Why is device selection and set-up important?
Author: Sharon Jang | Reviewer: Emma M. Smith | Published: 25 March 2020 | Updated: ~
Wheelchair prescription and set-up is an important part of fitting a wheelchair appropriately. This requires consideration of several different factors. The configuration of the wheelchair will greatly affect the overall performance of the wheelchair in the community, as well as how a person functions in the wheelchair. Set-up is also important because complications may arise when inappropriate adjustments/selections are made. Choosing the right device is an important part of making sure that your day-to-day mobility is safe and meets your needs.
It impacts your safety and the prevention of health problems
The characteristics of your mobility device can impact your health in several ways. Ill-fitting or inappropriate equipment can contribute to health problems, such as:
- Pressure injuries from rubbing, friction or areas of high pressure
- Overuse injuries from poor positioning or too much resistance
- Arm, shoulder, or back pain
- Joint contractures or spasticity from poor positioning
- Muscle imbalances or spinal deformities
- Postural changes
- Discomfort
Your device and how it is set-up can also affect your safety. For example, if a chair is set-up in a manner that makes it easy to tip over, it may lead to falls.
It impacts your mobility and everyday function
The characteristics of your mobility device can also affect how you function in day-to-day life. For example, small tweaks to your wheelchair set-up can make it easier or more difficult to maneuver and propel yourself. The characteristics of your device may also affect the environments and situations that you can use it in, such as whether it can be used outside, during sports, or can be put in and out of a car independently.
It affects your participation in a number of different activities and environments
There are a variety of styles of wheelchairs and scooters, each with their own benefits and drawbacks. Properties of various mobility devices, such as the turning radius, the length and width, and the stability of the device may impact the types of activities that a wheelchair user can participate in. For example, a wheelchair that has a wide turning radius may not be able to maneuver in smaller stores with narrow aisles. Additionally, some devices perform better in inclement weather than others. This may be a consideration for individuals living in areas where it is often rains or snows.
