eMedicine Specialties > Physical Medicine and Rehabilitation > Rehabilitation Protocols

Seating Evaluation and Wheelchair Prescription: Multimedia

Author: Pamela E Wilson, MD, Assistant Professor, Department of Physical Medicine and Rehabilitation, University of Colorado; Medical Director of Assistive Technology, Medical Director, Spinal Defects Clinic, Training Director, Pediatric Rehabilitation Fellowship, The Children's Hospital
Coauthor(s): Michelle L Lange, OTR, ABDA, ATP, Owner, Access to Independence; Benjamin R Mandac, MD, Chief of Physical Medicine and Rehabilitation, Medical Director of Pediatric Rehabilitation, Kaiser Permanente at Santa Clara
Contributor Information and Disclosures

Updated: Mar 19, 2009

Multimedia

This illustration shows a wheelchair with a sling...Media file 1: This illustration shows a wheelchair with a sling seat and back, with no adaptations for support. Note the elevating leg rests and reclining back. This wheelchair would be for institutional or short-term use only.
This illustration shows a wheelchair with a sling...

This illustration shows a wheelchair with a sling seat and back, with no adaptations for support. Note the elevating leg rests and reclining back. This wheelchair would be for institutional or short-term use only.

Example of a manual rigid wheelchair with cambere...Media file 2: Example of a manual rigid wheelchair with cambered rear wheels and a foam cushion. Note the small front wheels and no push handles.
Example of a manual rigid wheelchair with cambere...

Example of a manual rigid wheelchair with cambered rear wheels and a foam cushion. Note the small front wheels and no push handles.

Power scooter with a 3-wheel configuration; no sp...Media file 3: Power scooter with a 3-wheel configuration; no specialized seating is available
Power scooter with a 3-wheel configuration; no sp...

Power scooter with a 3-wheel configuration; no specialized seating is available

Power wheelchair with joystick drive and minimize...Media file 4: Power wheelchair with joystick drive and minimized special seating.
Power wheelchair with joystick drive and minimize...

Power wheelchair with joystick drive and minimized special seating.

This is an air-filled cushion. Such cushions requ...Media file 5: This is an air-filled cushion. Such cushions require maintenance but have even pressure distribution.
This is an air-filled cushion. Such cushions requ...

This is an air-filled cushion. Such cushions require maintenance but have even pressure distribution.

The IBOT wheelchair uses newer technology (to all...Media file 6: The IBOT wheelchair uses newer technology (to allow stair climbing and upright position) along with traditional wheelchair features.
The IBOT wheelchair uses newer technology (to all...

The IBOT wheelchair uses newer technology (to allow stair climbing and upright position) along with traditional wheelchair features.

Sports wheelchair used for track and road racing.Media file 7: Sports wheelchair used for track and road racing.
Sports wheelchair used for track and road racing.

Sports wheelchair used for track and road racing.

More on Seating Evaluation and Wheelchair Prescription

References
Further Reading

References

  1. Requejo PS, Kerdanyan G, Minkel J, et al. Effect of rear suspension and speed on seat forces and head accelerations experienced by manual wheelchair riders with spinal cord injury. J Rehabil Res Dev. 2008;45(7):985-96. [Medline].

  2. Huhn K, Guarrera-Bowlby P, Deutsch JE. The clinical decision-making process of prescribing power mobility for a child with cerebral palsy. Pediatr Phys Ther. Fall 2007;19(3):254-60. [Medline].

  3. Samuelsson K, Wressle E. User satisfaction with mobility assistive devices: an important element in the rehabilitation process. Disabil Rehabil. 2008;30(7):551-8. [Medline].

  4. Mortenson WB, Miller WC, Miller-Pogar J. Measuring wheelchair intervention outcomes: development of the wheelchair outcome measure. Disabil Rehabil Assist Technol. Sep 2007;2(5):275-85. [Medline].

  5. Collins F. An essential guide to managing seated patients in the community. Br J Community Nurs. Mar 2008;13(3):S39-40, S42-3, S45-6. [Medline].

  6. van der Woude LH, Bouw A, van Wegen J, et al. Seat height: effects on submaximal hand rim wheelchair performance during spinal cord injury rehabilitation. J Rehabil Med. Feb 2009;41(3):143-9. [Medline].

  7. Morrow MM, Hurd WJ, Kaufman KR, et al. Shoulder demands in manual wheelchair users across a spectrum of activities. J Electromyogr Kinesiol. Mar 5 2009;[Medline].

  8. Dicianno BE, Tovey E. Power mobility device provision: understanding Medicare guidelines and advocating for clients. Arch Phys Med Rehabil. Jun 2007;88(6):807-16. [Medline].

  9. Currie D, Hardwick K, Marburger R. Wheelchair prescription and adaptive seating. In: Delisa JA, Gans BM, eds. Rehabilitation Medicine: Principles and Practice. 3rd ed. Philadelphia, Pa: Lippincott-Raven; 1998:763-88.

  10. Geyer MJ, Brienza DM, Bertocci GE, et al. Wheelchair seating: a state of the science report. Assist Technol. 2003;15(2):120-8. [Medline].

  11. Samuelsson KA, Tropp H, Nylander E, et al. The effect of rear-wheel position on seating ergonomics and mobility efficiency in wheelchair users with spinal cord injuries: a pilot study. J Rehabil Res Dev. Jan-Feb 2004;41(1):65-74. [Medline].

  12. Ward DE. Prescriptive Seating for Wheeled Mobility: Theory, Application, and Terminology. vol 1. Ft Lauderdale, Fla: Healthwealth International; 1996.

  13. Yuen HK, Garrett D. Comparison of three wheelchair cushions for effectiveness of pressure relief. Am J Occup Ther. Jul-Aug 2001;55(4):470-5. [Medline].

Keywords

wheelchair, wheelchairs, medical supplies, medical products, wheel chair, mobility scooter, mobility aids, wheel chairs, durable medical equipment, electric wheelchair, power wheelchair, electric wheelchairs, electric wheel chair, motorized wheelchair, power wheelchairs, wheelchair parts, wheelchair equipment, wheelchair accessories, manual wheelchair, manual wheelchairs, assistive device, assistive devices, scooter wheelchair, mobility equipment, mobility device, mobility assistive equipment, electronic aides to daily living, EADLs, DME

Contributor Information and Disclosures

Author

Pamela E Wilson, MD, Assistant Professor, Department of Physical Medicine and Rehabilitation, University of Colorado; Medical Director of Assistive Technology, Medical Director, Spinal Defects Clinic, Training Director, Pediatric Rehabilitation Fellowship, The Children's Hospital
Pamela E Wilson, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation
Disclosure: Nothing to disclose.

Coauthor(s)

Michelle L Lange, OTR, ABDA, ATP, Owner, Access to Independence
Disclosure: Nothing to disclose.

Benjamin R Mandac, MD, Chief of Physical Medicine and Rehabilitation, Medical Director of Pediatric Rehabilitation, Kaiser Permanente at Santa Clara
Benjamin R Mandac, MD is a member of the following medical societies: American Academy for Cerebral Palsy and Developmental Medicine and American Academy of Physical Medicine and Rehabilitation
Disclosure: Nothing to disclose.

Medical Editor

Virginia Simson Nelson, MD, MPH, Chief, Clinical Associate Professor, Department of Physical Medicine and Rehabilitation, Division of Pediatric and Adolescent, Dept of PM&R, University of Michigan
Virginia Simson Nelson, MD, MPH is a member of the following medical societies: American Academy for Cerebral Palsy and Developmental Medicine, American Academy of Pediatrics, American Academy of Physical Medicine and Rehabilitation, and Physicians for Social Responsibility
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Richard Salcido, MD, Chairman, Erdman Professor of Rehabilitation, Department of Physical Medicine and Rehabilitation, University of Pennsylvania School of Medicine
Richard Salcido, MD is a member of the following medical societies: American Academy of Pain Medicine, American Academy of Physical Medicine and Rehabilitation, American College of Physician Executives, American Medical Association, and American Paraplegia Society
Disclosure: Nothing to disclose.

CME Editor

Kelly L Allen, MD, Regional Medical Director, IMX-Medical Management Services
Disclosure: Nothing to disclose.

Chief Editor

Rene Cailliet, MD, Professor-Chairman Emeritus, Department of Rehabilitation Medicine, University of Southern California School of Medicine; Former Director, Department of Rehabilitation Medicine, Santa Monica Hospital Medical Center
Rene Cailliet, MD is a member of the following medical societies: American Academy of Pain Medicine, American Academy of Physical Medicine and Rehabilitation, American Pain Society, Association of American Medical Colleges, International Association for the Study of Pain, and Pan American Medical Association
Disclosure: Nothing to disclose.

 
 
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