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Where to start with pediatric mobility

We know that as a parent or caregiver, making decisions about mobility equipment for your child can feel overwhelming. Whether your child has a long-term medical condition or is recovering from an injury, finding the right solution is deeply personal—and incredibly important.

You’re not alone. This page was created just for you—a trusted resource to help you understand the process, ask the right questions, and feel confident in advocating for your child’s mobility needs.

Every child deserves the freedom to move, play, and grow with confidence. By exploring these sections, you’ll gain the knowledge and support needed to make informed choices and help your child thrive.

The Team

Getting the right wheelchair or mobility device for your child is a team effort—and each person plays an important role in making sure your child receives equipment that truly meets their needs.

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Physician/Medical Professional

In the U.S., your child’s doctor is the starting point in the process. You’ll need a dedicated, in-person appointment to talk about your child’s medical and mobility needs. After that, the doctor will send a referral for a wheelchair or seating evaluation to a physical or occupational therapist.

In Canada, a referral from a doctor may not always be required, but a therapist still performs the evaluation. Some insurance providers might still ask for a doctor’s prescription.

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Clinician (Physical Therapist or Occupational Therapist)

PTs and OTs are the professionals who handle the evaluation, recommendation, and justification for your child’s mobility equipment. Their role is to:

• Perform the seating and mobility evaluation
• Recommend the right equipment for your child’s needs
• Handle the documentation for insurance or funding
Coordinate with the equipment provider
• Offer training and education for safe use

They’re with you every step of the way, helping ensure the chosen device supports your child’s posture, function, and independence.

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Assistive Technology Professional/CRT Supplier

Also called equipment providers or dealers, these professionals work for companies that supply wheelchairs and complex rehab equipment. They often attend the evaluation and help your child try out different equipment options.

In the U.S., they are also responsible for measuring your home to make sure the recommended device will fit and work in everyday environments.

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Parent/Caregiver

As a parent or caregiver, you are your child’s biggest advocate. You help:

• Coordinate evaluations and paperwork
• Provide insight into your child’s daily routines and goals
• Support your child during equipment trials
• Navigate insurance or funding

Your voice is essential in making sure your child receives the equipment that will truly support their needs at home, in school, and in daily life.

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School Clinician/Therapist

School-based therapists help ensure your child can fully participate in classroom and school activities. They may help:

• Recommend equipment for school use
• Coordinate support through an IEP or 504 Plan
• Train school staff and assist with using the equipment
• Make sure school spaces are accessible

They often work closely with your medical team to keep your child’s support consistent across home and school.

Lightbult-icon-menu-blackRemember: Each member of this team brings their own expertise, but you are at the center of the process. With the right support, you can feel confident advocating for your child and finding the mobility solution that gives them the comfort, freedom, and independence they deserve.

The Wheelchair Evaluation

A wheelchair evaluation for your child is a thorough process designed to ensure they receive the most suitable mobility device for their needs. In this section we go over what what to expect, how to prepare, and key questions to ask during your child's evaluation.

What to expect from your child's wheelchair evaluation

Prepare for Your Child's Wheelchair Evaluation

Download our comprehensive checklist to ensure you have all the necessary information and items ready for your child's wheelchair evaluation.

Comprehensive Wheelchair Evaluation Questions

Download our key questions to help you and the evaluation team choose the best wheelchair for your child. Work together to find the best solution.

Feeling overwhelmed?

Our team is ready to assist! Email us any questions about pediatric mobility, and we'll provide the answers you need.

Equipment Options

Mobility plays a crucial role in a child’s development. That’s why access to a mobility device such as a wheelchair is so important—it’s a key that unlocks opportunity for social engagement, education, and exploration. Pediatric mobility options vary widely depending on a child's physical abilities, diagnosis, and developmental need. 

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Manual Wheelchairs

These are propelled by the child or pushed by a caregiver. They're ideal for children who have enough upper body strength or for those needing a lightweight, easily transportable option. Manual wheelchairs are good for kids who have some mobility but need support for endurance, balance, or longer distances.

Types & Features:

  • Self-propelled: For kids with upper body mobility.

  • Transit/manual assist: Caregiver-operated, often with smaller rear wheels.

  • Lightweight/folding frames: For easier transport.

  • Tilt-in-space: Allows tilting the seat while maintaining posture—great for pressure relief and rest.

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Power Wheelchairs

Power wheelchairs allow children to drive themselves using a joystick or an alternative drive control. Power wheelchairs can be the right option for children with limited strength or coordination, especially those who can't propel a manual chair consistently.

Types & Features:

  • Mid-, rear-, or front-wheel drive: Affects turning radius and stability.

  • Custom controls: For kids with limited hand function.

  • Growth adaptability: Components can be swapped as the child grows.

  • Power seat functions: Recline, tilt, elevating leg rests, or seat elevation.

New
Explorer Mini
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Suitable for children 12-36 months of age
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Designed for independence through exploration
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Develop visual & attention skills
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TiLite Twist
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Growth is built-in—no extra parts or kits needed
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Lightweight design for easy maneuverability 
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Fully customizable with options to choose different components
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TiLite Pilot
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Ultra-lightweight design for easy navigation
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Quick-release wheels & transit tie-downs for effortless transport
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Size is adjustable to grow with your child

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PDG Fuze JR
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Take-apart frame for easy transportation
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Fuze JR comes with a growing frame
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Featuring up to 50° of effortless tilt

 

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Koala R-Net
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Designed to grow with your child
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Low seat-to-floor height helps kids interact with peers
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Seat elevation allows easy access to desks
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K450 MX
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Experience a smooth ride with all-wheel suspension

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Seat height adjusts from 3″ to 26″ for easy table seating

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Designed to grow with your child

New
K300 PS Jr.
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Adjustable seat pan grows with kids

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Effortless control with R-Net electronics

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Comes in vibrant colors and trendy wheel covers

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M300 PS Jr.
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Tight turning radius makes indoor navigation easy
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Expandable seat pan for a custom fit
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CATLink suspension system aids in navigating obstacles

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Seating & Positioning Products

Seating and positioning products are what support your child's body. They can provide skin protection, stability and comfort while your child uses their mobility device. 

Seating and positioning products include cushions, back supports, and positioning accessories designed to:

  • Support proper posture and alignment

  • May reduce the risk for pressure injuries

  • Enhance stability and function while seated

  • Allow safer and more efficient transfers

  • Improve participation in everyday activities

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Power Assist Devices

Power assist devices are add-ons or attachments for manual wheelchairs that provide motorized support. They help reduce the physical effort needed to push the chair—either by assisting each push, adding momentum, or providing joystick or remote-controlled movement.

These devices can be especially helpful for kids who:

  • Have limited strength or endurance

  • Fatigue easily over longer distances

  • Need support to keep up with peers at school or in the community

Still have questions?

Reach out to our dedicated team via email with any questions you have about pediatric mobility. Our experts are here to provide you with the information and support you need to make informed decisions for your child's mobility needs.

Funding FAQs & Resources

Navigating the funding landscape in the United States can be complex. Below are some frequently asked questions and answers regarding this part of the process. We've also gathered different pediatric resources to help your child and you along your mobility journey. 

 

What is the difference between Medicare and Medicaid?

Medicare is a federal health insurance program primarily for people aged 65 and older, as well as certain younger people with disabilities or specific medical conditions. It provides coverage for hospital care (Part A), medical services (Part B), Medicare Advantage programs (Part C) and prescription drugs (Part D).

Medicaid is a joint federal and state program that helps provide health coverage for low-income individuals and families, including children, pregnant women, elderly adults, and people with disabilities. Eligibility and benefits can vary by state.

How much does a new wheelchair cost?
This depends on the type of manual or power wheelchair necessary to satisfy your child's medical needs. Insurance will generally help cover the cost and there are alternative funding options available should you need additional financial assistance.
How much does it cost to maintain a wheelchair?

The maintenance cost for a wheelchair depends on the complexity of the chair and how the chair is used and taken care of:

Manual wheelchairs require occasional maintenance such as tire replacement, brake adjustments, or fixing wear-and-tear parts. When repairs are necessary, if insurance paid for the wheelchair, they would also pay for repairs. Associated costs are typically related to coinsurance and/or deductibles.

Power wheelchairs may require more frequent service due to the electrical components of the chair. Common maintenance requirements include the occasional replacement of batteries, tires/casters, and arm pads. If your insurance paid for the power wheelchair, they would also pay for necessary repairs. Associated costs are typically related to coinsurance and/or deductibles.

Should additional financial assistance be necessary to offset costs there are alternative funding options available and opportunities to get complimentary repairs at the 7 Abilities Expos held around the U.S. each year.

Does a wheelchair have to be paid in full or can I pay in installments?
The payment structure depends on the equipment provider. Many providers offer various financial arrangements to assist with larger purchase amounts. Resources such as Care Credit may be available with some providers as a payment option as well.
How much does my child qualify for?
Your child qualifies for equipment based on what is required to meet their medical needs. Insurance companies pay a set rate depending on the type of equipment your child requires. In other words, your child does not qualify for a specified dollar amount, instead they qualify based on their equipment needs and specific dollar amounts are assigned based on the type of equipment they receive.
How do I know what my child qualifies for?
After being evaluated by their healthcare team (physician, physical/occupational therapist, assistive technology professional), the team will recommend the appropriate equipment to satisfy your child's medical needs. Your child's healthcare team provides documentation to justify your child's needs to your health insurance company for approval of the recommended equipment.
Who can help me pay for my child's mobility equipment?

Your health insurance company (Medicare/Medicaid/Private Insurance) is the primary source of coverage for your child's medical equipment needs. However, if do not have insurance or you need additional help, there other alternative funding options available assist you financially.

Redefining Back to School with the F-Words
How does a manual wheelchair grow with my child?
Intro to Pediatric Wheelchairs: A Look at Effective Early Mobility Solutions
Navigating school with a wheelchair: a parent's perspective
Clinicians' tips for back to school in a wheelchair
The Wheelchair Handbook
Alternative Funding Guide
Explorer Mini landing page
Explorer Mini: Stories of Success
A Parent's Guide to the Explorer Mini
Susanna's Experience with the Explorer Mini

Are you a parent navigating the world of mobility devices for your child?

Check out the Wheelchair Nerds podcast — where experts, clinicians, and ends users come together to share real talk, insider tips, and support that actually makes a difference.