When to choose a folding manual wheelchair

Research suggests that a rigid frame manual wheelchair may be preferred to a folding manual wheelchair (frame type) due to fewer moving parts and lighter weight construction, both contributing to more efficient propulsion. If so, then why would one use a folding frame manual wheelchair?

It is always important to consider an individual’s unique needs when it comes to manual mobility and to recommend what will ultimately work best in their situation. The client is the key player in the process. What are their goals? A thorough evaluation, including day-to-day routines of the individual, the clinical picture, and a trial of equipment options, should guide the end user to an appropriate solution – a wheelchair that fits them and fits their lifestyle! And there may be times when a folding ultralightweight manual wheelchair is preferred. Some examples include:

1. User Choice

Some wheelchair users have used a folding frame for a long time, and they may choose familiarity over efficiency. The advantages of a rigid frame are significant and worth discussing, but ultimately, it is their choice. 

2. Transfers

When an individual performs a standing or partial standing transfer, fixed leg rests may be a limitation. Swing-away leg rests are not typically an option on a rigid frame manual wheelchair; however, swing-away leg rests on a folding frame manual wheelchair are helpful for individuals who put their feet on the ground for transfers.

3. Foot Propellers

Some individuals propel their wheelchair with their feet. In this case, the footrests need to be out of the way. A folding manual wheelchair offers leg rests that swing away and remove during self-propulsion and can be replaced if the individual is being pushed by a caregiver.

4. Transport

It is important to know how an individual transports their wheelchair. Do they need to transfer the wheelchair independently (i.e. for driving)? A rigid frame chair is designed for this purpose. It does not fold in half, rather the backrest folds down, and wheels release for ease of transportation. This design allows the individual to bring the wheelchair across their body into the vehicle in fewer steps for loading. For independent clients with no ability to ambulate, a rigid frame may be the only option for loading into a vehicle.

A folding manual wheelchair has a cross-brace or “X” design where the frame folds in half by bringing the sides of the wheelchair together. Like a rigid frame, the wheels can also be removed. However, lifting a folding frame manual wheelchair into a vehicle may require assistance. Consider the need to look at the big picture; it’s important to know how an individual transports their wheelchair.

5. Bariatric Clients

                                  PDG Eclipse

Most rigid frame MWCs have a maximum weight capacity of 300 lbs. If someone weighs more than that, they will need a heavy duty MWC. Except for the PDG Eclipse, with a weight capacity of 1000 pounds and up to 48” of seat width, there are only folding frame options.

6. Back-up Wheelchair/Storage Considerations

There are some individuals who use a power wheelchair as their primary device but like to have a backup manual wheelchair for travel or tight spaces, or if their primary wheelchair needs repair. Or in a facility setting, where space is often limited, and assistive technology needs to be easily stored when not in use, a folding ultralightweight wheelchair may be more cost effective than a rigid one. Adjusting a folding frame to reissue between users may be a reason to select a folding instead of manual frame in a facility, and the folding frame may be seen as easier to store when not in use. However, a common misconception is that a rigid frame cannot fit into a small space. While the wheelchair does not fold in half, the back can fold down, and wheels remove to make a compact and ergonomic load. 

As you can see there are many good reasons to use a folding ultralightweight manual wheelchair. The key is to always look at the big picture of an individual’s day-to-day tasks and ensure that the recommended equipment will allow them to function optimally and thrive in those tasks. Remember, the end user has the final say. They deserve a wheelchair that fits them and their lifestyle! Check out TiLite’s new folding and rigid manual wheelchairs here!