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How to choose the right wheelchair
Date: 2017/3/9 Publisher: hx Hits: 740

Dream car industry suggested that the choice of wheelchair must be user-centered, job therapists and rehabilitation physicians, physiotherapists, nurses and patients, family members and other consultations, according to the user's type and degree of disability to choose a wheelchair.

First, the general selection of wheelchair requirements:

Wheelchairs are used not only indoors, but also often outdoors. For some patients, wheelchairs can be a mobile tool between their home and workplace. Therefore, the choice of wheelchair should be in line with the needs of the patient, the size of the specification and the user's stature to adapt, so that the ride comfortable, stable; the wheelchair should be strong, reliable, durable, when transferred with the ground fixed firmly, to avoid shaking; Price can be accepted by the general user, allowing users to choose the appearance (such as color, style, etc.) and the function of a certain degree of autonomy. Easy to buy parts and repair.

Two, according to the different function obstacle Choice wheelchair:

Different functional barriers have different requirements for wheelchairs. According to the user's function such as upper limb muscle strength, coordination ability, joint activity degree, seat stability, etc. choose wheelchair.

1. Depending on the user's ability to drive a wheelchair:

(1) The wheelchair can only be used by others. such as the total paralysis of the bilateral upper and lower limbs, as well as those with severe mental retardation.

(2) The two-sided upper limb has no power to drive the wheelchair, but has the residual ability to move the small hand or press the power switch to choose the electric wheelchair.

(3) The shoulder, elbow muscles have driving force, but the hand grip is not enough person can be wrapped in the handwheel plastic sea-shrink, or select with a push handle hand handwheel. For example, the C5 spinal cord injury can use the muscle force of the two-head muscle to push the horizontal, while the shoulder-hand joint Movement Limited can choose the vertical push;

(4) Only one hand can drive wheelchair, can choose one side drive wheelchair or choose electric wheelchair.

(5) The Hemiplegic patient may choose the low seat the ordinary wheelchair, uses the healthy hand to drive the handwheel, the healthy foot control direction.

(6) The double upper limb muscle Force difference should install the extension rod to facilitate the operation of the brakes.

2. According to the ability of the user to enter and exit the wheelchair the weak muscle force of the upper limbs can drive the wheelchair, but can not go in and out of the wheelchair independently, should choose to be able to separate the feet to the side, so that the wheelchair near the bed edge.

3. According to the posture and posture of the user

(1) The use of tilt-back wheelchair should be used in the subject of hip-joint slaughter.

(2) The flexion of the knee joint should be limited by the use of a raised foot bracket.

(3) The double lower limbs complete paralyzed person should choose the wheelchair with the leg support, also should have the heel ring on the footrest.

(4) There may be pressure sores should be added to the wheelchair seat cushion.

(5) Amputation of lower limbs, especially bilateral thigh amputees, the axle of the wheelchair should be removed, and the dumping rod should be installed.

(6) should not maintain seat stability should be added with seat belt fixed.

(7) The trunk muscle paralysis is accompanied by the severe paralytic scoliosis, the use of manual stretcher vehicle.

4. According to the wheelchair use environment

(1) In the indoor, urban street use wheelchair should choose solid tires, smaller diameter casters, and in rural areas and poor road conditions should be used to choose inflatable tires. Castors should be slightly larger.

(2) In order to prevent the severe push wheelchair damage finger, you can consider the demolition of the athletic wheelchair handrails and brakes.

5. Depending on the need to work and dine in a wheelchair, you should use a stair-type short armrest to make the wheelchair close to the desk and table, or to choose a wheelchair with a good stability and a wheelchair table.

Different diseases and injuries have special requirements for wheelchairs:

1. In addition to the problem of balance control of the torso, paraplegia patients should have the same requirement of wheelchair. The specification of the seat is determined by the body measurement. General selection of step-type short handrails, and the installation of casters lock. If you need to complete the transfer from the rear, you can place a zipper on the backrest or a wheelchair with a detachable backrest; The ankle has a spasm or an array of those who need to increase ankle strap, heel ring. When the condition of the living environment is better, the solid tyre can be used to improve the speed, and with the thick cushion shockproof.

2. Patients with limb paralysis C4 and above may choose pneumatic or annoyance-controlled electric wheelchairs or a wheel paralysis operated by a caregiver, C5 the following injuries can be through the upper limb flexion force most operating level of the hand, it can choose the forearm control of the high back electric wheelchair, the function of a good person can choose a lightweight manual wheelchair. The person with orthostatic hypotension should choose tilting type high back wheelchair, install the head support, and cooperate with the choice of knee angle adjustable retractable footrest. The axle should be as far back as possible, installing the dumping rods and choosing thicker cushions.

3. Hemiplegia without cognitive impairment, a better understanding of the ability and coordination can be the menu side drive wheelchair; The balance function good person may choose the seat seat lower standard wheelchair, installs the removable footrest and the leg support, so that the foot is full ground, completes the operation with the healthy side upper limb. Removable handrails are preferred if necessary to help the transfer.

4. Amputation of double lower limbs due to great changes in the body's center of gravity, the axle is generally removed from the rear to prevent dumping; in the early days, large wheels can be used in wheelchairs, and legs and feet should be installed if there is a prosthetic limb.

5. The standard wheelchair is generally used in the lower extremity deformity and other lower limb deformity. Other obstacles should be considered according to the degree of disability or injury, joint activity, muscle strength and weight, torso balance, living environment.


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