WHEELCHAIR-SEAT WIDTH

SUMMARY

1. Measure across the widest point of the hips (with clothing and any braces or orthoses).

2. For those using manual WC, the seat width should be equal to hip width to maximize wheel access.

3. For those using powered WC, the seat width can be ~1 inch wider than their hip width.

4. If the seat is too narrow, transfers will be more difficult, & the patient may develop a pressure ulcer on the greater trochanters.

5. If the seat is too wide, trunk support is compromised, which can lead to scoliosis, back pain, and difficulty with propulsion.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.