If confined to a manual wheelchair, correct custom wheelchair measurements are key…
More often than not I see people disabled in manual wheelchairs who have their wheelchair measurements set-up all wrong. Sometimes their wheelchair is much too wide for their body structure. Sometimes they don’t have the back axle centered correctly for optimal balance given their size, weight, and disability level. Or, sometimes they could simply be in a more active type/style of custom manual wheelchair. Of all the wheelchair measurement mistakes I see, there is one that absolutely stands out the most. It bothers me to no end seeing a wheelchair’s back wheels higher than waist-level of the person sitting in it. What these people don’t understand is the higher those back wheels go the higher they’ll have to reach with each push. Also, the higher you reach to grab the wheel rail the more your triceps will be stretched, making each push more difficult.
I suggest you keep the highest point of your back wheels within 2 inches of your waist-line for optimal pushing efficiency.
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