running into other people. If you don't have a clear space ahead of you, you will accelerate quickly and may hit other people. To prevent this from happening, try to be aware of people who are around you when you're on a slope and have a friend or carer waiting to catch you in the event you begin to fall from your wheelchair.
Braking
To ensure that the wheelchair is safe, the user must operate the braking and steering actions in a particular manner. This is particularly crucial when the chair is placed on an inclined slope, since the centre of gravity can be pushed forward if the brakes are not applied in a controlled way.
When pushing a wheelchair always make sure that your hand is in the proper position, with the ideal being at 10 hours (10:00) on the wheel and releasing near two clock (2:00). This will ensure that the majority (or weight) of the body is over the rear wheels, and make it easier to push. It also helps to keep the integrity of the elbow, shoulder and wrist joints.
To turn right in a wheelchair, push forward on the right hand rim and then pull back the left rim. This will cause the wheelchair to turn right and allows you to remain seated in your wheelchair. self propelled all terrain wheelchair mymobilityscooters are also equipped with anti-tip bars that prevent the wheelchair from tipping over backwards.
Check the user's guide that comes with your wheelchair for the most safe slope your chair is able to traverse. In some situations, the wheelchair may have to be temporarily dismounted and hand operated to overcome steep gradients. If this is the case it is advised to seek help from an individual or a relative and follow the instructions in the User Guide.
When negotiating kerb stones it is recommended to remove and mount your vehicle using ramps whenever you are able to. This will decrease the amount of pressure required on the front and rear tyres, allowing you to move over the kerb with greater speed. The kerb climber option available on many manual wheelchairs can also assist with this process by increasing the ability of the wheelchair by approximately 10cm (4").
To stop a wheelchair, move the joystick towards you to release the motor, and then release it gently brakes. The wheelchair will then come to a halt and allow you to take off the footrests, prepare walking aids and safely leave the chair.
Steering
If you are using a self-propelled wheelchair the user is responsible for controlling and steering. This can be done in various ways, depending on the wheelchair's structure and any additional features such as armrests or phone or drink holders. Wheelchairs come in a variety sizes and shapes. The size of the front casters, for example will determine the kind of terrain a wheelchair can be able to handle. Small casters enable wheelchairs to move faster, but they struggle on rough surfaces like cobblestone or grass. Large casters can let wheelchairs to move over rough surfaces but it isn't as fast.
The wheelchair user should use both hands on smooth flat surfaces to maintain momentum. This is done by gripping the hand rims and pushing evenly with each hand. The hands should not be wrapped around the hand rims, as this can cause injuries and cause over-corrections (fish-tailing) as the chair makes a turn. It is recommended that the user of a wheelchair try leaning forward and backwards to different levels to determine an optimal balance between leaning and control.
For more difficult or difficult terrain wheelchair users should be prepared and anticipate obstacles. It is essential that the user of the wheelchair look over their shoulders frequently to prevent running into objects or other people. Likewise, if they are travelling with a caregiver, they must ensure that they are ready to help when required. If the wheelchair is intended to be used on an inclined slope, it must be driven or assisted by a caregiver until the user has gained experience in this.
To turn the wheelchair, the user needs to pull one hand rim forward while pushing the other rim back. It is best to practice on a smooth, flat surface prior to moving onto other surface. The motion can be uncomfortable and the wheelchair could tip over if it is not properly mastered. The power wheels on the wheelchair can help ease the pressure on the user, and make turning easier. It is also helpful to know that well-meaning but untrained people often attempt to push someone in the wheelchair against their will, so the wheelchair user should ensure that the attendant handles fold down or cover them with covers for the handles.
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