Wheelchairs and Scooters

Wheelchairs and scooters vary in size and style, and many optional features are available. Some have removable armrests and footrests. These features may make getting in and out of the wheelchair easier. Some wheelchairs have motors. Motorized wheelchairs and scooters are useful for people who cannot push a wheelchair because of weak arms or a severe heart or lung disorder. However, when arm muscles are not used to push the wheels, these muscles may progressively weaken (become deconditioned).

People who are likely to develop pressure sores may need a special cushion, designed to redistribute weight and relieve pressure. These people include those who cannot shift their weight, those who are incontinent, and those who have had a pressure sore.

People who have had a stroke may need a wheelchair that is shorter than standard. Then, they can use their good foot to help propel the wheelchair. Some wheelchairs are designed primarily for indoor use, and others are designed for outdoor use.

A wheelchair should fit correctly. The arms and feet should be in a natural position when on the armrests and footrests of the wheelchair. The wheelchair seat should be comfortably wide but not so wide that it does not provide enough support. Before getting in or out of a wheelchair, people should always lock the wheels.

Usually, a wheelchair or scooter requires that a car and home be modified somewhat. Usually, a special lift that is attached to the back of the car is needed to transport the motorized wheelchair or scooter. The car must have heavy-duty shocks installed to support the lift. Even then, some cars cannot support a wheelchair lift. For the home, ramps may need to be placed over steps, and doors may need to be widened.

Payment for motorized wheelchairs and scooters by Medicare or other health insurance can be a problem, even with a doctor's prescription.