Remploy
8 & 9 Series
User Guide
Page
16
September 2006 Revision D
1.9
OCCUPANT CONTROLLED MOBILITY
Handrims
These are provided for the occupant to grip and push round to propel the
wheels. Best results will be obtained by a long pushing stroke, which
gives a continuous and smooth forward motion. Many users find that
gripping across the tyre and handrim at the same time gives better
control. We recommend that when operating in this way, wheelchair
gloves are worn.
Users with gripping difficulties may find larger section or Capstan types,
with easy grip features, more practical.
When using a handrim to turn a chair round in a tight space, push one
wheel forward, whilst pulling the other wheel backwards. Always make
sure when carrying out this manoeuvre, that there are no obstructions or
bystanders in the turning space required.
Balance Training
Physically active, independent people require wheelchairs, which allow
them to safely negotiate kerbs and achieve efficient control and
manoeuvrability.
It can be hazardous for an occupant to attempt wheelie positions on
wheelchairs, which are stable above 10 degrees rearwards static
stability, as physical effort needed to manoeuvre and pull a wheelie can
be excessive, consequently increasing the risk of accidentally tipping over
backwards.
Maximum efficiency of hand propulsion occurs when occupant centre of
gravity and wheel centre coincide, and is dependent on the occupant
shape and size.
Physically active people should have wheelchairs
with fine wheel position balance settings, i.e. below 10 degrees rearward
stability. These chairs should have rear stabilisers when supplied to
inexperienced users, allowing the user to practice balancing techniques
with the reassurance that the chair will not accidentally tip over
backwards.
During training, the Therapist, or Training Supervisor can therefore build
up the confidence of the occupant in stages, by initially setting the
wheelchair up in a safe balance position, with the stabilisers acting
positively, and progressing gradually towards optimum performance
settings, with the stabilisers only acting as a back up.
Once satisfied that the occupant has developed the full range of
wheelchair skills, and provided that the medical condition is not
compromised, the therapist can authorise removal of the stabilisers,
and the occupant then takes full responsibility and control of the
wheelchair.
