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.

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.

With the better weather upon us – deciding which product is most appropriate is an important choice and there is a variety of factors to consider. To help people make an informed decision it is important to consider the pros and cons of both the electric wheelchair and the mobility scooter. Below we have listed some of these to help you with choosing the correct mobility product for you.

Electric wheelchair

Benefits/Features

• 4-6 wheels
• Steered by a joystick
• Highly Manoeuvrable
• Tight turning circle
• Suitable for both outdoor and indoor use
• Wide variety of seat options
• Comfortable for long periods
• Support for postural issues
• Highly durable and stable
• Easier to use on public transport
• Ability to get closer to tables/countertops
• Options for folding versions

To Consider

• A powered wheelchair will be heavier than an entry level mobility scooter
• May require a car hoist/wheelchair accessible vehicle
• Usually more expensive
• Less storage
• Usually drives slower 

Mobility scooter

Benefits/features

• Mostly outdoor use
• Wide variety/models available
• More affordable
• More storage space.
• Usually drives quicker
• Easier to carry or put in/out of a vehicle
• Options for folding versions

To Consider

• Usually not as stable
• Not as comfortable for long periods
• Usually only appropriate for people with good upper body strength and dexterity to control and operate the scooter
• Has a wider turning circle – is usually not as appropriate for indoor spaces

So, mobility scooter vs powered wheelchair – which one? Choosing the right mobility product depends on a variety of factors including how/when it will be used. If you have any difficulty in deciding on which product is right for you – why not call your local Occupational Therapist or use our Find An OT – OT HUB (it’s FREE). Your local OT will help provide you with the help/advice on which product is most appropriate for you.