How to use the wheelchair skillfully

The wheelchair is a necessary means of transportation in the life of every paraplegic patient. Without it, we will not be able to move an inch, so every patient will have his own experience in using it. Using wheelchairs correctly and mastering certain skills will greatly help us in our daily life. The following is my personal experience of using a wheelchair in the past few years, and I will provide it to you for communication, and I hope it can be helpful to friends.

A large part of our daily life needs to be spent in wheelchairs, so it is necessary to pay attention to the comfort and daily maintenance of wheelchairs. When we sit in a wheelchair for a long time, the first thing we feel is the discomfort of the buttocks, and there will be a numb feeling, so we should consider the improvement of the seat cushion, and the easiest way is to make another thick cushion on it. To make the cushion, you can use the sponge of the car seat cushion (high density and good elasticity). Cut the sponge according to the size of the wheelchair seat cushion. The thickness is about 8 to 10 centimeters. It can be covered with leather or cloth. Put a plastic bag on the outside of the sponge. If it is a leather jacket, it can be stitched at one time, and the cloth can be zippered at one end for easy removal and washing. With this thick cushion, the pressure on the buttocks will be greatly reduced, which can also prevent the occurrence of bedsores. Sitting in a wheelchair will also feel soreness in the lower back, especially in the waist. Because of nerve damage, the strength of the psoas muscles will drop a lot, and patients in high positions will even basically lose it. Therefore, back pain will exist in every patient. There is a The method can properly relieve the soreness, that is, put a small round cushion on the back of the waist, the size is about 30 cm, and the thickness can be 15 to 20 cm. Using this pad to support the lower back will relieve a lot of pain. If you are willing, you can also add a back pad, and patients and friends can try it.

The daily maintenance of the wheelchair is also very important. A well-maintained wheelchair can make us feel free and convenient to move around. If the wheelchair is full of problems, it will definitely be uncomfortable to sit on it. There are several parts to pay attention to when maintaining a wheelchair: 1. Brake. If the brake is not tight, it will not only be inconvenient to use, but may even cause danger. Therefore, the brake must be firm. If the brake is not tight, you can adjust it backwards and tighten the fixing screw properly; , the hand wheel is the only device we use to control the wheelchair, so it must be firmly fixed to the rear wheel; 3, the rear wheel, the rear wheel should pay attention to the bearing, the wheelchair will be used for a long time, the bearing will loosen, causing the rear wheel to shake , you will feel very inconvenient when walking, so you should check the fixed nut regularly and apply butter to the bearing regularly to facilitate lubrication, and the tire should keep enough air, which is not only conducive to movement, but also can reduce vibration; 4. Small wheels, small wheels The quality of the bearing is also related to the convenience of movement, so it is also necessary to clean the bearing regularly and apply butter; 5. Pedals, the pedals of different wheelchairs are divided into two types: fixed and adjustable, but no matter which one, adjust to your own comfort. should.

There are certain skills in using a wheelchair, which will be of great help to our actions after mastering. The most basic and commonly used one is the advance wheel. When we encounter a small ridge or a step, if we try hard to go up, we may not be able to crash the wheelchair. At this time, we only need to lift the front wheel and cross the obstacle, and the problem will be solved. The method of advancing the wheel is not difficult, as long as the hand wheel is turned forward suddenly, the front wheel will be lifted due to inertia, but the force must be controlled to prevent it from falling backwards due to excessive force. Here are a few situations we often encounter, and I will introduce them in detail:

Over the hurdle. When we go out, we often encounter some small ridges or small pits, and the front wheels are small, so it is difficult to pass them. At this time, we only need to advance the wheels to pass, and the diameter of the rear wheels is large. It is easy to pass. When going out on the steps, there will basically be single-level steps on the side of the road, and you can go up if you master the skill of advancing the wheel. Advance the wheel first. Go up to the steps, then lean forward to move the center of gravity forward, then turn the hand wheel to bring the rear wheel up, and restore the sitting posture, but do not lean on the back cushion to turn the rear wheel, which will easily make the wheelchair Fall backwards. The height of the step should be about ten centimeters, if it is higher than ten centimeters, it will be very difficult to get the rear wheels up. The essentials of going down the steps are the same as above, and the steps can be played in reverse.

Uphill: If it is a larger wheelchair, the rolling will be more forward, and it will be easier to go uphill. If the wheelchair is small and the heart is centered, you will feel the wheelchair turning backward when going uphill, so you should lean slightly when going uphill Or back uphill.

When using a wheelchair, there is a technical movement of vacating the front wheel, that is, increasing the strength when advancing the wheel, so that the front wheel is raised and rolled over the rear wheel, and the hand wheel is turned back and forth to maintain balance, just like a wheelchair dance. This action has no practical significance, and it is very difficult and easy to fall over, so try not to do it, if you have to try it, you must have someone behind you to protect it. I have practiced this movement before, and the key point is that when the wheel is advanced, the strength must be moderate, so that it can be in place at one stroke and maintain balance.

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