A question I get asked a lot when it comes to wheelchairs is “Do I need a transit or self-propelled wheelchair?”

Wheelchairs play a crucial role in enhancing mobility and independence for individuals with mobility challenges. Among the various types of wheelchairs, transit wheelchairs, and self-propelled wheelchairs are two distinct options designed to meet different needs. In this blog post, I’ll run through the main differences and similarities between transit and self-propelled wheelchairs, shedding light on the factors that users should take into account.

Transit Wheelchairs:

Transit wheelchairs, also known as transport or attendant-propelled wheelchairs, are designed to be pushed by a caregiver or an attendant rather than the user themselves. Here are some key features of transit wheelchairs:

1. Lightweight and Compact Design: Transit wheelchairs are often more lightweight and compact compared to self-propelled wheelchairs. This makes them easier to maneuver in tight spaces and convenient for transportation.

2. Smaller Rear Wheels: Transit wheelchairs typically have smaller rear wheels, making it easier for the caregiver to navigate and control the chair.

3. Foldable for Easy Transport: Many transit wheelchairs are designed to be foldable, facilitating easy storage and transport. This feature is particularly beneficial for individuals who require assistance but want a wheelchair that can be easily taken in and out of vehicles.

Self-Propelled Wheelchairs:

Self-propelled wheelchairs are designed for individuals who have the capability to move the wheelchair themselves. These wheelchairs provide users with greater independence and control over their mobility. Here are some key features of self-propelled wheelchairs:

1. Large Rear Wheels: Self-propelled wheelchairs typically have larger rear wheels, allowing users to propel themselves forward using hand rims. This design is essential for users who want to navigate various terrains independently.

2. Adjustable and Customizable: Self-propelled wheelchairs often come with adjustable features, such as seat height, backrest angle, and footrests. This customization allows users to find the most comfortable and ergonomic positions for their unique needs.

3. Heavier Construction: In contrast to transit wheelchairs, self-propelled wheelchairs may be heavier due to the larger rear wheels and additional features. This can impact their portability but contributes to durability and stability.

Similarities:

1. Basic Structure: Both transit and self-propelled wheelchairs share a fundamental structure, consisting of a seat, frame, wheels, and footrests. The difference lies in the specific design and features that cater to different user preferences.

2. Adjustable Features: While self-propelled wheelchairs often offer more customisation options, both types of wheelchairs may have adjustable features to ensure comfort and accommodate individual needs.

The choice between a transit wheelchair and a self-propelled wheelchair depends on the user’s mobility needs and preferences. Transit wheelchairs offer convenience and ease of use with the assistance of a caregiver, while self-propelled wheelchairs empower users to navigate their environment independently. Understanding these differences can help individuals make informed decisions that align with their lifestyle and requirements, ultimately enhancing their mobility and quality of life.

Having said all that, it’s important to note that I always recommend an assessment to determine the most appropriate type of wheelchair and just as important, the correct size. An occupational therapist conducts a wheelchair assessment by evaluating the individual’s physical abilities, functional needs, and environmental factors to determine the most appropriate wheelchair. This involves assessing posture, mobility, strength, and coordination, as well as considering the person’s daily activities and living environment. The therapist also considers the client’s preferences and goals to ensure the wheelchair meets their specific needs, promoting independence and improving overall quality of life.

As you can see, choosing the right type of wheelchair should not be left to chance.

You can view a range of quality, affordable transit, and self-propelled wheelchairs here.

 

Stairlifts can vary in price depending on the type and model you choose. On average, a basic straight stairlift can cost between €1,599 and €2,500, while a curved stairlift can cost upwards of €4,500.

 A curved stairlift is a type of stairlift that is specifically designed to be used on staircases that have curves or turns in them. This type of stairlift is typically custom-made to fit the exact measurements and specifications of the staircase it will be installed on, allowing it to navigate the curves and turns in the staircase safely and smoothly. Curved stairlifts are typically more expensive than straight stairlifts, but they are a valuable investment for anyone who needs assistance with mobility on a staircase that has curves or turns.

 Keep in mind that the above prices are just estimates, and the actual cost of a stairlift will depend on a variety of factors, such as length of your stairs, the complexity of your staircase (straight or curved) and any additional features you may want.

 It’s always a good idea to get a quote from a reputable stairlift company to get a more accurate idea of the cost. You may be entitled to a grant of up to €6,000 which may cover 100% of the cost of the work.

A riser recliner, also known as a lift chair, is a type of chair that can be adjusted to support the user in a variety of positions. Some of the key benefits of a riser recliner include:

1. Improved comfort: Riser recliners are designed to provide maximum comfort and support, with features such as padded cushions, adjustable lumbar support, and built-in heat and massage functions.

2. Increased mobility: Riser recliners can make it easier for people with mobility issues to get in and out of a seated position, as well as move around more easily.

3. Better posture: The adjustable backrest and footrest of a riser recliner can help users maintain good posture, reducing the risk of aches and pains.

4. Enhanced relaxation: The reclining and lifting functions of a riser recliner allow users to find the perfect position for relaxing and unwinding.

5. Increased independence: For individuals who have difficulty getting in and out of a traditional chair, a riser recliner can provide greater independence and reduce the need for assistance from others.

Check out the Beechfield Healthcare range of Riser Recliners.

If you are applying for a grant from a local authority you will be asked for an occupational therapist’s report with advice on how best to adapt your home to meet your needs.

The Occupational Therapist will organise a time that suits you to meet in your own home environment. The OT will then discuss your past medical history, social supports, previous therapy input, and also address any areas of concern you have. The assessment may involve you moving around and interacting with various aspects of your home and generally lasts an hour.  After checking your performance while doing these activities, the occupational therapist will be able to determine if you might benefit by using a technical aid, or by some modification in your environment to improve your level of safety or independence.

Depending on the results of your assessment it may be necessary to complete a follow-up assessment to look into areas of your cognitive function or specific tasks identified in the initial assessment.

The OT may suggest modifications such as the installation of grab rails in the toilet or house entrance, the installation of ramps, as well as major equipment and adaptations such as stair-lifts, bath-lifts, and wet-floor shower areas.

An Occupational Therapist is trained in assessing physical and psychological conditions in patients. They achieve this through observation, liaising with the client and/or their family and/or other healthcare professionals, activity analysis and by using other skills. Once the occupational therapist (OT) identifies where the issue lies – the OT may work with the person in regaining the function and to restore their engagement in the occupation to full capacity. There may be a requirement to use a daily living aid to assist the person in achieving their goals.

With constant research and development of new products, there is an ever-growing list of products that can help people regain function in an activity they want to engage in. These aids can help all ages from children to older adults. Below are some daily living aids that an OT may advise a client to get:

• Dressing aids – sock aids, shoehorn, dressing stick
• Washing/personal care aids – long handled brushes, combs, sponges, scissors
• Reading aids – magnifying aids, page holders, book stands
• Writing aids – grips, assistive technology, large
• Weighted/large grip cutlery
• Gardening aids
• Grip aids
• Toileting and bathing aids – raised toilet seats, shower chairs
• Sensory equipment – sensory toys, sensory armchair covers, sensory cushions, LED lights softened by sheer fabric, hand-held colour-changing light.
• Assistive technology – Screen readers, hearing aids, assistive listening devices, amplified telephone equipment, speech generating devices.

Daily living aids are a fantastic option to help improve, restore or maintain function in your normal everyday activities. If you would like more information or guidance – contact your local OT and book an assessment.

To start, Occupational Therapists (OTs) are skilled in the prescribing and trialling of wheelchair options that will meet your needs both in the short term and long term. Just as important, knowing how to use a wheelchair is critical and OTs are also skilled in providing wheelchair skills training.

Wheelchair options may include manual and powered wheelchairs, as well as power add-on options such as the Click and Go lite for manual wheelchairs.

The wheelchair assessment process

Your OT will complete a comprehensive assessment with you focusing on two key aspects: your mobility and wheelchair needs. Such is the extensive range of wheelchairs available; your OT may recommend wheelchair trials during the initial assessment or during follow-up appointments.

Once the ideal wheelchair is identified, your OT will ensure that the wheelchair is configured to suit your body frame. Wheelchair configuration can define a user’s activity level. There are many variables involved in the proper configuration of a manual wheelchair, including seat width and depth, back recline angle, position of the wheels, depth and height of the armrests, height and angle of footrest and tension adjustable backrests. Additionally, OTs will consider aspects such as transfers to and from your wheelchair, pressure care issues, accessibility around the house and community access.

In tandem, your OT will schedule wheelchair skills training. This usually involves approximately three sessions in your home environment and in your local community.

How can you help your OT with the initial assessment?

Your OT will be able to compile a comprehensive report if they have access to your medical records. The more information you can make available, the more detailed the OTs report will be.

If this is your first time considering the use of a wheelchair, then the more medical information you can share with your OT, the better. Also, run though a list of all the places where you’ll be using your wheelchair. This list will be a critical information to help the OT prepare a shortlist of wheelchairs for you to consider.

If you already are a wheelchair user, then provide your OT with as much detail about your current wheelchair as possible. Perhaps, you have an alternative in mind, and this will guide the OT in compiling their recommendations.

An occupational therapist home assessment is an evaluation conducted by a qualified professional to assess an individual’s living environment and determine its suitability and necessary modifications to improve their functional independence and quality of life.

There are five key reasons for getting an occupational therapist to carry out a home assessment. Read the following list and identify and list those that would have a positive impact on your life.

1. Expertise in Assessing Functional Abilities: Occupational therapists specialise in assessing an individual’s functional abilities and how they interact with their environment. They are trained to evaluate a person’s physical, cognitive, and psychosocial abilities, as well as their specific needs and goals. This expertise allows them to identify potential barriers or challenges within a home environment that may affect an individual’s independence and safety.
2. Personalised Recommendations: By conducting a home assessment, an occupational therapist can provide personalised recommendations tailored to an individual’s specific needs. They consider factors such as mobility, accessibility, safety, and activities of daily living. They can suggest modifications, adaptive equipment, and strategies to improve the individual’s independence, safety, and overall quality of life within their home.
3. Maximising Safety and Independence: The primary goal of an occupational therapist is to promote independence and safety. By assessing the home environment, they can identify potential hazards, such as tripping hazards, poor lighting, or inaccessible areas, and provide recommendations to mitigate these risks. They can also suggest modifications to improve accessibility, such as installing grab bars, ramps, or stairlifts, which can enhance the individual’s ability to move around safely and independently.
4. Enhancing Quality of Life: Occupational therapists understand the impact that a well-designed home environment can have on a person’s overall well-being and quality of life. Through their assessment, they can identify ways to optimize the home environment, making it more functional, comfortable, and supportive. This can include recommending modifications to facilitate hobbies, leisure activities, social interactions, and other meaningful occupations.
5. Cost-Effectiveness: Investing in a home assessment conducted by an occupational therapist can be cost-effective in the long run. By addressing potential barriers and hazards proactively, individuals can prevent accidents or injuries that may result in costly hospitalisations or long-term care needs. Additionally, the recommendations provided by the occupational therapist can help individuals make informed decisions about home modifications or assistive devices, optimising their investment and avoiding unnecessary expenses.

It is important to note that the specific benefits of a home assessment may vary depending on the individual’s needs and circumstances. Having said that, there is no doubt that involving an occupational therapist in the process can lead to a comprehensive evaluation, personalised recommendations, and improved safety, independence, and quality of life within the home environment.

It’s not a straightforward task to list the benefits as each patient (child, young adult, adult, senior adult) will require a programme of treatment tailored to their unique circumstances. Having said that,  in general, the treatment programme will improve the abilities of the patient in a variety of ways, depending on their individual goals. The occupational therapist may provide:

• Help with motor development to improve the ability to dress, shower, eat, and groom
• Support to participate in activities at work or school, such as writing
• Help with techniques to self-regulate for people with behavioural disorders
• Support to perform household management such as cleaning and budgeting
• Support to make driving possible
• Identification and purchase of mobility equipment such as wheelchairs and ramps
• Information to help with confidence building and social participation
• Help to improve hand eye coordination to improve ability in sports and leisure activities

Occupational Therapists (OTs) and Physiotherapists (Physios) can sometimes be confused as both professions can work with similar groups of people.

Physiotherapy focuses on improving a person’s movement. Physios are movement experts as they have the knowledge and understanding of the anatomy and physiology of the affected area – including muscles, tendons, joints, range of motion, strength etc. Physios help improve the lives of people who have movement issues. This is done through

• Providing hands-on care
• Prescribing specific movement exercises
• Education – on the affected area of the body
• Prescription of certain mobility aids – Zimmer frames, tri walkers, rollators, etc.
• Individual or group work – goals can be achieved through individual therapy or group therapy depending on the physio you are working with, your injury and the expertise of the physio.

In comparison to a Physio – an OT is focused on improving people’s ability to perform specific tasks or activities they want to complete in their normal everyday lives. An OT will work with the person to understand their abilities and goals, then the OT will develop a treatment plan based on this information. These goals can include both physical and mental/cognitive tasks. To help people achieve these goals an OT may use one or a combination of techniques. These include:

• Person – the OT will work with the person, and their family or carers (if relevant), in building or maintaining the skills needed to engage in their desired activity. This may include practical exercises, providing equipment, education etc
• Environment – the OT will work with the client to adapt the environment to allow the person to engage – this may include house/home adaptions, grab rail installation, re organisation of rooms/areas, understanding the social environment and supports/barriers present.
• Occupation – finally an OT may look at adapting the occupation or activity the person is doing.

An OT and Physio can regularly work together for a variety of reasons. Engagement in your regular everyday activities or occupations generally require movement. Likewise, movement generally helps enable engagement in everyday activities. Both an OT and Physio may be involved in equipment prescription (riser recliners, hoists, mobility aids, daily living aids, pressure care, etc.).

Overall, an OT and Physio aim to improve a person’s life by helping them to achieve their goals. If you would like to know which profession would be more suitable for your situation you can contact our resident OT to find out.

The Bellavita bath lift was once described to me as being worth its weight in gold; that from a client who was able to rediscover the joys of being able to take a warm and luxurious bath. It’s true, the rejuvenating power of a relaxing bath should never be underestimated. For those with limited mobility, the prospect of enjoying a soothing soak might seem daunting. This is where the Bellavita bath lift comes to the rescue, offering a range of remarkable benefits that can greatly enhance the quality of life.

The Bellavita bath lift is designed to gently lower and raise an individual into and out of the bathtub, ensuring a safe and stress-free bathing experience. Here are some of the notable advantages:

1. Independence and Dignity: Maintaining one’s independence and dignity is crucial, especially for those with mobility challenges. The Bellavita bath lift empowers individuals to bathe on their own terms, eliminating the need for assistance and fostering a sense of self-reliance.

2. Reduced Risk of Accidents: Traditional bathtubs can pose a risk of slips and falls, particularly for people with limited mobility. The Bellavita bath lift significantly reduces this risk by offering a controlled and gradual descent into the water, and an effortless ascent afterward.

3. Muscle Relaxation: Warm water has therapeutic effects on muscles and joints. Bathing in a comfortable position provided by the Bellavita bath lift allows for better muscle relaxation, which can alleviate tension and contribute to overall pain relief.

4. Improved Circulation and Heart Health: Submerging oneself in warm water can enhance blood circulation and promote cardiovascular health. The gentle massage-like action of the water can help to lower blood pressure and improve overall heart function.

5. Stress Relief and Mental Well-being: Taking time for a bath is not just about physical relaxation; it’s also about mental rejuvenation. Bathing with the Bellavita bath lift encourages individuals to disconnect from the hustle and bustle of life, promoting mental clarity and reducing stress.

6. Hygiene Maintenance: Regular bathing is essential for personal hygiene. With the Bellavita bath lift, maintaining cleanliness becomes easier and more convenient, which contributes to improved overall health.

7. Customisable Experience: The Bellavita bath lift comes with adjustable features, allowing users to personalise their bathing experience. From water depth to recline angle, individuals can find the settings that suit their comfort and needs.

8. Ease of Installation and Use: The Bellavita bath lift is designed to be user-friendly, with simple installation and intuitive controls. It is versatile enough to be used in various types of bathtubs.

As you see from the above, the benefits of the Bellavita bath lift extend far beyond the physical act of bathing. They provide an avenue for individuals with limited mobility to enjoy a relaxing and therapeutic experience while promoting independence, safety, and well-being. Investing in a Bellavita bath lift is not only an investment in physical comfort but also in the overall quality of life. You can order a Bellavita bathlift on our partner website – Beechfield Healthcare.