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Manual power wheelchairManual Power-Assist Wheels by QUICKIE | Sunrise Medical - Sunrise Medical uses Cookies
Available with a folding or rigid frame, built-in growth, and compatible with many seating and positioning solutions. The first of its kind: A truly transportable tilt wheelchair, specially designed for families on the move.
The ZIPPIE Voyage early intervention device combines the convenience of a quick-folding lightweight stroller frame with incredibly versatile seating, giving more options to support growing babies and their caregivers. Yes, by raising and lowering the push handles in the rear side frame or back frame one can adjust the back height.
Your serial number is usually found on the frame underneath the seat or on the cross brace of a folding wheelchair. It will be a white sticker with a barcode and a series of numbers. Unfortunately we don't. However, nail varnish is an extremely inexpensive and easy way of fixing any small scratches or blemishes to your wheelchair's frame. There are a number of different wheelchair cushions available for our products.
You can view our complete range of JAY wheelchair cushions online. For the best comfort we advise you to contact your nearest authorized Sunrise Medical dealership. Yes you can! You can find the list of available colors on the product's order form.
If you're looking for something more unique, our BuiltMe team can help supply a product to your specific needs. These cookies are enabled by default and are required for basic site functionality. These include cookies that keep track of your session ID when exploring our site and also assist in security and login authentication.
See list of cookies. Sunrise Medical asks you to accept cookies to personalize website content and analyze traffic. We also use third-party social media and advertising cookies to offer you social media functionalities and personalized ads on other sites. Do you accept these cookies and any processing of personal data involved? Manual Wheelchairs. Read more Compare. Nitrum Rigid Wheelchair Ultra-lightweight wheelchair with ultra-responsive movement without energy losses.
Match Point Sports Wheelchair This tennis sports wheelchair was designed for agility and control. Octane Sub4 Rigid Wheelchair Guaranteed to weigh less than 8. Elite Series Sports Wheelchair The RGK Elite is the sports chair of choice for professional wheelchair basketball athletes, made to your exact measurements. Sphynx Children's Static Tilt Wheelchair The first of its kind: A truly transportable tilt wheelchair, specially designed for families on the move.
Frequently Asked Questions Can the backrest height be adjusted? Keep in mind that a turning radius does not equate to functional maneuverability. Front wheel drive may be less intuitive to learn how to drive versus mid-wheel drive, but with a little practice and a few key tips, many users have success in learning to drive a FWD base.
Hug the corner. Turn towards the problem. This might sound complicated, but if you remember to turn into the problem you will easily maneuver away from the problem. Some users find FWD the easiest to learn as it feels most like walking when taking turns.
When walking, we typically initiate turning into a doorway as soon as we get to the corner vs. Power seat functions are simply the different positions that a power wheelchair can achieve by using a joystick, alternative drive control, external switch, or switch box.
Click on each power seat function below to learn specifics. Power seat functions can always be combined. The available power seating options, however, are dependent to some extent on the type of power wheelchair base selected. There are two different style of drive control: proportional drive control and non-proportional drive control.
Proportional drive control means that the driving action speed, direction is relative to the amount of deflection of the joystick away from neutral and the direction of that deflection. A proportional drive control can be a standard joystick, or it can be a variety of other alternative drive controls that have similar functionality. Most require some amount of range of motion and strength to activate, this may not be possible for everyone.
Throw: The amount of deflection or travel from neutral it takes to reach maximum speed typically measured in millimeters. Force: Force required to move the joystick from neutral typically measured in grams. For example, the wheelchair may be controlled by four individual switches that the user hits to activate the wheelchair — one for each direction of forward, reverse, left, and right.
A six or eight direction control might have a command or switch for each of the following directions. Key phrases for non-proportional drive controls. A switch must be continuously pressed or activated in order for the power wheelchair to drive. When the switch is released, the chair will stop driving. A single press or activation of the switch will activate the power wheelchair in that direction for a specified period of time or until the user gives an input for the chair to stop.
A proximity switch is a type of electronic switch that does not require any force to activate. The user must simply come within a specified distance of the switch to activate.
A fiber optic switch is a type of electronic switch that does not require any force to activate. The user must either maintain or break a beam of light to activate. The are key factors when evaluating power base performance. Power wheelchair bases should be able to help a user navigate a variety of spaces and terrain safely and efficiently.
Suspension, torque, and tracking all play a key factor in the wheelchair's ability to do so with minimal jarring to the user.
In power wheelchairs this is a function of appropriate gearing of the gear box to assure the powerbase can navigate obstacles effectively.
In short, tracking technology helps the wheelchair stay on the desired route by compensating for environmental aspects that would otherwise cause the chair to veer. Chapter 3. Our beginner's guide to fundamentals of wheeled mobility, Wheeled Mobility , goes over the therapy evaluation along with how to measure for properly fitting wheelchair components.
Click on the links below to learn more about each topic. How to measure shoulder width A : Measure from humeral head to humeral head, incorporating excess tissue. How to measure chest width B : Measure from axilla to axilla, this measurement helps determine back support width. How to measure Hip width C : Measure from widest point to widest point of the hips, including all residual tissue. How to measure g or H : Measure the patient in the position you are striving to achieve.
Consider whether the back support height can be adjusted on the power wheelchair when determining length. These measurements will determine the length of the arm support and the height it should be placed. How to measure Forearm length j : If patient needs a specialized arm length, measure from end of elbow to where the therapist wants the desired replacement arm support to end.
How to measure UPPER leg length K : Measure from the back of the buttock area, including all excess tissue, along the femur to the popliteal fossa. How to measure lower leg length L : Measure from popliteal fossa to bottom of foot. If they normally wear shoes, include shoes with measurement.
Some Group 2 bases will allow this, but it is most common in Group 3 and above. Primary support surfaces are the primary weight bearing surfaces when seated in the wheelchair and include:. Secondary support surfaces are the other support surfaces of the seating system and may include:.
Chapter 4. Funding is highly determined by the functional and medical needs of a client. There is no cookie cutter solution for funding powered mobility devices. Every individual is unique and has specific needs and therefore best practice is to always put the client first! Unfortunately, at times, this leaves the consumer as the last to be considered in the equation.
For example, under Medicare, a seat elevator is considered a luxury item and not deemed medically necessary even though this power seat function could mean the difference between independence or the need for assistance with a transfer. This approach has a trickle-down effect on client access and product innovation. If a function or item improves independence, it should be medically necessary and paid for by the funding source.
Permobil offers an on-line LMN Generator. For free access to template justification language, sign up at www. Templates are a great starting point, but your justification must always be customized to the individual client and their specific medical and functional needs. While a Group 4 power mobility base is considered a non-covered item under Medicare, some state Medicaid and private insurances will cover a Group 4 base with the appropriate justification.
Remember, recommend what your client needs medically and functionally! In addition, Group 4 power mobility bases are not just for outdoor use. You may consider a Group 4 base for other reasons such as:. Power seat elevation is covered by some state Medicaid programs and private insurances. Use of vocational rehabilitation funds may be a consideration as well if the person is attending school or work, and the seat elevator helps them in those roles.
The following five questions are frequently asked in the industry. Click on each question below to find out the answer. Chapter 5. There are a few topics in power mobility that are not easily classified into a category. In this section we explore these topics of special consideration. Rosen, L et al Early power mobility can provide a child the opportunity to play and interact rather than simply being an observer. Children as young as months old have shown the ability to learn power mobility skills when provided with frequent opportunities to practice.
Casey, et al Remember they may struggle and fail just like toddlers fall frequently when learning to walk. But by providing encouragement and repeated opportunities to learn, a young child can learn to use power mobility to play and explore his environment.
Depending on the size of the child, the power wheelchair may have a smaller footprint and turning radius than a manual wheelchair. If a child is going to ride in the wheelchair in a vehicle, there needs to be access, tie downs, and compliance to safety regulations.
Multiple seating and positioning options can promote postural stability and minimize the development or progression of abnormal postures or pressure injuries. If a child will ride in a car seat, most power wheelchairs will require a lift to transport the wheelchair. Certain power wheelchair options allow for a child to rest and be toileted in their chair without the need to be transferred to the bed. Power wheelchairs can be paid for by insurance if a child meets the requirements.
This can vary greatly in different parts of the country and your supplier can help you navigate the process. At this young age, a PMD is used as a therapeutic tool for short periods while supervised. It creates opportunities for toddlers to develop strength, exploratory behaviors, emotional expression, and postural control.
Plummer et al. Self-initiated movement is critical to promoting developmental milestones. A PMD allows for on-time mobility during this crucial period of development. A power assist is the use of technology to assist with the "push" phase of independent manual wheelchair propulsion.
Learn more about power assist devices in our manual wheelchair guide. Be proactive instead of reactive! Power assist can prevent upper extremity overuse injury and promote increased independence and safety. Is this true? Insurance companies typically pay for the least costly, medically appropriate alternative. Here are some considerations to determine when power assist may be most medically appropriate:. Although a Group 2 power wheelchair is more cost-effective, it offers limited positioning options and a footprint that may not fit well in some environments.
What if my client can't use a standard joystick? Address the following with a standard joystick before changing to an alternative drive control:. Once you've assessed all the considerations on page x with a standard joystick an alternative drive control may be required:. Click on the different types of alternative drive controls to learn more about each. Uses head movement to activate proximity or mechanical switches built into pads. Some newer models also have a proportional component.
A switch array is a series of two or four switches proximity or fiber optic , typically mounted in a tray, used to operate the power wheelchair. When using multiple switches, a combination of mechanical, proximity, or fiber optic switches may be used based on the available movement and strength at each switch site. Single switch scanning allows for operation of the power wheelchair with a single switch. The user display or separate box mounted to chair gives a visual cue of direction example pictured below , typically through an arrow or light that scans 4 to 8 discreet directions.
The user activates the switch once the arrow or light reaches the desired direction. The switch may be programmed as momentary or latched. Eye gaze allows for power wheelchair operation through use of eye movement via an eye tracking device and tablet computer mounted on the wheelchair. Wheelchairs have advanced with technology in recent years, and these features can help your clients in many ways. Bluetooth: Advanced electronics allow end users to connect to their smart devices via Bluetooth technology.
This enables them to use the input device to both drive their wheelchair and control their paired phone or tablet. Apps: Some manufacturers have developed wheelchairs that communicate with apps on their smart devices. These can provide end users with:. Remote connectivity: Service technicians can remotely access wheelchair data to help diagnose potential issues, resolve simple fault codes, and better prepare for service visits.
It's important to keep the following in mind as you work through the evaluation, justification, and delivery process. Think about both short and long-term needs, and then do the best you can for your client!
Evaluate each individual to identify their needs and goals medically, posturally, functionally, and environmentally. Maximizing client comfort, minimizing pain, correcting deformities when possible, preventing further deformity, preventing pressure injury, maximizing safety and functional independence, assuring independence in all necessary environments.
Identify seating and mobility equipment that will meet these needs. Connect clients needs to recommended equipment solutions in documentation.
Remember that power wheelchairs with power seat functions can provide important health, function and participation benefits - think big picture when evaluating how power seat functions may improve outcomes! Power assist devices can be a great solution if a manual wheelchair base is most appropriate given the clients environmental and functional needs.
A client-centered evaluation and delivery, including set-up and training on the device, are key to success in achieving best client outcomes. You are going to need to advocate for your patient now in order to get them the proper equipment that can address their needs over time. Click here to view the glossary for the guide. Click here to view the list of references.
Remember, there are no "standard" solutions when providing power wheelchair mobility. Each client is unique and deserves a system that is tailored to their individual needs and goals. Just use your clinical reasoning skills to figure out what's best within the given parameters.
The Power Wheelchair Guide is available for download. Click here to get your PDF copy. All rights reserved. Lisa K. Whitney, P. Infant Behavior and Development, 34 3 , — Stavness, C. The effect of positioning for children with Cerebral Palsy on upper-extremity function: A review of the evidence. PT and OT in Pediatrics, 26, Kenyon, L.
Providing paediatric power wheelchairs in the USA then and now: a survey of providers. Disability and Rehabilitation: Assistive Technology, Explorer Mini Brochure. Alternative Funding Resource. Explorer Mini Supporting Evidence.
Your browser is out-of-date! Power Wheelchair Guide A comprehensive introduction to optimizing power mobility for your client's function This guide is intended to help equip therapists to make the most appropriate mobility recommendations for their clients and will increase their confidence and knowledge of power mobility.
Purpose of this Guide. This guide is intended to help therapists: Understanding the qualifications for both manual and power wheelchairs Understand the anatomy and functionality of a power wheelchair Understand the power wheelchair bases and what base is most appropriate for a client Understand the power seat function options and what is most appropriate for a client Understand the seating, accessory and drive options that can come on a power wheelchair Understand the process of evaluation all the way to delivery of a power wheelchair Our hope is that this guide will equip therapists to make the most appropriate mobility recommendations for their clients and will increase their confidence and knowledge of power mobility.
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