Wheelchair suppliers recommend wheelchairs to be user-centered, and the therapist should discuss with the rehabilitation physician, the physiotherapist, the nurse, the patient, the family, etc., and choose the wheelchair according to the type and extent of the user's disorder.

First, the general choice of wheelchair requirements:

Wheelchairs are used not only indoors, but also often for outdoor use. For some patients, wheelchairs may be their mobile tools between the family and the workplace. Therefore, the choice of wheelchair should meet the needs of the passengers, the size and size of the user to adapt to the ride comfort and stability; wheelchair should be strong, reliable, durable, fixed with the ground when the ground fixed, to avoid shaking; And handling; driving less effort, less energy consumption. The price can be accepted by the average user, allowing the user to choose the appearance (such as color, style, etc.) and function has a certain degree of autonomy. Buy parts and repair easy.

Second, depending on the different options Wheelchair:

Different dysfunctions have different requirements for wheelchairs. According to the user's function such as upper limb muscle strength, coordination ability, joint mobility, sitting stability and other choice wheelchair.

1. According to the user-driven wheelchair capacity:

(1) can not be used to control wheelchairs can only use other people to promote the wheelchair. Such as bilateral upper and lower limbs completely paralyzed and have serious mental retardation and so on.

(2) both sides of the upper limbs without the power of the wheelchair, but there are residual capacity can move a small handle or press the switch can choose electric wheelchair.

(3) shoulder, elbow muscles have driving force, but the hand grip is not enough in the hand wheel can be wrapped plastic shrinkage, or use with a handle to promote the hand wheel. Such as C5 spinal cord injury can be used to force the biceps muscle strength to push the level of manipulation; and shoulder joint activities can be used to limit the vertical push; finger flexion movement is limited and not easy to use when the fist push.

(4) only one hand can drive wheelchair, can choose unilateral drive wheelchair or choose electric wheelchair.

(5) hemiplegia patients can choose low-seat ordinary wheelchair, hand-driven hand wheel, foot to control the direction of foot.

(6) double upper limb muscle strength should be installed to extend the pole in order to facilitate the operation of the brake.

2. According to the ability of the user to enter and exit the wheelchair, the upper limbs of the upper limbs can barely drive the wheelchair, but can not be independent of the wheelchair, should be used to separate the two sides of the foot care, in order to facilitate the wheelchair near the bed edge.

3. According to the user's posture and position

(1) hip joints should be limited to the use of tilting back wheelchair.

(2) knee flexion should be used to lift the foot care bracket.

(3) both lower limbs complete paralysis should choose a wheelchair with a leg, in the foot should also have a heel ring.

(4) may occur pressure ulcers should be added with wheelchair cushions.

(5) lower extremity amputation, especially the bilateral thigh amputee, the wheelchair to the rear axle, the installation of dumping rod.

(6) can not maintain the stability of the seat should be fixed with a seat belt.

(7) trunk muscle paralysis accompanied by severe paralysis scoliosis who announced the use of manual stretcher.

4. According to the wheelchair environment

(1) In the interior, the wheelchair used in the streets of the city should use solid tires and smaller diameter casters. Users in the rural and poor roads should use pneumatic tires. Casters should be slightly larger.

(2) In order to prevent sharp damage to the wheelchair damage to the fingers, you can consider the removal of competitive wheelchair handrails and brakes.

5. According to the needs of the work, dining needs to be sitting in a wheelchair and dining should use stepped short handrails to make the wheelchair close to the desk and table, or choose a stable wheelchair and attach a wheelchair table.

Different diseases and injuries have special requirements for wheelchairs:

1. Paralysis In addition to high thoracic spinal cord injury to be considered the balance of the trunk control problems, paraplegia patients with wheelchair requirements are basically the same. The size of the agent is determined by physical measurement. General use of stepped short handrails, and install the caster lock. If you need to complete the transfer from the rear action, can be placed on the back of the zipper or choose a tilting backrest wheelchair; to shift from the side, should use removable handrails. Ankle spasm or clonic need to increase the ankle belt, heel ring. When the living environment of the road conditions are better when the use of solid tires to improve the speed, and with a thick cushion shock.

2. Limb paralysis C4 and above injury can choose air control or trouble control electric wheelchair or by the care of the operation of the paralysis, C5 the following injury can be through the upper limb flexion of the most horizontal handle, it can choose forearm control high back electric wheelchair , Good function can choose a portable hand wheelchair. There are orthostatic hypotension should be used tiltable high-back wheelchair, the installation of head care; and with the choice of adjustable angle of the knee opening and closing dock. The axle should be as far as possible after the installation of pouring rod, and choose a thick cushion.

3. Hemiplegia If there is no cognitive impairment, there is a better understanding of the ability and coordination of those who can choose unilateral drive wheelchair; serious illness to choose others to promote a wheelchair. Balanced function can choose a lower standard standard wheelchair, the installation of removable foot care and leg care, so that the foot full of ground, with the contralateral upper and lower limbs to complete the operation. If you want to help transfer the best choice of removable handrails.

4. Amputated limb amputee due to the great changes in the body center of gravity, the general axle to prevent the rear dumping; in the early use of large wheels in the front wheelchair, if the prosthesis to install leg care and foot care.

5. Lower limb disability and other lower limb disabled persons generally use standard wheelchair; old, frail, serious illness are generally used to promote wheelchair. Other obstacles should be based on the degree of disability or injury, joint activity, muscle strength and weight, trunk balance, living environment and other comprehensive consideration.