Choosing The Right Wheelchair: A Complete Buying Guide

Wheelchair

As loved ones age, mobility can become a concern, impacting their independence and quality of life. Selecting a suitable wheelchair for elderly individuals requires careful consideration of their specific needs, safety, and comfort. With various types, features, and considerations, finding the perfect wheelchair can be overwhelming. This comprehensive buying guide aims to assist you in making an informed decision, ensuring your elderly family member or friend regains their mobility and freedom.

1. Assess Mobility Needs: A crucial step in selecting a wheelchair is to assess the user’s mobility needs, considering both their indoor and outdoor requirements, as well as their level of independence and ability to self-propel.

a. Indoor mobility: Consider indoor mobility needs, including moving around the house, navigating doorways, and accessing rooms. Wheelchair maneuverability and compactness are crucial for easy navigation in tight spaces.

i. Maneuverability: Look for wheelchairs with smaller front wheels that allow for sharp turns and easy movement through narrow hallways and doorways.

ii. Floor Surface: Consider the type of flooring within the home to ensure the wheelchair’s wheels are suitable for smooth movement.

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b. Outdoor mobility: Evaluating the user’s outdoor mobility needs is equally essential, as it involves addressing challenges like uneven terrains, curbs, and different weather conditions. Outdoor wheelchairs should be sturdy and provide stability to navigate varying surfaces with ease.

i. Large rear wheels: Opt for wheelchairs with larger rear wheels, which offer better traction and stability over uneven terrain.

ii. Shock absorption: Consider wheelchairs equipped with shock-absorbing features to minimize discomfort from rough surfaces.

iii. Wheel locks: Ensure the wheelchair has secure wheel locks to provide stability

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2. Types of Wheelchairs: The user’s level of independence and ability to self-propel should guide the choice between a manual or electric wheelchair. Assess their upper body strength and comfort with self-propelling to determine the most suitable option.

a. Manual wheelchairs: Manual wheelchairs are a popular choice for elderly individuals with sufficient upper body strength and the desire for greater control over their movement. They are lightweight, easy to maneuver, and offer various seating options for added comfort. Manual wheelchairs are suitable for both indoor and outdoor use, making them versatile companions for elderly users.

Wheelchairs with removable wheels and pneumatic tires for more comfort in any road conditions, fire retardant seat covers, and stylish looks. 

A super comfortable manual wheelchair that provides high back support.

b. Electric wheelchairs: Electric wheelchairs are an excellent choice for elderly individuals with limited upper body strength or endurance. They are powered by motors, allowing users to move independently with ease. Electric wheelchairs are designed for both indoor and outdoor use, and some models are equipped with advanced features like reclining seats and elevating leg rests.

Double battery operated wheelchair that offers a driving range of around 20 km on a single charge with easy to-operate controller.

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c. Reclining wheelchairs: Reclining wheelchairs are suitable for elderly individuals who spend extended periods in their wheelchairs and need the option to change their position for pressure relief and comfort. These wheelchairs can be reclined to different angles, promoting better posture and relaxation.

A wheelchair that reclines to support the back while providing maximum comfort along with high-back support.

3. Comfort & Support: For individuals relying on wheelchairs, comfort, and support are paramount to ensure an optimal experience during daily activities. A well-designed wheelchair with adequate cushioning and adjustable features can make a significant difference in the user’s comfort, posture, and overall well-being. Some of the key features that enhance mobility and elevate the user’s quality of life are:

a. Well-padded seats & backrests: Well-padded surfaces provide support and prevent pressure points, minimizing discomfort during extended use. Proper cushioning reduces the risk of pressure ulcers and ensures a pleasant seating experience for elderly or disabled users who may spend considerable time in their chairs.

b. Adjustable footrests: Adjustable footrests are a critical feature that provides personalized support to users of varying leg lengths and mobility requirements. Proper positioning of the feet promotes better circulation and reduces the risk of swelling or leg fatigue.

Wheelchair with elevated footrests and flip-up armrests making it more convenient for the users to get in and off the chair.

c. Armrests with customizable height & width: Armrests play a vital role in supporting the upper body and ensuring proper alignment of the shoulders and arms. Wheelchairs with armrests that can be adjusted in height and width offer tailored support, accommodating users of different sizes and facilitating easy transfers in and out of the chair.

d. Ergonomic design: Wheelchairs with an ergonomic design focus on maintaining the user’s proper posture, reducing the risk of discomfort and strain on the back and neck. Supportive backrests with lumbar padding encourage a healthy spinal alignment, alleviating pressure on the lower back.

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e. Headrests: Headrests are essential for users who require extra neck support, ensuring proper head alignment and reducing strain on the neck muscles.

f. Breathable & easy-to-clean materials: Comfort is not only about cushioning but also the materials used in the wheelchair. Breathable and easy-to-clean materials on seats and backrests ensure proper ventilation and hygiene, preventing moisture build-up and discomfort.

4. Weight Capacity: The weight capacity of a wheelchair refers to the maximum amount of weight it can safely support. Ensuring that the wheelchair’s weight capacity matches or exceeds the user’s weight is essential for their safety, comfort, and overall mobility experience.

a. Bariatric wheelchairs: Bariatric wheelchairs are designed to accommodate heavier users with higher weight capacities. They offer wider seat widths and reinforced frames to ensure stability and support for elderly individuals with higher body weights.

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5. Wheelchair Size & Dimensions: When it comes to choosing a wheelchair, one size does not fit all. Wheelchair size and dimensions play a crucial role in the user’s comfort, mobility, and accessibility. Consider the following factors when it comes to the size and dimensions of the wheelchair:

a. Seat dimensions: The seat width should provide enough room for the user’s hips, allowing them to sit without feeling cramped or restricted. The seat depth ensures that the user’s thighs are well-supported, preventing discomfort and pressure points.

With a wide seat, this wheelchair is durable and has a better weight-carrying capacity.

b. User’s height: The user’s height is another essential consideration when selecting a wheelchair. The seat-to-floor height should be appropriate for the user’s leg length, allowing their feet to rest comfortably on the footrests or the floor when needed.

c. Doorways & passages: Considering the doorways and passages the wheelchair will navigate is crucial, especially for indoor use. Measure the width of the narrowest doorways and passages that the wheelchair needs to pass through to ensure it can maneuver easily without getting stuck.

d. Turning radius: The turning radius of a wheelchair is the amount of space required to make a complete turn. In confined spaces, such as in a home or office, a wheelchair with a smaller turning radius is more convenient, allowing the user to navigate corners and tight spots effortlessly.

6. Portability & Storage: For individuals who need to transport their wheelchair frequently, the wheelchair’s foldability and weight are essential considerations. A foldable wheelchair is easier to store and transport, making it a practical choice for users who travel or need to fit the wheelchair into a vehicle.

Compact and foldable models for easy transport and storage, well-suited for elderly individuals who travel frequently.

7. Wheelchair Accessories: Wheelchairs have evolved beyond being mere mobility aids; they are now customizable to cater to individual needs and preferences. Some of the accessories that you can consider while choosing a wheelchair are:

a. Seat pads: Wheelchair seat pads are essential accessories that provide additional comfort and pressure relief. It helps prevent pressure sores, reduce discomfort during extended sitting, and improve posture, ultimately enhancing the user’s overall well-being.

A reclining wheelchair with cushioned back and armrest for complete comfort. 

b. Wheelchair bags & pouches: From small pouches to larger bags that attach to the backrest or armrests, these accessories enable users to keep essential items like phones, wallets, keys, and water bottles within easy reach.

c. Wheelchair trays: Wheelchair trays provide a stable and secure surface for users to perform tasks or enjoy meals while seated in their wheelchairs. These adjustable trays are designed to fit most wheelchair models and can be easily attached and removed as needed.

d. Cup holders: Whether it’s a coffee mug or a water bottle, cup holders enable users to enjoy their favorite drinks without the fear of spillage.

e. Wheelchair umbrella holders: These accessories securely hold an umbrella in place, ensuring the user remains protected and comfortable in various weather conditions.

f. Wheelchair ramps & lifts: These aids facilitate smooth transitions between different levels, enabling users to access buildings, vehicles, or elevated areas with ease.

9. Braking System: A well-functioning braking system acts as a crucial safety feature, enabling the user to stop the wheelchair promptly and prevent accidents. Whether it’s coming to a complete stop, navigating inclines, or halting on uneven surfaces, a reliable braking system ensures the user’s control and prevents unintended movements.

10. Maintenance & Warranty: Inquire about regular maintenance requirements and warranty coverage to safeguard your investment.

11. Consultation with Healthcare Professionals: Always consult with a healthcare professional or an expert in mobility devices to ensure the wheelchair meets the specific needs of the user.

With this buying guide, you’ll be equipped to choose the perfect wheelchair that promotes comfort, mobility, and overall well-being.

(The article is written by Monalisa Deka, Senior Health Content Editor, and reviewed by Dr. Swati Mishra, Medical Editor)

References
1. Product Narrative: Wheelchairs. Available online: https://at2030.org/static/at2030_core/outputs/Wheelchair-Product-Narrative_YYYbjUZ.pdf
2. Entros Surgicals. Available online:
Wheelchairs
3. Vissco Next. Available online:
https://vissconext.com/pages/wheelchairs

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