Selecting a Wheelchair for a Child
Parents Have Many Options When Choosing a Pediatric Wheelchair
Like adult wheelchairs, the pediatric models are available in different shapes, sizes, colors and designs. Pediatric wheelchairs possess the similar designs and features of an adult wheelchair, except for the obvious modifications that must be done to accommodate the needs of the children. Support for heads and backs, as well as safety straps, are some of the most common alterations found in the child models.
The first consideration in selecting the appropriate chair is the child's needs based on his or her age, disabilities, and abilities. Decisions such as these determine whether the child uses a manual chair, powered chair or a wheelchair alternative, and whether special seating systems or supports are needed.
Types of Wheelchairs and Wheelchair Alternatives
Most wheelchairs fall into the following categories: standard, child/junior/growing, lightweight, sport, standing, reclining/tilt-in-space and transport.
Standard/Everyday chairs are the more traditional wheelchair styles featuring a folding cross brace frame, swing-away and/or elevating footrests, fixed or detachable armrests, and a mid-level or high back with push handles to allow someone other than the child to propel the chair. Frequently these chairs are also available with a variety of standard and optional features and custom modifications.
Child/Junior/Growing wheelchairs are designed to meet the needs of children as they change and grow. Growth chairs or chairs with growth kits allow adjustments to be made in the existing chair to accommodate a growing child. Color choice may be a standard feature of the chair or it may be an option offered at an extra charge.
Some kids may benefit from using a power wheelchair instead of a manual one. Power wheelchairs feature electronic controllers, so a child can drive smoothly and brake easily. Some can be powered by puffing on a special straw or simply touching the controller.
Batteries are a determining factor in the range and power of a powered chair. Many chairs require two rechargeable 12-volt batteries. Most wheelchairs utilize U1, group 22 or 24 batteries, although other batteries are also used. Gel cell batteries are also required by a number of airlines when transporting powered chairs.
Wheelchair Components
Wheelchair frames are made of a variety of materials, including stainless steel, chrome, aluminum, aircraft aluminum, titanium, chrome alloys, and other lightweight composite materials. Frames are generally available in folding and rigid styles. Folding frames utilize a crossbrace system that allows the wheelchair to be collapsed for storage or transport. Rigid frame chairs do not fold, but many have quick-release wheels and/or axles to allow the wheels to be removed easily for storage and travel.
Typically, children's wheelchair seats are 10 to 14 inches wide. Seat width and length (depth) may be fixed or adjustable. Some chairs also provide growth capability, enabling the chair seat to be adjusted within a specified width and/or depth range to accommodate growth.
Like frames, upholstery can be found in a variety of colors and styles to meet individual preferences. A number of materials are currently available, including nylon, velour, polyester, vinyl, and leather.
Brakes on manual chairs are usually wheel locks applied manually as "parking brakes." Brakes can be mounted at different heights depending on the user's needs, and brake lever extensions and other modifications are often available. Powered chairs usually feature electromechanical and/or dynamic brakes. Dynamic brakes engage when the chair is not powered in forward or reverse motion.
Wheels and tires are available in a variety of types and styles.
Most wheelchairs use a four-wheel system comprised of two large wheels with tires in the back and two smaller casters in the front. The most common rear wheel is 24 inches in diameter, but other wheel sizes are available. Most chairs are equipped with pneumatic tires, but several other types are also available.
Thanks to advancements in technology, wheelchairs today are lighter, faster and easier to use than ever before. Pediatric wheelchairs offer valuable access to and from places, both inside and outside of the house. Mobile chairs allow children to interact with other children as independently as they can.
Standard Wheelchair
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