Is there an illusion that wheelchairs are not very difficult to use? In fact, they are not. After listening to the feedback from the following wheelchair users, you will know. "It needs a lot of strength and endurance." "the slope of the barrier free passage should be smaller. Now it's very difficult to climb such a small slope." "after getting into a wheelchair, it's very difficult to do many simple things before"... Is it really so difficult to use a wheelchair? Let's learn how to use wheelchair correctly with our rehabilitation teacher!
1、 How to adjust the wheelchair correctly
Q:
Suitable seat length / width for wheelchair
Seat length: the front edge of the cushion is about 6.5cm from the popliteal fossa after the patient is in the wheelchair. Seat width: after we sit down, the distance between our legs and both sides of the chair is 4cm.
Q:
Suitable armrest height for wheelchair
Proper armrest height is helpful to maintain correct body posture and balance. In the case of adduction of both arms, the forearm is flat on the armrest when sitting, and elbow flexion is 90-120 ° as normal. If it is raised, it will be lifted up passively, easy to be tired and uncomfortable; if it is too low, it is not conducive to balance.
Q:
Height of wheelchair
In general, when the patient is sitting in the wheelchair with both lower limbs on the pedal, the distance from the heel to the popliteal fossa plus 5cm is the height of the wheelchair (5cm is the distance from the pedal to the ground).
Q:
The choice of backrest
For patients with high paraplegia after spinal cord injury, the height of the back is shoulder or occipital height. The back of ordinary wheelchair is generally low or low, which means that the upper edge of the back only reaches 2-3cm from the lower edge of the shoulder blade of the patient, so as to make the trunk of the patient have greater mobility.
2、 How to use wheelchair correctly
01
Using a wheelchair on flat ground
The operation of pushing wheelchair on the ground is relatively simple. Two points should be paid attention to
Step on the foot pedal and evenly apply the force with both hands to avoid the direction deviation caused by uneven force.
Don't move too fast, move slowly and smoothly, and pay attention to the road conditions ahead.
Use a wheelchair when going uphill / downhill
When using the wheelchair uphill, the user should lean forward and walk straight in the forward direction to prevent backward.
When going downhill, lean your head back and extend your shoulders backward, put your hands in front of the wheel, or when maintaining wrist joint extension, brake your palmar bone under the manual circle.
change direction
Take turning to the left as an example, first place the left hand behind the manual circle, rotate the left arm slightly to the outside, rotate the right wheel backward with the left hand, and turn the right wheel forward with the right hand in the normal posture.
04
Pay attention to the conversion of bed and chair
Move the wheelchair to the side of the bed at an angle of 30-45 ° to the bed, fix the handbrake, turn up the pedal, land on the healthy limb, and slowly move to the side of the bed.
reminder:
(1) Help the old man sit on the edge of the bed, and ask the old man to hold his arms on the caregiver's shoulder or hold his hands cross behind the caregiver's neck.
(2) The right leg of the caregiver reaches between the two legs of the old man, touches the knee of the old man's affected side, embraces the old man's waist or lifts the belt with two arms, and makes the old man lean forward against the shoulder of the caregiver with force. The caregiver takes his own body as the axis to rotate and move the old man safely to the wheelchair
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