There are several aspects to consider when choosing a manual wheelchair. We explain the main points below:
- Frame: The frame can be folding or rigid. A folding frame allows the wheelchair to take up less space when folded. A rigid frame transfers the force applied by the user to the push rims more efficiently.
- Seat: The seat is usually made of canvas or fabric so that the wheelchair can be folded. It should be wide enough to accommodate the width of the user's pelvis. It should also be deep enough to support almost the whole of the user's pelvis and thighs.
- Backrest: The backrest is also usually made of canvas or fabric, as most wheelchairs are folding models. The height of the backrest normally reaches the lower edge of the user's shoulder blades. It should not be higher, as this would restrict upper limb movement when the user wishes to self-propel.
- Armrests: Armrests are usually removable and flip-up. These features make transfers easier and allow the user to move closer to a table.
- Footrests: Standard footrests are generally flip-up and swing-away to make transfers easier. Elevating leg rests are available to allow a leg to remain extended if the person is immobilised for any reason.
- Wheel size: The rear wheels may be large, 600 mm for self-propelling wheelchairs, or small, 320 mm for wheelchairs pushed by an attendant. Solid tyres are advisable in order to reduce maintenance requirements and puncture-related incidents.
