To most people, the physical limitations of using a wheelchair are obvious. But I can tell you from experience that some of the limitations are much less obvious. In overcoming the trade-offs involved, there are 3 basic choices; a) adapt the wheelchair, or b) adapt the surroundings, or c) all of the above. Today, I want to talk about these trade-offs.
Because of changes in my body, I’ve had to transition to a high-end “rehab” type wheelchair with customized seating. This wheelchair has the ability to elevate, tilt and recline, plus it has leg rests that elevate as well. All of this is done with high-end electric motors, and I have the ability to raise my legs well above my heart to alleviate leg swelling. For the most part, the transition to this wheelchair has been positive:
- The high-end brushless motors are quiet, very reliable and strong. They provide more than adequate power to traverse most inclines.
- The ability to tilt/recline adds to my stability on ramps and long inclines.
- The seating, although restrictive, fits my body giving me better seated posture and greater leg comfort.
- The wheelchair frame and seating is rock-solid. This provides a modicum of security for me. This is indeed a very high quality wheelchair.
These are the trade-offs;
- The chair seats me about 2 ½ inches higher than I was before. This makes eating at a table of normal height more challenging given limited arm strength. Where possible, I’ve adapted my surroundings accordingly with platforms.
- Because I drive, the wheelchair lock-down receiver (a pin mounted under the wheelchair), which is needed to lock the chair in driving position, is about ¾” from the floor. As a result, I need to be careful about the transitions in doorways and on ramps. One way around this is to enter and exit ramps at a slight angle, although this is impossible when going through narrow doorways. Also, the pin impedes the chair from rolling on anything but somewhat solid ground. Grass and gravel surfaces become a problem.
- This chair is large, much larger than my old one. It is also rear-wheel drive, making it less maneuverable than my old wheelchair which was mid-wheel drive. I drive a minivan, and getting to the driving position behind the wheel is tight. I need to back up the ramp, and the room inside the van is adequate but tight.
- The large size of the front turning wheels plus the weight of myself and the wheelchair combine to make this chair a “rug eater”. Wall-to-wall carpeting isn’t a problem, but any other kind of carpet gets tangled in the front wheels.
Moreover, although great strides have been made in providing greater mobility for the mobility-impaired, there is room for even further innovation. I agree with Matt May; limitations provide opportunities for innovation. I can tell you that people with disabilities are by necessity some of the best at improvising, adapting and overcoming many physical limitations. But some of these limitations need to be addressed at the design level using “design thinking”.
I would love to hear ideas and feedback from readers. Let’s try to get some discussion going on this issue.
