Finding the perfect wheelchair can be challenging, especially for first-time buyers. Comfort, mobility, and independence are key to enhancing quality of life. At Bion, we offer expert advice from occupational therapists to help you make the right choice. Read our comprehensive guide to discover what factors to consider when purchasing a wheelchair.
What you need to consider when buying a wheelchair
In determining whether a wheelchair is right for the user, it is important to consider the following areas:
- Does it suit the user’s lifestyle?
- Where will the wheelchair be used?
- How frequently does the user use the wheelchair?
- What is the purpose?
- Does it cause any safety issues?
Consider all these factors as a package to ensure that the wheelchair/pushchair is the right ‘fit’ for the user.
1. Wheelchairs vs Pushchairs
Wheelchairs have larger rear wheels that are essential for self-propelling which is suitable for users who do not require much assistance. Pushchairs, on the other hand, are more compact with smaller rear wheels that are unreachable by hand, hence it would require assistance from a caregiver to push from behind.
For example, a frail patient who is unable to self-propel and needs to be transported frequently to and from a daycare centre with the help of a caregiver will require a light and compact pushchair for ease of storing in a car boot. A wheelchair will also serve this requirement but will not be ideal as it is heavier to carry into the car boot.
2. Seat Width & Depth
For seat width, ensure that there is an allowance of 2 inches (1 inch on either side) for clothing or wiggle room. The user must be measured when sitting either at the hips or thighs. This also ensures that the armrests can be comfortably used.
For seat depth, ensure that there is a 2-inch gap from the back of the knee to the seat edge.
3. Weight Capacity
Most wheelchairs can accommodate up to 100kg. Ensure that there is some allowance in case the user gains weight. Check if the weight capacity of the wheelchair is suitable for the user.
Bariatric wheelchairs are heavy-duty and designed to handle users of higher weight requirements. The seat widths are wider, often 20 inches or more, and can be used by users weighing over 100kg. Bariatric wheelchairs are wider in overall size. Ensure that your door widths are sufficient for the wheelchair to pass through.
4. Armrest
The armrest is not just a resting place for the arms of the user, it serves to balance and stabilize the user during sudden stops or sharp turns.
If the user needs safety reminders, it is best to have filled in armrests. This helps to minimise the risk of getting their hands caught or sliding out to either side.
Removable (or detachable) armrest allows easy side transfers.
5. Backrest
If the user can sit upright comfortably, a standard backrest is sufficient.
If the user is bedridden, a reclining backrest can be considered. Bedridden users can’t readjust their posture on their own. A reclining backrest helps to relieve pressure and encourage blood circulation. A reclining backrest also helps patient transfer from wheelchair to bed.
For patients with back problems, an adjustable tension backrest (tension back) can accommodate to the curvature of the user's back. The tension straps can be adjusted to any desired tension and readjusted when needed.
6. Maintaining Hygiene
Removable seat cushions help to make washing and maintaining hygiene easier - an ideal feature for users with continence issues.
7. Footplates
Adjust the height of the footplates to allow the user to bend 90 degrees at the knees and ankles.
A user with a knee cast would not be able to bend their knees, thus they would need an elevating leg rest with an adjustable angle.
Fixed footrests should suffice for users who can easily walk in between the footrests when getting in or out of the chair. Otherwise, removable or flip-up footrests are essential for transferring the users from the front or the side of the wheelchair.
8. Safety belt
Safety belt is useful in case the person is accidentally bumped or if the chair comes to a sudden stop.
Safety belts should not be used to position somebody who cannot maintain a sitting balance, as they can slide down and the safety belt will restrict their breathing, which can be uncomfortable.
9. Anti-tippers
Anti-tippers are useful for users who sit back heavily in the chair and might risk tipping backward, often considered for users who have double knee amputations.
However, be mindful that It could also get in the way when going up and down curbs or steep slopes. This problem can easily be solved by having adjustable anti-tippers.
The Bottom Line
Choosing the ideal wheelchair or pushchair requires careful consideration of the user's unique needs, lifestyle, and usage scenarios. Key factors include seat size, depth, weight capacity, and essential features such as armrests, rear wheels, and backrests. Whether you need a wheelchair for self-propelling mobility or a pushchair for ease of transport with caregiver assistance, selecting the right model can greatly enhance comfort and independence.
Looking to buy a wheelchair in Malaysia?
Explore our wheelchair range for the best wheelchairs in Malaysia. If you need a more personalised service, please visit our store or contact our friendly team through Whatsapp!
Bion Malaysia (Melaka)
No.28, Jalan Rahmat 4
Taman Malim Jaya
75250 Melaka, Malaysia.
Tel: +60 16-6625088
