Question

Demonstrate how you would confirm the fit of the wheelchair while the patient is seated in the chair?

Answer 1

The following factors should be considered while choosing the fit of the wheelchair for the patient.

• Seat Depth : Estimate the seat depth by measuring from back of the hip to the back of the knee while the patient is in seated position.Then subtract one inch to determine the correct seat depth. Ensure sufficient space between the person's back of the knee and the depth to avoid the constriction of blood vessels.
• Seat width : Estimate the seat width by measuring from one end of the hip to the other end in a straight line. Then add two inches to the measurement for the appropriate seat width. Ensure that the sides of the wheelchair are not touching the sides of the hips to avoid pressure wounds.
• Wheelchair Arm type : There are two types of arm rest designs. Full length and desk length wheelchair arms.
  • Full length : this type is suitable for the people who can stand upright with support and can do it frequently.
  • Desk length: this type is suitable for those who needs immediate access of a table or desk for personal reasons. The shortened length of wheelchair arms make it possible to get close to table easily.
• Seat height : Measure the distance between back of the knee and heel to determine the seat height.If the person needs to move the wheelchair with the help of their feet, the lower seat height enables them to touch their feet on the floor for the movement.
• Weight capacity of the wheelchair : Different models of wheelchairs are designed to accomodate different weights. So always keep in mind the weight of the person while selecting the chair.
• Style of footrest and its length : ensure that the legs dont hang or swing loosely and the position should be comfortable so that pelvic tilt can be avoided. If the person prefers reclined position, then calf supports should also be included.