How to Self Propeller a Wheelchair
Learning to self-propel in a wheelchair can open the door to a whole new realm of independence. But, it takes practice and proper body position to achieve this.
Proper body positioning requires a precise grip and pushing technique. This article will concentrate on these skills and other important aspects of wheelchair propulsion.
Hand Positioning
Self-propulsion is a key component of self-propulsion. Start with precision, then increase speed. Squatting while pushing can improve the stability and comfort of those who use it, especially those who have lower body restrictions. The hands should be set to be in line with the speed of the wheel and to push evenly with both hands, without wrapping the thumbs around the hand-rims. This is a common error, which reduces effectiveness and adds more force per stroke.
To avoid contact with the rear wheel, the path to recovery for the hands must be in an "equilateral" pendular pattern beneath the hand-rims. This helps reduce the strain on the shoulders, as well as limiting the amount of strokes and length of each stroke at an absolute minimum.
For more difficult surfaces it is often advised that the user of a wheelchair use long strokes with a full recovery (like the hand positioning on a clock). This can help to reduce shoulder injuries caused by repetitive motion, however it could also increase the strain on the shoulders.
Utilizing the same position for both propelling and braking can also help minimize shoulder injuries. If the user of a wheelchair can keep a steady rhythm during both of these actions it will be simpler to manage the forces that are applied and adjust for variations in the terrain.
On surfaces that are muddy or soft, it is often necessary to lean forward a bit while driving to stop the front wheels from sinking into ground and tumbling backwards. It is worth trying different levels of trunk lean to determine the ideal balance between too little and too much. Regular practice will increase your confidence and ability. Wheelchair propulsion can be a life-changing skill for people with mobility issues. With the right technique, the right equipment and a little bit of knowledge anyone can be taught to operate their manual wheelchair effortlessly! This entry was filed under News and was tagged with wheelchair.
Foot Positioning
The position of the feet of the user is extremely crucial for stability. It is not always ideal when the wheelchair has feet that are not close enough since this makes it difficult to self-propel. Sometimes it is necessary for the wheelchair to have this configuration to be able to navigate through difficult terrain. If a person is going up an extremely steep ramp or perhaps over some of the beautiful National Parks and beaches in the United States, then the wheelchair must have wheels that can push over them to allow the user to move forward. This is accomplished by having the front wheels placed as shown in the image below.
The user can pull the wheels together by grasping the rims. This requires an enormous amount of upper body strength and is very slow to do, but it is possible and it can allow clients who would otherwise not be able up or down hills achieve this.
Wheelies are also important to allow the user to overcome obstacles such as curbs or even people. In this situation, the client will place their left foot on top of the right, so that they can lift themselves up and over the obstruction. The user will then lift their right leg and push with their left hand to cross the obstruction. This is referred to as a crab walk, and is an efficient method to move a wheelchair across some of our more difficult terrain.
Self-propelled wheelchairs, or manual chairs, as they are sometimes referred to, are an excellent solution for many injured and disabled people who want to be able to walk without relying on someone else for assistance. They are compact, lightweight and foldable, which means they take up less space in your home than other mobility aids. By utilizing accessories like the E-Motion, they are able to be transformed into powerchairs, giving the user freedom to use their chair and the added benefit of electrical assistance when needed.
Braking
The ability to self propel in a wheelchair is an essential skill for individuals who suffer from mobility difficulties. It lets them navigate various kinds of terrains and situations independently. It also helps build strength in the shoulders and upper arms.
The user should press down on one side of the hand rim, then pull up the other side to propel the wheelchair forward. This pull-pull action creates momentum and propels the wheelchair in the direction desired. The speed at which the wheelchair is moved can be controlled by applying more or less pressure on the rims, or by using hand brakes, if they are fitted with them.
Ideally, the cycle should last three hours or more. This reduces the time that the shoulder is being strained which reduces the chance of injury due to repetitive strain. The width and size of the back wheels will affect the speed that a wheelchair can be moved. Larger wheels require more force to move, while smaller wheels are more maneuverable. Wheelchairs can also be designed to have camber that aligns the rear wheels with biomechanics, and increases the stability of the lateral side.
Wheelchair users who want to improve their propulsion technique should concentrate on achieving the correct body position, and practice in a safe environment, such as an empty parking lot or hall. The goal is to create long slow strokes, allowing the wheelchair to move smoothly between strokes.
It is also important that the user learn to maneuver when moving, such as turning or weaving around objects. One method to do this is by weaving across cones, and then gradually moving into straight-line motion. The more you practice, the easier this will become.
Self-propelled wheelchairs can be an ideal option to help people stay active and do the things they love.
self propelled wheelchairs can provide the freedom to move around and can be a fantastic tool to socialize, go to the cinema or even travel. If you can learn to use a wheelchair properly you will be able to continue or get back your independence and get to the place you want to be.
Stability
A person who is a wheelchair user who self propels their chair can be independent and go where they want to go without relying on others. It does require an adequate amount of upper body strength to push the wheels on flat surfaces, and even up small hills. This is the reason why many wheelchair users opt to use an attendant controlled (also known as an attendant propelled) chair such as the Action3 NG or ErgoLite 2 and are pushed by an attendant.
It is essential to know how to grip the hand rims of manual wheelchairs correctly to maximize functionality and comfort. We have found that many customers use this kind of wheelchair with their hand rims too far away from the front. This means they have to reach further backwards to move their arms. This isn't biomechanically efficient and can lead to shoulder strain.
The ideal hand-propulsion motion is a semi-circular movement where the client is alternating between the push and recovery phase. The push phase requires the client to push down on the casters, which is accomplished with lots of small strokes. This push pattern helps to strengthen the shoulder retractor muscles and ensure a healthy range of motion.
The user should move their hands across the rims until they reach the casters once more. This allows the user to use a few longer strokes and reduces the amount of friction that occurs during the recovery phase. Some wheelchair users slide their hands down the rims in a smooth circular motion during this phase, but this isn't as efficient and can cause wear on the rims.

The positioning of the rear wheels for self-propulsion is another important aspect of stability. If the wheel is positioned too far in the rear, a wheelchair can easily slide. It can be difficult to maneuver around obstacles, and is not recommended for injuries to the shoulder. To decide which wheel is the best for a particular client it is necessary to evaluate their strength, range-of-motion and muscle tone, their the state of their orthopedics and other variables during the seating assessment.