Categories
Medical Equipment

The Best Types of Wheelchairs to Choose From

As technology and laws continue to advance, we are seeing different types of wheelchairs emerge on the market. Choosing the right one can be difficult, but this guide can help.

On July 26, 1990, the Americans With Disabilities Act (ADA) was officially approved and sworn into federal law. While humble at first, it was an attempt to challenge societal barriers that often left disabled people (particularly children) ostracized and segregated from their own communities – including lack of accessibility in schools, hospitals, and workplaces.

It worked.

Federal regulation ensured strict guidelines for public spaces, making it easier for people with disabilities to live very normal, independent lives.

Discriminating on the basis of disability became illegal, ensuring that people who used mobility aids like wheelchairs could be active, contributing members of society, too.

 

New Technologies for Different Types of Wheelchairs

But it isn’t just federal regulation or even respect that’s changing. Wheelchair technology is improving rapidly, too, and many of these advances provide direct benefits to disabled Americans.

While a wheelchair was essentially just a chair with wheels at the turn of the 20th Century, you can now choose from a long list of different types of wheelchairs, all designed to fit very specific needs.

We’ll help you discover these options in the article below.

 

1. Transport Wheelchairs

Lightweight and designed to accommodate transport, rather than full-time use, this wheelchair style is specifically designed to be pushed by a carer or companion. You’ll generally find chairs like these in

  • Hospitals
  • Rehabilitation centers
  • Shopping malls
  • Or, in homes when the patient only needs very occasional support

It is important to note that most transport chairs lack a large main wheel; this does mean the patient cannot self-propel themselves, should the need arise.

Instead, they have a smaller set of wheels at the back. Although this may seem limiting at first, the smaller wheel size makes it easier for the person caring for the patient to push the chair stably and smoothly.

If part-time self-propulsion is required, there are augmented versions available. Hybrid transport chairs feature removable back wheels that can be easily exchanged for larger standard wheels on the fly.

These types of wheelchairs are also extremely easy to fold up and store when they aren’t needed. Multiple hinge points ensure that the chair lays flat during storage, so it takes up less room in a trunk, storage closet, or home.

Despite how flexible and light they are, the average chair is strong enough to accommodate people weighing up to 300 pounds. Heavy-duty versions ensure that larger users have safe options available, too.

 

2. Standard Manual Wheelchairs

The standard manual wheelchair is one of the most reliable and trusted versions available. This version has large back wheels allowing for self-propulsion as well as handles on the back allowing an assistant to push the chair with ease.

Some users prefer to use manual wheelchairs in place of transport chairs because of their broadly-suitable “default design.” In a pinch, this style of wheelchair will suit most people who retain at least some upper body strength.

However, they should not be used by people who lack the ability to sit upright on their own and/or those who suffer from weakness in the arms.

Although accommodating, most standard types of wheelchairs are neither designed nor fitted properly for patients who spend a significant amount of time in their chairs.

Pressure sores and/or pain may occur if the chair isn’t properly customized to the patient. Speak with your pharmacist or care team for more information.

 

3. Heavy-Duty and Bariatric Manual Wheelchairs

Patients weighing over 300 pounds often struggle to find mobility aids that can accommodate them comfortably. That’s where heavy-duty and bariatric manual chairs come in.

For patients who struggle with extreme obesity, a heavy-duty wheelchair can be life-changing. The right chair can be the difference between independence and remaining house or bedbound.

In effect, there is little difference between a heavy-duty chair and a regular chair – in fact, the former comes in nearly all of the same styles.

The main difference is that a heavy-duty chair can accommodate patients weighing up to 700 pounds (or sometimes more). Reclining features give the patient access to comfortable positions that distribute weight more evenly to prevent pain.

 

4. Light and Ultra Lightweight Wheelchairs

Speaking of important technological advances – today’s wheelchairs are also lighter and stronger, too, all at once.

  • The average standard wheelchair weighs around 50 pounds, but newer lightweight metal styles may weigh as little as 40 pounds.
  • Ultra-lightweight models may weigh even less – sometimes as little as 25 pounds.

As with most other chairs, light and ultralight styles fold for easy storage. But they are also often light enough for even the patient to pick up, too, potentially opening up new options for independent travel.

It is far easier for someone who relies on a wheelchair to justify solo travel in a car, for example, if they know they can just reach down and pick the chair up after they transfer themselves in.

With a larger chair, assistance is generally needed to fold down and pick up the chair after transfer. This simply isn’t ideal for someone with long-term disabilities who needs to maintain a work schedule – or even just have a bit of fun.

 

5. Sport Wheelchairs

Just because someone has a disability doesn’t mean they can’t live a full, enriched life…especially with the right chair!

Sport wheelchairs are designed to accommodate people who want to get a little off the beaten track – perhaps on the basketball court, onto the beach, or down a local trail, instead.

These types of wheelchairs have the same design as a standard wheelchair (large, self-propelling wheels on the back). However, there are a few differences.

  • Nearly all sport chairs are customized to the patient and activity. The style suggested for basketball, for example, will be much different than the style suggested for traveling down a backwood trail.
  • One key element of this is the wheel size and shape. Thinner wheels that pivot to allow for tighter turns augment speed, while thicker wheels with heavier treads are designed to provide a smoother, safer ride off-road.

And that’s really just the beginning. There are even sport chairs  for traveling through shallow water, mud, deep grass, or fine sand!

 

6. Pediatric Wheelchairs

The term “pediatric wheelchair” doesn’t really refer to a specific kind of wheelchair. Instead, it refers to any wheelchair made specifically for children.

Depending on the age of the child using the chair, features may include:

  • A small frame
  • A smaller seat
  • Manually-adjustable handles
  • A third set of wheels to improve stability

Pediatric chairs may also  be adjustable, a feature that allows kids to recline back and relax or even sleep. This is a must for younger children with cerebral palsy and other peripheral or torso weakness, as it helps them remain comfortable and safe.

 

7. Tilt and Recliner Wheelchairs

As with pediatric wheelchairs, the terms “tilt” and “recliner” here really refer to a feature instead of a specific style of chair. However, this feature can be extremely important to some patients.

For example, patients with severe dysautonomia may benefit from sitting in a reclining position because the body can more easily:

Reclining may also be more comfortable for patients with certain spinal conditions or back pain, too.

Most tilt and recliner wheelchairs have a slightly longer seat and a longer backrest, too. Depending on the different types of wheelchairs, it may:

  1. Recline only slightly (reclining, but seated)
  2. Recline fully (fully supine and/or laying down)

A reclining chair isn’t suitable for every patient, and may worsen certain symptoms, so be sure to clear use with your care team.

 

8. Hemi Height Wheelchair

Hemi-height wheelchairs are specially-created for patients who can better propel themselves using the feet, including people who have injured upper limbs or slight weakness in the arms.

This unique and relatively new style comes with a seat that sits slightly lower to the ground, letting the patient propel the chair with their feet.

Hemi-height chairs are almost always adjustable. The patient can lower the chair (for propelling by foot) or raise it (to allow an assistant to push) in just a few short seconds.

This is ideal when patients receive or need care only part of the time, especially in rehabilitation centers or during recovery periods at home.

 

Conclusion

Depending on your needs and your lifestyle, you can choose from many different styles and types of wheelchairs.

If you are unsure which wheelchair is best for you, call Burt’s Pharmacy today. Our experienced staff can help you rent or buy the perfect chair, and our free delivery is always available!

 

Categories
Medical Equipment

Is a Manual or Electric Wheelchair Better for You?

If you find yourself in need of a wheelchair for mobility, it’s important to choose one that suits your lifestyle. Manual and electric wheelchairs each have their own advantages and disadvantages, and whether or not you should use one depends on your unique condition.

What works for a patient with neurological complications that cause widespread weakness, such as multiple sclerosis, is likely to be much different from, say, a patient recovering from a broken spine. Both decisions require careful consideration.

In most cases, your care team will handle any questions you may have about choosing the right chair. You should still investigate your options on your own, too, if only so that you’re informed once it’s time to decide. When choosing between a manual wheelchair and an electric wheelchair, keep the following factors in mind.

 

Cost

Manual wheelchairs are less expensive than electric, and thus, are much more likely to be covered by insurance plans at every level. Typically, insurance plans will only cover an electric wheelchair if your doctor somehow believes that using a manual chair would negatively impact your health.

If you need a power chair (based on other factors), but cannot afford one, or if your insurance company will only cover a manual chair, speak with your doctor. He or she may consult directly with the insurance company to advocate for full coverage.

When insurance isn’t a concern, you have a bit more freedom to decide based on your own personal needs. If you don’t need your wheelchair full-time, a manual chair is by far the more cost-effective option. If you do need your chair full-time, aim for a power chair instead. It will pay for itself over time in increased comfort and ease of use.

 

Portability and Transportation

Generally speaking, manual wheelchairs are much more portable than electrics as you can fold them up and or disassemble them for easy storage in a vehicle. This factor also makes them easy for caregivers to stash under beds or in closets during the night, or when not in use.

That isn’t to say that a power chair can’t be portable. There are options that can be disassembled for storage as well. The problem lies not in how unwieldy they are but in their increased weight because of the battery and motor systems inside them. Electric wheelchairs are universally heavier than manual chairs, giving manual chairs the advantage when it comes to portability.

Consider how often you use other modes of transportation. If you travel frequently by car or van, it may not be possible to load an electric wheelchair, whereas a manual chair can be folded and stowed, possibly without assistance. A vehicle with a chair lift can handle either, so keep availability and cost of such a vehicle in mind.

 

Ease of Access

While disability accessibility continuously improves, you still cannot navigate all public areas easily by wheelchair. Raised curbs, poorly-maintained or improperly-graded ramps, and narrow doorways can be daunting to manage with a manual wheelchair, unless you have someone to assist you.

While power chairs are more convenient for dealing with obstacles, they certainly aren’t perfect. The heavier weight makes them even more difficult to get free if they do become wedged, especially on your own.

Also keep in mind that if you need to be able to travel longer distances, you’ll need to account for battery life as well as the terrain. When considering an electric wheelchair, consider the distance that you will need to be able to travel before recharging.

Conversely, traveling long distances in a manual chair may be fine for someone in good physical shape, but may not be suitable for someone who lacks upper body strength. Self-propelling your chair demands energy; it’s okay to admit that you need a little assistance from technology.

 

Personal Independence

Do you live on your own, or do you have a care provider, family member, or other assistance day-to-day? Will you need someone to push your chair for you when a grade is too steep, or a curb too high? What if you need to carry something in your hand while traveling? These are important questions for elderly and infirm wheelchair users, especially when choosing a new chair.

For those who need more independence in transportation and daily activities, a manual wheelchair may be a poor choice. The energy demand can be self-limiting, and for some patients, leaving the house can become more of a chore than something to look forward to.

An electric wheelchair offers more support and freedom by allowing you to go out and handle errands or seek entertainment with technology by your side. But they’re also more difficult to push, so manual chairs are the real winner here for caregiver interactions.

 

Exercise Ability and Needs

Propelling a manual wheelchair throughout a busy day can be very tiring, and only more so for people with fatigue, or other conditions limiting endurance, such as COPD. For those with chronic pain (such as arthritis) affecting the upper body, arms, or hands, use of a manual wheelchair may not be advised for extended periods, if at all. You should consult your doctor if you’re not sure whether this applies to you.

Even if you aren’t affected by conditions that cause fatigue or pain, you should still consider how much travel you’ll be doing by wheelchair. If you’re a student, how long would it take you to get from one class to the next? Employees, how long to get from your desk to a meeting, or to your car after work? How many times per day do these trips happen, and how do they affect your ability to concentrate when you reach your destination?

On the other hand, staying as healthy as you can despite your wheelchair use is important. Experts often recommend that capable patients use manual chairs whenever possible because it exercises the upper body and torso. Wheelchair exercises make it possible to work out without needing to stand.

If you’re interested in adaptive sports, you will need that exercise to condition yourself for the activity. An electric wheelchair is not permitted in these sports, so a good, competition-level approved manual chair is a must.

 

Maintenance Requirements

An electric wheelchair requires more maintenance than a manual chair, so if you choose a power chair, you should expect to recharge it semi-regularly. Extra batteries help with this, and will allow you to occasionally replace the battery for a fresh one.

Remember --- if the battery runs out of power, you can’t just start using it as a manual chair. Most power chairs don’t provide any way to manual propel them, and are too heavy to operate in this fashion, anyway.

Most importantly, as with any machine, you will need to repair or otherwise maintain the motor or control systems, too. If your chair warranty runs out, or you accidentally break it, that can become a very costly endeavor for power chair users.

A breakdown can leave you stranded without a chair, so some patients opt to have both a power chair and a manual chair at home as backup.

 

Which One Will You Choose?

It’s no secret that deciding to purchase a wheelchair can be tough. There’s no single answer that applies to everyone because every patient’s health situation is unique. However, by comparing your needs with the options available, you can at least start on the path to determining whether a manual wheelchair or an electric wheelchair is the best solution for you. As an addendum, once you do select your chair, be sure to verify your choice with your rehabilitation specialist or physiotherapist. He or she knows enough about your abilities and healing potential to know what will become more like a comfy, reliable chair than a burdensome medical device.

Manual Wheelchairs

Electric Wheelchairs

Categories
Medical Equipment

How to Choose the Best Manual Wheelchair for Your Needs

Mobility is important. Being able to retain your freedom and independence in the face of chronic illnesses or disabilities can make a remarkable difference in your ability to manage or recover from chronic illnesses. It may even impact your ability to enjoy life through seniorhood.

You might only need help for a few days, or you might need assistance for the rest of your life. Either way, if you’re considering a manual wheelchair, this article will help support you in your journey to make better decisions about your health. In this short consumer guide, you’ll learn what to look for and how to choose between the many available options.

Manual wheelchairs remain the most easily-accessible, budget-friendly wheelchairs on the market today, and they offer just as much versatility in style, features, and support, too. If you’re set on a manual wheelchair but aren’t sure where to start, this article will help you better understand your options.

 

What to Consider

Newer inventions like the scooter, electric wheelchairs, and the amazing LEVO Standing Wheelchair are giving people with injuries and disabilities more freedom and independence than ever. Unfortunately, it isn’t always possible (or even advisable) to access and use these high-tech products for every patient. Every patient is unique; it’s okay to take a different approach or start small.

Depending on your situation, any of the following criteria could influence your decision:

  • Your own needs and abilities
  • Your caregiver’s needs and abilities
  • Your home or workplace environment
  • How easy it is to transport
  • Your budget

As a patient, your first step should always work with your care team to review your personal healthcare situation. We also encourage you to call your local pharmacy if you have questions.

 

Questions to Ask Yourself Before Shopping for a Manual Wheelchair

Before you shop for a manual wheelchair, ask yourself the following questions to nail down your needs:

  • What’s your budget?
  • Is your chair covered by insurance?
  • Are you physically able to sit upright in a chair?
  • Do you have the physical strength to push the wheels yourself?
  • Do you rely on a caregiver?
  • Do you travel or spend the majority of time at home?
  • Have you ever struggled with bed sores or ulcers?
  • Does your home and/or neighborhood accommodate wheelchairs?
  • Will you use your chair for more than 4 hours per day?
  • Do you struggle with dizziness or weakness?
  • Do you know your wheelchair measurements?
  • Do you require support for amputated limbs?
  • Will you work at a desk for part or all of the day?

Each of these questions can impact which manual wheelchair style is right for you. Depending on your answers, it could even point to a need for a different solution altogether. Above all else, understand that all manual wheelchairs require the user to be stable enough to at least sit upright with support. Conditions that spur on weakness, dizziness, or instability may show that a patient is better suited to a more robust solution instead.

In the next few sections, we’ll discuss a few of the most common wheelchair styles and how they do or don’t suit patients who fall under the categories mentioned in the questions above.

 

Self-Propelling Wheelchairs

Self-propelling wheelchairs are by far the most common. They’re used in hospitals and care centers because they’re flexible enough to suit the needs of someone who is only slightly disabled as well as someone who is entirely dependent on a caregiver. Most models have large, 24” to 60” back wheels.

Wheel size is dependent on the size of the individual; children’s chairs will necessitate smaller wheels than adult chairs. Most self-propel chairs do also have a set of smaller front wheels tucked in on either side of the foot rests for stability. Nearly all self-propelling wheelchairs fold up for easy storage or transportation in a trunk.

Patients who are new to wheelchairs or using a wheelchair temporarily will find that a self-propelled manual wheelchair is very suitable for most needs.

There are certain situations where using a self-propelled wheelchair could present a safety or comfort risk. You must have the upper body strength and ability to push the wheels to make the chair move, and that can be too much for elderly or extremely infirm patients. It’ also an added challenge for those with upper body paralysis and/or compromised cardiovascular health.

Patients who have experienced loss of limbs and those who have extensive arthritis in one or both hands will also find it difficult to self-propel. Likewise, small children under the age of five may struggle also. Most toddlers and young children just don’t have the strength to turn the wheels, though size and weight can play a major role in their capabilities.

Keep in mind that the larger the wheels, the more easy they will be to push. Larger sizes may be needed for adults or children if function declines.

 

Transit Wheelchairs

Transit wheelchairs differ from self-propelling wheelchairs in that they have smaller wheels and a lower center of gravity. This allows for a caregiver to push the chair through small spaces like grocery store aisles or hospital washrooms with ease. It’s a style that’s most suitable for people who spend the majority of their time with a caregiver, nurse, or medical care team, and is one of the most common options for children, seniors, and people who aren’t well enough (for whatever reason) to self-propel.

Because transit wheelchairs are almost always designed to be lightweight, they may be ideal for families, patients, or care centers that need a wheelchair for transitions from home to a vehicle or vice versa. They’re also exceptionally useful for short outings, appointments, assisted physiotherapy sessions, and trips to other guided services. Patients who want the ability to self-propel aren’t able to do so period with a transit wheelchair. If you’re partially ambulatory–for example, recovering from a broken leg–you should choose a self-propelling chair instead.

Being unable to self-propel isn’t always a bad thing–it’s ideal for caregivers who look after dementia patients. The stationary assisted design prevents patient from wandering off alone if they become confused or disoriented. Robust braking and locking systems prevent tipping or rolling if the patient becomes agitated, too.

 

One Arm Drive

For amputees, people with arthritis, people with one-sided weakness, and those suffering from fractures of the arm, wrist, shoulder, or clavicle, pushing a self-propelled wheelchair can be difficult or even downright impossible. One arm drive chairs make it possible for these patients to support independence for a much longer period of time. Instead of pushing the chair with the wheels, patients can use a single lever on the side they have the most function on instead.

Operating a one arm drive chair is simple (so simple, in fact, that some people prefer them even if they have full use of both arms). Just push the lever on the side back and forth with one hand to rotate the wheels and propel the chair backwards or forwards. When it comes time to turn or move backward, a simple rotation of the lever or a press of a second smaller lever will let you adjust direction and angle before you move forward or backward. Some one arm drive chairs work in tandem with a patient’s standard cane; just insert the end of the cane into the lever hole and use it as the lever instead.

For all other intents and purposes, most one arm drive chairs carry the same features as a typical self-propel wheelchair: a balanced center of gravity and large 24” to 60” back wheels, as well as standard footrests and armrests. But the ease of use and flexibility for customization on most models makes it a real winner for people with:

  •  hemiplegia
  • arthritis
  • MS
  • other disorders that affect the hands, arms, and upper body

Amputee Support Chairs

The vast majority of amputee support chairs also fall within the earlier two categories (self-propel or transit), but they carry a few significant differences. Contoured seat pads and multiple padded support systems at any point from the shoulder down to the foot alleviate pressure on residual limbs and joints. That’s beneficial because it reduces the risk of pressure sores or pain after a long day in the seat. Added support for residual limbs and adjusted pressure points can significantly impact how well you adjust to your new life after amputation, so don’t be afraid to speak to your care team if you’re not comfortable. Comfort is just as important as function!

The one main drawback to amputee support chairs lies in the fact that it’s never a situation where one size fits all. Your care team or family will need to measure you for the chair to make sure you have the right fit. If the chair doesn’t fit right, the supports won’t sit at the right height, and that means pressure, achiness, and general discomfort. Even if your measurements line up, every amputee is unique; you may need further customization or orthotics to make your new chair comfortable.

Whenever possible, amputees should choose a manual wheelchair that has supports that can be adjusted on the fly. Seek out chairs with levers and switches that let you move your residual limb supports into a variety of positions depending on what you’re doing or how you’re feeling. When you need to work at a desk, you can lower them or draw them inward. When you’re heading out down the road, you can extend them for more stability.

 

Specialty Position Chairs

Though the majority of specialty positioning chairs are electric, it is possible to find fully-adjustable manual wheelchairs, too. Most come at a slightly higher price point, but have contoured, padded seats or backrests that either recline, angle in a specific direction, or keep the patient’s body positioned at an incline.

Chairs that lean, recline, or otherwise angle are most ideal for patients with:

  • Widespread weakness
  • Paralysis and/or loss of sensation
  • Certain seizure disorders
  • Certain forms of dysautonomia
  • Instability or muscle weakness
  • Dysautonomias and other CNS conditions
  • Kyphoscoliosis, spinal curvatures, and skeletal birth deformities

Your care team will most likely recommend a reclining chair if they feel it’s necessary for your overall health. But some patients choose these chairs simply because they feel more comfortable at a slight incline, rather than in the normal 90-degree sitting position, too. Furthermore, a chair that reclines can make it easier to take a small catnap in the backyard or even to sun yourself at the beach. It’s all about finding what works best for you.

 

Which to Pick?

Deciding to purchase a manual wheelchair is a big decision, and it can feel daunting or even frightening if you’ve never used a wheelchair before. It’s important that you have the support network needed to make your transition as effortless and easy as possible. If you have questions about mobility aids or your condition and whether a manual wheelchair might be right for you, call your local pharmacist. He or she can empower you with the information you need to make the best decision for your needs.

 

This is default text for notification bar
This is default text for notification bar
Exit mobile version