What's More Important Wheelchair Brand or Wheelchair Configuration?

The Wheelchair Frame or the Wheelchair Configuration?

It is important to understand that when you are using a wheelchair, scooter or powered wheelchair; the seating and frame configuration is more critical than the brand of chair that you own/buy.  As an expert in the industry, I find most consumers coming to me with questions on which brand; Quickie, Invacare, Colours, Permobil or Tilite wheelchairs and which is the best.  If you had asked me a few years ago, I may have had a preference, however today through innovative new technology there are only subtle differences.

The wheelchair frame is important, however the configuration of the frame and the seating is much more critical to the function and well being of the user.  As I am sure you will agree, many wheelchair users posture is less than perfect in their wheelchair; even if the chair brand is a good one.  You can have the best of equipment but if it isn't configured properly it is only contributing to the problems you are facing.

How Can I Improve My Posture & Function? 

/As a professional, when I am asked this question, I suggest they see their physician or their physical/occupational therapist.
Their medical professionals may have insight on why they sit the way that they do. It is good practice for any wheelchair user to use a team of people to help solve these issues. 

Assuming their physician clears the user with no physical limitations, we can work to improve posture and positioning.  This may require only an adjustment; or it could require new seating and positioning equipment or an entirely new device.

The goal is aways to start at the pelvis. The human pelvis is where everything is attached, and requires the greatest attention in sitting. The goal is to place the pelvis in as close to neutral position as possible. Of course for some individuals having the pelvis anteriorally tilted or posteriorally tilted will be necessary. A stable pelvis is the route of function, which equates to mobility and quality of life. The seating supports are also very critical in the positioning and stabilization of the pelvis.

The position of the lower extremities (legs/feet) are important to consider, as they are tied to the pelvis and require support and positioning.  The angles at the feet/ankles,  the angles at the knee and the angle of the hips are very important for positioning as well as for function and mobility.

What DO I  Need to Know ?

If you are are a wheelchair user, you need to understand that how you are positioned in your wheelchair frame, the orientation, and the seating supports will improve your posture, improve your stability, improve your function and improve your health.  Failure to consider this early, when he body is flexible can result in contracture and deformity that can increase life complications. 

Who Can Help Me?

There is a seating and mobility specialist in nearly every community. This may be a physician, therapist or RESNA or NRRTS. These organizations maintain a list of practicing experts who can assist you with all your equipment needs. You should find and align yourself with a team who can monitor and make recommendations as your body changes or when you are confronted with an obstacle.

This article was written by Carey J. Britton, ATP/SMS, CRTS to offer general but important information on wheelchair configuration and seating.  Carey is the resident Seating and Mobility Specialist for Active Mobility Center. He can be reached at cbritton@wheelchairguys.com or (800) 326-4463.