II. Indications

  1. Mobility for patients lacking leg strength, balance or endurance to allow for walking with Ambulatory Devices

III. Background

  1. Wheelchairs typically have anti-tipping prevention to prevent flipping chair onto back
  2. Ultralight Wheelchairs and folding Wheelchairs are available for portability and storage
  3. Covered by medicare IF required to perform Activities of Daily Living within the home
  4. Wheelchairs are highly adjustable for patient fitting
    1. Proper, professional Wheelchair fitting (e.g. physiatry/PMR, physical therapy) is critical to prevent Pressure Sores
    2. Fitting includes leg and arm rests, back angle, Wheelchair width and height, proper seat cushion

IV. Types

  1. Manual Wheelchair
    1. Manually propelled chairs with patient rotating circular outer hand rails to move the chair
    2. Requires significant upper body strength and coordination
  2. Power Wheelchair
    1. Electrically Powered Wheelchairs for those without sufficient arm strength and coordination to self power the chair
    2. Requires recharging of Wheelchair battery
    3. Backup Manual Wheelchair recommended for power outages and portability
    4. Wide variety of available chairs
      1. May be controlled by hand, foot and even mouth
      2. Seat may be electrically raised and lowered on some models
  3. Mobility Scooter
    1. Less expensive and less heavy than a Wheelchair
    2. Difficult to use within home or tight spaces due to greater turn radius (better for outdoor mobility)
    3. Less customizable to individual patients than a Wheelchair

V. Adverse Effects

  1. Pressure Sores
    1. Proper wheelchiar fit is critical

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Ontology: wheelchair (C0043143)

Definition (UMD) Chairs mounted on large wheels, usually 55 to 66 cm (22 to 26 in), designed for indoor (e.g., hospital, institution, home) or outdoor transportation of patients or individuals with impaired walking ability.
Definition (MSH) Chairs mounted on wheels and designed to be propelled by the occupant.
Concepts Medical Device (T074)
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SnomedCT 58938008, 183238005, 151462001, 183243003, 151467007
English Chair, Wheel, Chairs, Wheel, Wheel Chairs, Wheelchairs, Wheel Chair, Wheel chair, device, Wheelchair unspecified, wheelchairs (treatment), wheelchairs, Wheelchair unspecified (physical object), Chair - wheel, Wheel chair, WC - Wheelchair, Wch - Wheelchair, Wheel chair, device (physical object), Wheel chair, NOS, wheelchair, Wheelchair
Swedish Rullstolar
Czech vozíky pro invalidy, kolečkové židle
Finnish Pyörätuolit
Japanese 車椅子, 車いす
French Fauteuils roulants
Polish Wózki inwalidzkie, Fotele inwalidzkie
Spanish silla de ruedas, no especificada (objeto físico), Wheelchair unspecified, silla de ruedas, no especificada, silla de ruedas (objeto físico), silla de ruedas, Silla de Ruedas
Norwegian Rullestoler
German Rollstühle
Italian Sedie a rotelle
Dutch Rolstoel, Rolstoelen
Portuguese Cadeiras de Rodas

Ontology: Scooters, Powered (C0183180)

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Ontology: Manual wheelchair (C0184423)

Definition (UMD) Wheelchairs that are user propelled and/or attendant operated (i.e., nonpowered, mechanical, manually-operated).
Definition (SPN) A mechanical wheelchair is a manually operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position.
Concepts Medical Device (T074)
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English Wheelchairs, Mechanical, Wheelchairs, Manual, Nonpowered Wheelchairs, Mechanical Wheelchairs, Wheelchairs, Nonpowered, Manual Wheelchairs, WHEELCHAIR, MECHANICAL, Manual wheelchair, Manual wheelchair (physical object)
Spanish silla de ruedas manual (objeto físico), silla de ruedas manual

Ontology: motorized wheelchair (C2092170)

Concepts Medical Device (T074)
English motorized wheelchair (treatment), a motorized wheelchair, motorized wheelchair