Selection of electric wheelchairs and precautions for sitting in wheelchairs
Whether the hips can be close to the back of the electric wheelchair: If the hips cannot be close to the back of the electric wheelchair The seat back, the lower back will bend and slide out of the wheelchair. Therefore, according to personal conditions, use the concave seat cushion to make the lower back and buttocks completely conform to the entire seat back. In addition, the following methods can be considered for improvement: leggings to fix the thighs; lumbar safety belts to fix the pelvis; adjusting the angle of the seat; adjusting the angle of the seat back (0-15 degrees).
Correct leg position: Leg position affects ischial tuberosity pressure. When inspecting the wheelchair, it should be considered whether the footrest is too high and the position is incorrect. If so, the height of the footrest can be adjusted so that the thighs are flat on the seat cushion and the average leg pressure is helpful for correct positioning. bit.
Whether the wheelchair seat back angle is comfortable: Proper inclination angle (0-15 degrees) can increase the stability and comfort of the sitting position, help the body to disperse the gravity and prevent the spine side bend. There are two suggestions for angle adjustment: first, use an adjustable back pad or a reclining wheelchair to adjust. Second, adjust the height of the back pad and the support of the waist pad.
Whether the torso is straight: If the torso of the upper body cannot be kept straight, you must use the support on both sides to assist the positioning of the body and avoid the situation of spine deformation. You can use a back pad to prevent spine deformation, with support on both sides or a special wheelchair with a combination of tilting and reclining. If the upper body torso bends forward and is hunched, use a double cross chest strap or H-shaped fixing strap to fix it. fixed.
Does the head need a headrest?: For users whose head cannot be positioned normally, appropriate treatment should be done according to the user’s situation.
If there is a lack of support, a general headrest can be used, which is properly supported from the back of the head; the head is inclined to be supported from the back on one side, and an auxiliary pad is added to the inclined side; The front ground should be supported by the rear, and a movable forehead strap can be added to the headrest, which can not only lift the head, but also has a set of pulleys behind the forehead strap, which allows the user to turn left and right. Head, improving the field of view and angle.
How to choose an appropriate wheelchair for the user according to the positioning situation is very important. If you ignore the user’s physical condition to select or adjust the assistive device, once the body’s musculoskeletal structure changes due to balance and support problems, it will be too late to review the use of the assistive device!
