As a wheelchair user, navigating the world can present unique challenges. However, advancements in assistive technology, such as power chairs and complex rehab technology (CRT), have significantly improved accessibility for individuals with mobility impairments. 

Here are some common challenges wheelchair users face and practical solutions to overcome them.

What Challenges Do Wheelchair Users Face?

1. Physical Challenges

Pressure Sores

Pressure sores, also known as bed sores, are a common issue for wheelchair issues. These sores occur when excessive force is placed on bony parts of the body, such as the hips and tailbone, over a prolonged period. Symptoms start as discolored and painful/itchy patches of skin but can develop into open wounds over time.

Solution: To prevent pressure sores, use a cushion that distributes weight evenly and relieves pressure. Ambulatory wheelchair users should take regular breaks to increase circulation and reduce pressure on specific areas.

Hand Injuries

Manual wheelchair users often experience hand injuries due to the rigorous use of their hands as tools of propulsion. Sores, open wounds, and blisters can result from overuse, improper technique, or accidents.

Solution: Proper technique, well-fitting gloves, and wheel-guard covers can help protect your hands and prevent injuries.

Improper Positioning

Improper positioning of the feet can place excessive pressure on the hips and knees, even when they’re not in use. Feet slipping and falling underneath the wheelchair while in motion can also lead to accidents and injuries.

Solution: Investing in a wheelchair with a footrest or acquiring one can help maintain correct posture and prevent discomfort or potential injury. If necessary, keeping the legs elevated and secure can also contribute to better positioning.

2. Mental Challenges

People Trying to “Help”

One common challenge faced by wheelchair users is strangers attempting to help without being asked. While their intentions may be good, unsolicited assistance can be intrusive and disempowering; this often manifests as people pushing your wheelchair without your consent or knowledge.

Solution: Attaching a sign to the back of your wheelchair and kindly asking people not to touch it can help discourage potential “helpers.” Removing push handles, if possible, can also convey that you prefer to navigate independently.

Standing Up for Yourself

Interactions with individuals who are unfamiliar with wheelchair users can vary from complete disregard to excessive attention. Asserting yourself with agency and worth can positively impact your self-perception and how others perceive you.

Solution: Building confidence and comfort in yourself and your situation can influence how others treat you. Having rehearsed responses to everyday situations can redirect attention and foster mutual respect.

3. Transportation Challenges

Getting Your Wheelchair In/Out of Cars

As a wheelchair user, you may venture to new places that require transportation by car. Getting your wheelchair in and out of your vehicle can be challenging at first, but with practice, it becomes much more manageable.

Solution: Practice is key when it comes to transporting your wheelchair. Explore tools such as compact chairs and lifts that can assist in loading and unloading your wheelchair. Familiarize yourself with the proper techniques and find what works for you.

Public Transport

Public transportation systems may present unique challenges for wheelchair users, such as limited accessibility and lack of proper accommodations.

Solution: Try to research wheelchair-friendly routes, stations, and buses. Contact your local transportation authorities for any specific accessibility concerns or requests. 

4. Repair Challenges

Keep Tools for Any Minor Inconveniences

Everything from loose bolts to flat tires can happen with wheelchairs. Keeping essential tools nearby can help quickly fix these problems, saving time and frustration.

Solution: Keep a basic toolkit handy for wheelchair upkeep and minor fixes. Include tools like wrenches, screwdrivers, and a tire repair kit. Familiarize yourself with your wheelchair’s specific maintenance needs and carry spare parts as needed. It also doesn’t hurt to become a regular face at your local wheelchair repair or bike shop if you’re in a pinch.

Know the Exact Tire Size for Emergencies

We’ve all seen someone with a flat tire at some point or another. Don’t let that happen to you unprepared. Being stuck with a flat tire on your chair doesn’t make you immobile but makes things significantly more difficult.

Solution: Know the type and size of the tire that fits your chair and have at least one extra somewhere. Sometimes, getting the specific tire can take days, so it’s better to have it before you need it.

Regular Cleaning

You may not notice it immediately, but any time you use your chair outside, it’s collecting dirt and dust. Beyond this, rain and inclement weather can create issues if you get caught in them. Eating in your chair can also cause food particles to attach to your frame and seat.

Solution: Regularly clean your chair to prevent dirt buildup, which can lead to rust and damage. Use alcohol wipes or a gentle cleanser. Also, check for anything like hair that might get stuck in the wheels and affect your mobility. 

5. Comfort Challenges

Invest in a Quality Cushion

If you use a wheelchair, you’ll likely spend a lot of time sitting in it. But not all wheelchairs are created equal, and some aren’t comfortable to sit in for long periods. Sitting for extended periods can lead to poor posture over time.

Solution: Do some research alone or with a professional to find what cushion is right for you. Some options, like the Roho Quadtro Mid, are a great starting point, but your needs may vary. Make sure whichever cushion you choose is the proper thickness and material for extended use.

Invest in Wheelchair Accessories

Standard wheelchairs might not have extra features that could make them more comfortable and convenient. Cup holders, storage compartments, or extra padding can make a big difference in your experience.

Solution: Explore wheelchair-specific brands and companies that offer accessories designed specifically for wheelchair users. You could also adapt accessories from other industries, like biking, to fit your needs.

Need Wheelchair Expertise? Contact Our Mobility Experts Today!

At Freedom Mobility, we’re dedicated to providing the right equipment and support to meet your individualized needs. Whether you have questions or need assistance, our RESNA-Certified Assistive Technology professionals are here to help. We offer everything from rehab equipment to wheelchair repair services throughout California.

Contact us today to schedule a consultation!