More Details

Features may include;
* Detachable leg rests
* Footplates
* Calf supports (needed to use the tilt-in-space function)
* Detachable arm rests
* Adjustable head rest
* Neck rest
* Attendant propelled/ transit wheelchair; small rear wheels
* Self-propelled wheelchair; large rear wheels featuring push rim
* Custom built or off the shelf
* Pelvic belt
* Harness
* Adjustable seat positioning/sliding seat for ease of transfer into and out of the wheelchair. Also, to adjust user body positioning. Check with supplier as not all chairs have this feature
* Usually a difference in degree of tilt in space between self-propelled and transit chairs. The transit chairs will tilt further back.

Considerations

Consider The Client:
* The age of the client. Future changes in body dimensions and weight. Growth issues (scoliosis / kyphosis). Postural requirements, tone and involuntary movement if present. Consider present and future requirements
* Cognitive issues and perception
* Method and ability to transfer. Some chairs have a sliding seat for ease of transfer
* Endurance and fatigue - may be the difference between attendant propelled and self-propelled wheelchair
* Continence (washable covers are available)
* What are the user's functional goals?
* Consider balance when the chair is tilted or reclined
* Are further seat/back cushion accessories needed and can the chair accommodate these?

Consider The Environment:
* Tilt in space/reclining chairs have a large foot print when in use and need adequate space
* Tilt-in-space/reclining chairs tend to require a larger circulation space
* Are there steps, thresholds or other surface inconsistencies?
* Is it to be used in confined spaces?
* Can the user fit under a table or do they need a tray?
* Is the wheelchair available for trial around the home environment before purchase?

Consider Transport:
* Due to the tilt-in-space function this wheelchair has a rigid frame meaning it cannot be folded. However, the leg rests, head rest and arm rests can be taken off
* Consider transporting using an approved tie down system and wheel lock.
* Passengers occupying a wheelchair in a vehicle, the wheelchair must be securely restrained by applying restraints to the floor from two points on the front and two points on the rear of the wheelchair frame
* Check with your state's laws for further legal requirements

Consider The Attendant:
* Can the attendant use the manual tilt in space and recline function or would an electronic option be best?
* Many tilt-in-space chairs have anti tippers that need to manually be pushed out to use the tilt-in-space function. They are located very low to the ground. Is the attendant able to use these?
* Do the push handles need to be adjusted so that they are an appropriate height for the attendant?

Pressure Cushions:
The type of cushion chosen should reflect the need and risk involved. There is a large range available e.g. air, gel, combination, and foam. Consider if an incontinence cover needs to be purchased. Cushions should have a two way stretch cover to assist with maintaining pressure relieving properties while the user is seated

Maintenance

* It is important that mobility devices are inspected regularly to maximise the safety of the equipment
* Particular attention should be paid to the screws, nuts, bolts and height adjustment mechanisms
* Wheels and castors should be checked to ensure they move freely

Standards

Standards
Some assistive technology needs to meet Australian or other standards. Standards may relate to materials, manufacturing and installation. Products that meet Australian or international standards will have written certification. To find out if a product meets Australian Standards ask the supplier to show you the certificate. For more information about standards also see
http://at-aust.org/home/assistive_technology/standards.html

TGA
Many of the items on the Assistive Technology Australia website are categorised as a Medical Device. Medical devices that are approved for use in Australia have been entered into a national database called the Australian Register of Therapeutic Goods (ARTG), which is maintained by the Therapeutic Goods Administration (TGA). You can ask the supplier for the ARTG number for the device you wish to purchase and search the ARTG for the entry. To access information on the ARTG visit www.tga.gov.au

When buying a medical device it is advisable to only choose a medical device that is recommended by a healthcare professional and has been included on the ARTG.