Manual Wheelchairs
The manual wheelchair user group are individuals who use wheelchairs that are propelled by their own muscular strength and endurance (figures 7 and 8). Manual wheelchairs have a seat between two rear wheels usually about 600 mm (24 inches) in diameter. The 75-mm to 200- mm (3- to 8-inch) front wheels swivel to allow for easy steering. Users can propel themselves using push rims attached to the rear wheels. Braking is accomplished by resisting wheel movement with the hands or arms. Alternatively, another individual can control the wheelchair using handles attached to the back of the chair.
There are two general types of manual wheelchair: standard and lightweight; their performance characteristics are significantly different. Standard wheelchairs are typically used by individuals living in institutions, those who lack the financial resources for the purchase of a lightweight model, or those who simply prefer them. Lightweight wheelchairs are often referred to as "sports chairs" or "ultralights." Their design is based on the types of wheelchairs developed by athletes with disabilities over the past 20 years. They usually feature a lighter weight frame, smaller footrests, smaller front caster wheels, lower back support only, and no arm rests in comparison to the standard models. They are also much more expensive than a standard manual wheelchair.
Power-assist wheels are devices that can be attached to either a standard or lightweight manual wheelchair. They provide propulsion via an electric motor to assist individuals with more limited arm strength who wish to travel over longer distances. A power unit with pneumatic tires and a steering tiller can also be attached to the front of a manual chair.
There are several different categories of users of manual wheelchairs ranging from those with full upper body function to those with no independent mobility. Manual wheelchair users with limited or no independent mobility are generally pushed by another person, and may be trail users too.
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