Whenever the patient is active in the wheelchair or getting in and out of the wheelchair, he must master the basic movements of manipulating the brakes (brakes), removing the armrests and footrests, lifting the hips forward in the wheelchair, and being able to perform ground movements in the wheelchair. To pick up, move your hands toward the footrest to fasten the toe straps. Patients and their families should learn to push wheelchairs on flat ground, push wheelchairs on slopes, and go up and down steps.
- Push the wheelchair on flat ground
When pushing the wheelchair on the flat ground, the buttocks should sit firmly, the body should maintain balance, and the head should be raised and forward. Arms back, elbows slightly bent, grasp the back of the ring, arms forward, elbows extended. At this time, the body leans forward slightly and repeats several times, the strength of the arms is strengthened due to the forward momentum generated by the upper body
- The wheelchair backs up on flat ground
Put your arms around the back of the chair between the wheel handles, stretch your elbows, put your hands on the lap of the manual wheelchair, lean back, and lower your shoulders so that your arms can push the wheels backward with enough force. For those who cannot push the wheelchair up the slope, This method can also be used to make the wheelchair fall up the slope, and the limbs of the hemiplegic patient and the health test coordinate the movement to push the wheelchair forward.
- Push the wheelchair on the slope
Analysis: How to use and care for wheelchairs?
Uphill: Lean forward, put your hands behind the top of the manual circle, extend your wrists back, flex your shoulders and retract them to push the wheels forward. By changing the direction of the wheels so that they intersect with the slope, the wheelchair can stand on the slope.
Downhill: Extend the head and shoulders, and apply the hand brake. You can put your hands in front of the wheel or put a metacarpal under the hand ring while maintaining the wrist dorsiflexion.
- Change the direction of the wheelchair
Take turning to the left as an example: put your left hand behind the manual circle, and rotate your left arm slightly to the outside, so that the weight of your body is transferred to the inside of the wheel through your left hand. Use your left hand to turn the right wheel backward, and at the same time, turn your right hand in a normal posture. side wheel turned forward
(2) Use by assistants
- Forward or backward
Four-wheel landing method: keep the wheelchair level or four-wheel landing
Two-wheel landing method: the steering wheel is empty, the big wheel is on the ground, and the wheelchair is pushed or pulled backwards
- Up the stairs
The two-wheel landing method drags backwards up the steps; pull the handle backwards and downwards, step on the backward tilt bar, the steering wheel goes up the steps, the handle moves forward and upwards, and rolls the big wheel up the steps according to the trend, pushing
- Up and down the stairs
One-person style: two-wheel landing method, dragging backwards, step by step. Go down the stairs and vice versa
Two-person pose: the same person poses, and the other person is placed in front of the wheelchair to assist
Four-person style: the same person, two people at the front and rear of the wheelchair, coordinated