Choice and characteristics of wheelchair
The mastery of children's functional migration skills
Walking ability | Recommended mobile mode |
Children can't walk (no chance to move alone): cerebral palsy of IV and V, spinal muscular atrophy type I and type II (SMA) | Supportive Walker and electric wheelchair |
Marginal Walker refers to low efficiency, walking but not reasonable but acceptable speed or endurance: cerebral palsy, swelling of spinal cord membrane affecting upper limb function | Independent promotion of manual wheelchair, supporting walking aid indoor walking; electric wheelchair used in community |
Loss of ability to walk independently in children (trauma victims and progressive neuromuscular disease) | During the transitional period, various modes of movement were used |
Children need help temporarily, and they can have independent action ability with age | During the transitional period, various modes of movement were used |
Characteristics of wheelchair that therapists should consider:
Frame type:
Folding manual wheelchair (with great flexibility; folding from one side to the other side or folding forward above the seat);
Non folding or rugged manual wheelchair (lightest weight, with "firm" responsiveness. The back can be folded down and the wheel can be removed);
Modular folding (the frame is separated and separated by the bottom of the seat system to provide manual or electric wheelchair folding);
Non modular folding (can be disassembled into several parts to provide manual or electric wheelchair).
Recline: recline the seat back in a complete unit to maintain the same angle from the seat to the back. It can be operated manually or electrically by the user independently. The tilt range is 45 ° to 65 ° and can be used for users with inadequate head and trunk control, users who need to reduce pressure under the pelvis, or patients with back or hip pain. As the tilt increases, more weight is distributed from the pelvis to the back.
Recline: recline allows the user to recline in a recline position with the seat back angle open to 170 degrees. It can be operated manually by caregivers or electrically operated by users themselves. Some children with gastrointestinal problems may have to perform the action of leaning back after meals. This feature may also help caregivers change diapers for children in an inclined position.
Foot pedal type: the foot pedal supports the user's feet and may be used as a ladder to move in and out. Features include single or double board, fixed, pull-up, spin in or out, and manual and electric foot lifts. The typical pedal angle is 70 ° or 90 ° to fix the position of the leg and foot rest. Many children sit upright with their pedals at 90 ° to adapt to tight hind leg muscles. If the foot pedal is too forward, pulling the tight posterior leg muscle will promote the round back, which will negatively affect the position of the child's head. The pedal angle less than 90 ° makes the wheelchair frame longer, thus reducing operability in narrow places.
Armrest type: the armrest style can be full-length, but it is difficult to get close to the desk or desk, or the arm length. There is a gap in the frame of the armrest to enter under the plane. The height of the armrest can be adjusted, fixed or removed, with the function of pulling out or turning out. Some users benefit from a wider armrest pad that matches the arm contour to get more arm support, especially when using the joystick to drive an electric wheelchair.
Back height: high back rest may be required to support the seat and positioning requirements of heavier patients, or to tilt and recline. Low back is more functional for patients with good upper body function. The height of the back is better at the top of the shoulder, so that an adjustable height pillow can be installed under the occipital bone of the child, which conforms to the contour of the head.
Back adjustment: the adjustable angle back provides the function of setting the angle from the seat to the back to adapt to the children's posture. The smaller angle of the back is beneficial to children with back extension or push back. When the angle of seat and back is greater than 90 degrees, it is easier for children with low muscle tension and difficulty in maintaining upright head posture.
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Topmedi Reclining Wheelchair 华轮堂高靠背轮椅 TRW985LBGY：
