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Permobil Blog / May 22, 2025

Choosing Your First Manual Wheelchair: What Matters Most for New Users

For someone who is navigating life in a manual wheelchair for the first time, the experience can feel overwhelming. Beyond the emotional and physical adjustments, there’s an entirely new world of mobility equipment to understand. Unlike experienced wheelchair users who may have strong preferences about frame materials, configurations, and weight, a newly injured individual often has different priorities in the beginning. Their focus is typically on regaining independence, ease of movement, and overall comfort rather than the technical aspects of their wheelchair.

At this stage, decisions about a wheelchair are often guided by therapists, caregivers, or what is immediately available—rather than the individual’s personal experience. However, the choices made early on can have a lasting impact on mobility, energy levels, and overall quality of life. Understanding what truly matters in a wheelchair, and how those factors evolve over time, can help ensure that a new user gets the best possible start. Here’s what typically shapes their initial perceptions and priorities.

Ease of Use and Functionality 

For most newly injured individuals, the wheelchair is more than just a mobility device—it’s a key to reclaiming independence. At this stage, practical concerns like comfort, ease of propulsion, and maneuverability take priority. A chair that allows them to move smoothly and confidently is far more important than understanding frame geometry or advanced configurations. It’s about feeling capable again, not about the specs.

Weight and Portability 

While experienced wheelchair users often prioritize lightweight designs for efficiency, a new user may not immediately recognize the impact of weight. The reality of fatigue or the challenge of lifting a chair into a car might only become clear after some time. If caregivers or family members are involved in transport, their concerns about ease of lifting may also play a role in the decision-making process. These realizations tend to come with experience rather than at the initial selection stage.

Material and Durability 

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The differences between aluminum, titanium, and carbon fiber might not be meaningful to someone just starting their journey. Without firsthand experience, it’s hard to gauge how these materials affect durability, ride quality, and long-term comfort. Early on, many new users rely on recommendations from therapists, peers, or online resources rather than forming strong preferences themselves. Over time, as they notice how their chair performs in different situations, they may begin to develop opinions on what works best for their lifestyle.

Frame Configuration: Rigid vs. Folding

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A common assumption among new wheelchair users is that a folding frame is the best option for transport and storage. While this can be true in some cases, a rigid frame is often lighter, more efficient, and provides a smoother ride. However, without prior experience, these benefits may not be immediately obvious. Early on, comfort and stability are the biggest priorities, with frame type becoming a more important factor as users learn what works best for them.

Emotional and Psychological Factors

For many, a wheelchair represents a significant shift in identity, and this emotional weight can shape their early decisions. Some may feel hesitant to explore different options, accepting whatever chair they are first given without questioning whether it truly fits their needs. The transition can be overwhelming, and in those first stages, the focus is often on adjusting to a new way of life rather than seeking the "perfect" chair. However, as confidence grows, many users begin to see their wheelchair not as a symbol of loss, but as a tool for freedom and empowerment. This shift often leads to exploring more personalized, performance-driven options.

The Influence of Therapists and Peers

In the beginning, rehab professionals play a crucial role in guiding wheelchair choices. Their expertise helps ensure that the chair meets basic functional needs. However, peer support can be just as powerful. Seeing an active wheelchair user in a sleek, well-fitted chair can open new possibilities. Conversations with others who have lived experience can shift perspectives, introducing new users to options they may not have considered.

The Journey of Finding the Right Chair

A person’s first wheelchair is often chosen based on immediate needs—comfort, ease of use, and practicality. Technical details like weight, material, and frame design often become more meaningful over time as they experience life in their chair. The good news is that needs and preferences evolve, and with the right support and information, every wheelchair user can find a chair that truly fits their life.

Whether you’re a wheelchair user or a clinician—how has your understanding of the “right chair” evolved?
Share your experiences, insights, or advice in the comments below. Your perspective could help someone else find their perfect fit.


 

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Nicole-LaBerge

Nicole LaBerge, PT, ATP

Commercial Product Manager - Permobil Americas

Nicole B. LaBerge, PT, ATP is a Physical Therapist with 18 years of experience in a variety of clinical settings. She currently works for Permobil as a Commercial Product Manager of Seating and Positioning products. Her past clinical practice has included seating and mobility for adult and pediatric populations, with a focus in neurological rehabilitation, power standing and wound care. Nicole has presented at the State and International Levels, has multiple publications in peer reviewed journals and enjoys sharing her passion for patient advocacy, efficiency, and clinical outcomes. She served as an Executive Board Member for the Clinician Task Force for 3 years and is currently an active member in the CTF.

Categories: Complex Rehab, Manual, Therapists, End Users, Dealers, Clinician, End User, tilite

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