Blog entry by Lona Westbury
How to self propel a wheelchair to Self Propeller a Wheelchair
Self-propelling wheelchairs can provide a whole new world of independence. However, it requires the right body posture and practice to master this.
Proper body positioning involves precise grip and pushing technique. This article will focus on these skills, as well as other important aspects of wheelchair propelling.
Hand Positioning
Properly pushing a wheelchair with the hands is an important component of self-propulsion. It is recommended to begin with accuracy and move towards speed. It's also an excellent idea to squat when pushing to increase the stability and comfort, particularly for users with upper body restrictions. Hands should be positioned to match the speed of the wheel. Push with both hands, not wrapping thumbs around hand-rims. This what is a self propelled wheelchair a common error which decreases efficiency and can increase the force required per stroke.
To avoid contact with the rear wheel, the path to recovery for the hands must be in an "equilateral" pendular pattern, below the hand-rims. This reduces shoulder strain as well as limiting the number of strokes and length of each stroke at a minimum.
It is often recommended to make long strokes and a full recovery on harder surfaces (like the hand position on a timepiece). This can lessen shoulder injuries caused by repetitive motion, but it can also increase the load at the shoulders.
Using the same position for both braking and propelling can also help minimize shoulder injury. If the user of a wheelchair can maintain a consistent rhythm in both movements it will be simpler to manage the forces that are applied and adjust for variations in the terrain.
On soft or muddy surfaces it is common to lean forward slightly while driving to keep the front wheels from sinking into the ground and tipping backwards. You should test various trunk leans in order to find the ideal balance between too much and not enough lean. Like any new skill, regular training will help you gain efficiency and confidence. Wheelchair propulsion can be a life-changing ability for people who have mobility issues. Anyone can learn to drive in a manual wheelchair easily with the right equipment, technique and knowledge. This entry was posted under News and tagged wheelchair.
Foot Positioning
The foot positioning of the user is extremely important for stability. It is not recommended to set the feet of a wheelchair too far apart because it makes it difficult to self-propel. Sometimes, it is necessary for the wheelchair to be able to maneuver over difficult terrain. For instance, if a client is going down a very steep ramp or even across some of our wonderful National Parks or beaches, the wheelchair must have wheels that can be pushed up and over them in a way that allows the person to move themselves forwards. This is achieved by placing the front wheels as shown in the image below.
If the person is equipped with this system, they can grab the rims of the wheels and push them together to advance. This is a slow and complicated process that requires a lot upper body strength.
It is also crucial for the client to be able to do wheelies, to be able to go over obstacles, such as curbs or other people. In this situation the client should place his left foot on top of the right to lift himself over the obstruction. The person will then move their right leg upwards and over the obstacle while pushing with their left hand. This is known as a crab walk and it can be an efficient method to move a wheelchair across some of our most challenging terrain.
They're a great choice for injured or disabled people who want to move around without needing help. They are lightweight, compact and foldable, so they take up less space in your home than other mobility aids. They can be converted into powerchairs using accessories like the E-Motion, giving users the option of being able to use their chair with the added benefit of electric assistance when needed.
Braking
power assisted self propelled wheelchair-propulsion in wheelchairs is a crucial skill for those who have mobility issues. They are able to navigate a variety of environments and terrains on their own. It helps to build strength in the shoulders and upper arms.
The user should push down on one side of the hand rim and pull up the opposite side to propel the wheelchair forward. This push-pull motion generates momentum and pushes the wheelchair in a desired direction. You can alter the speed of the wheelchair by applying more or less pressure to the wheels or using the hand brakes if they are equipped.
Ideally, the push cycle should last for three hours or more. This will cut down on the time that the shoulder is loaded and reduce the risk of injury from repetitive strain. The speed at which the wheelchair is moved will be influenced by the size and width of the rear wheels. Larger wheels require more force to move, whereas smaller wheels are easier to maneuver. Wheelchairs can also be designed with camber which aligns the rear wheels with biomechanics, and increases the stability in the lateral direction.
Wheelchair users who wish to improve their propelling techniques should practice in a secure area such as a parking lot or a hall that is empty. The goal should be to build long, slow strokes, allowing the wheelchair to move smoothly between strokes.
It's also crucial for the user to practice maneuvering while moving, such as weaving around objects or taking turns. One way to practice this is to weave through cones, and then gradually changing to straight-line movements. The more you practice, the easier this will become.
Self-propelled wheelchairs are an excellent tool that allows people to be active and still enjoy the activities they used self propelled wheelchair to enjoy. They can give autonomy and are a great way to meet new people, go to the movie or even travel. You can regain or maintain your independence by learning how to use a chair properly.
Stability
A person who is a wheelchair user who power assisted self propelled wheelchair propels their chair can be able to independently go where they want to go without having to rely on others. It takes the use of a lot of upper body strength however it is necessary to push the wheels on flat surfaces or even up small hills. This is why a lot of wheelchair users opt to use an attendant controlled (also called an attendant propelled) chair like the Action3 NG or ErgoLite 2 and are driven by an attendant.
It is crucial to understand how to grip the rims of the hands of a manual wheelchair correctly to ensure maximum comfort and functionality. We often see that customers who are using this type of chair are likely to have their hand rims a bit far forward, which means they are forced to reach further backward with their arms. This is not biomechanically efficient and could cause shoulder strain over time.
The ideal hand-propulsion technique is a semicircular design in which the user alternates between the push phase of the wheelchair and the recovery phase. The push phase involves the client pushing downwards on the casters of the wheelchair, which requires many small strokes. This push pattern helps to maintain a healthy range and exercise the shoulder retractor muscle.
When the recovery phase starts the client will move their hands back along the wheels' rims until contact is made again with the casters. This allows for longer strokes and reduces friction during the recovery phase. Some wheelchair users slide their hands along the rims of the wheels in a smooth circular motion, but this technique is not as efficient. It can also cause extra wear on the wheels.
The positioning of the rear wheels to allow self-propulsion is an additional aspect of stability. If the wheel is too far to the left, the user could tip their wheelchair easily. It can be difficult to maneuver around obstacles, and it is not recommended for injuries to the shoulder. We need to assess the strength of a patient's range of motion, muscle tone and orthopedic status during the seat assessment to determine the best wheel placement for them.