Module 4: Manual Wheelchair Options, Configuration, and Propulsion Biomechanics

Presenter: Mark R. Schmeler, PhD, OTR/L, ATP

Click Here to Access Presentation (44 minutes)

Click Here to Access Handout (.pdf)

Abstract

This module addresses the fundamentals of manual weelchairs that includes types of devices, components, indications, and contraindications. Proper set-up to promote function, safety, and propulsion efficiency is discussed. Research and other evidence is referenced throughout. A case study discusses his perspective of the set-up and configuration of his customized manual wheelchair.

Learning Objectives

Upon completion of this module, the learner will be able to;

1. list and compare/contrast the 9 general classifications of manual wheelchairs
2. describe 4 components of a manual wheelchair and their purpose/functionality
3. list 2 types of repetitive strain injuries associated with the use of manual wheelchairs
4. list and describe 4 common propulsion patterns and their impact on reducing upper extremity repetitive strain injuries
5. identify one Clinical Practice Guideline resource that supports properly configured manual wheelchairs

Additional Readings & Resources

1. Link: Paralyzed Veterans of America, Upper Limb Preservation Following Spinal Cord Injury. Hide link in title.
2. Article "Proper Propulsion" by Koontz & Boninger (2002\3) in Rehab Management Magazine.
   
3. Schmeler, M.R. & Betz, K.L. (2006, December). Weighty Decisions for Lightweight Wheelchairs. Home Health Care Dealer Provider, (18).
4. Article "A Lightweight Option" by Rich Smith (2008) in Rehab Management
   http://www.rehabpub.com/issues/articles/2008-04_02.asp
   
5. Presentation: DiGiovine, Berner, & Roesler. (2009). ISS Presentation: Update on the evidence surrounding ultralightweight manual wheelchairs.
   Click here to access Link: http://www.rstce.pitt.edu/RSTCE_Webinar/2009/RSTCE_Webinar_P215_09.html
6. RESNA Position on the Application of Ultralight Manual Wheelchairs
7. The Mobility Management article on the ultralight manual wheelchair position paper at: http://mobilitymgmt.com/articles/2012/06/01/resna-position-paper.aspx

• Back to Course Modules 1-8

---

Updated | 08.27.2015