Mobility - Blog Posts

Things to research before getting your first custom manual wheelchair

one of the biggest things I can recommend to anyone getting a new custom chair (but especially a first custom chair) is to understand all of the parts of a wheelchair and what they do. I decided to make a guide with wheelchair parts to research and places to look for information to make this process a little bit easier. additional link suggestions are welcome.

General resources:

Permobil - The Wheelchair Handbook

Motion Composites - Preparing for Your Wheelchair Evaluation: Before the Evaluation (Part 1)

Motion Composites - Preparing for Your Wheelchair Evaluation (Part 2)

1. Frame

Motion Composites - Folding vs Rigid Wheelchair Frames: How to Choose

Permobil - Manual wheelchairs: rigid and folding frames. How do you choose?

GTK - Oh what’s in a frame? Comparing Multiple Materials

Motion Composites - Wheelchairs: Carbon Fiber Versus Aluminum

2. Front frame angle

Motion Composites - Understanding the Impact of Rigid Wheelchair Front Frame Angle

Sunrise Medical - Rigid Frame Wheelchairs – Frame Angle and Inset

4. Seat dump

Permobil - Ergonomic Seating and Manual Wheelchairs

Spinlife - Wheelchair Back & Seat Angle

5. Caster size, style, and position

Motion Composites - Front Casters for Manual Wheelchairs Practical Guide

Sunrise Medical - Front Caster Position in Manual Wheelchairs

6. Caster forks

New Mobility - Caster Wheels and Forks

Sunrise Medical - Maneuverability in Manual Wheelchairs - What Fork to use?

New Mobility - Innovations: Emerging Trends in the Wheelchair Market (information about single sided forks)

7. Footplate

Motion Composites - Footrest Options to Support Function and Mobility

When Tania Talks - Active User Wheelchair Footplate Options

8. Calf strap

Spex Seating - Lower Leg Support Considerations in Wheelchair Seating

9. Seat pan

Permobil - Solid Seat Insert for Wheelchair: Taking a Closer Look at Cushion Components

10. Seat cushion

Permobil - What to Look for in Seating & Positioning Products

Permobil - How to Choose a Cushion in Long Term Care

Permobil - Cushion Geometry: Linear and Contoured

Freedom Mobility Center - Wheelchair Seat Cushions: 5 Tips for Choosing the Right One for You

Mobility Basics - Seat Cushion Rigidizer

Motion Composites - Selecting the Right Cushion for Your Wheelchair a Clinicians Guide

Motion Composites - Covering the Basics of Wheelchair and Back Support Covers

11. Seat belts

12. Clothing guards

Sherman Oaks Medical Equipment - Wheelchair Clothes Guards / Side Guards Guide

13. Arm rests

United Spinal Association - Wheelchair Armrests What Do They Really Do?

Spinlife - Wheelchair Arm Rest Choices

Motion Composites - Armrests: Getting the Support you Need

14. Back supports

Motion Composites - Solid vs Upholstery Backs

Mobility Management - How to Choose the Right Back Height for your Client

Freedom Mobility Center - Why a Solid Back is Preferred Over a Sling Back

Mobility Basics - Back Supports

Sunrise Medical - Tips for Selecting Prefabricated Wheelchair Backs

Motion Composites - Covering the Basics of Wheelchair and Back Support Covers

15. Head supports

16. Push handles

Motion Composites - Push Handles: Pushing Around

17. Wheels

Motion Composites - Rolling Along: The Importance of Rear Wheel Selection

Sunrise Medical - Comparing Wheelchair Wheel Spoke Options

Mobility Basics - Manual Wheelchair Wheels

18. Tires

New Mobility - Everything You Need to Know About Selecting the Right Wheelchair Tires

GTK - Solid versus Pneumatic Tyres

Mobility Basics - Manual Wheelchair Wheels

Motion Composites - Tire Selection: Balancing Performance and Maintenance

19. Brakes

Motion Composites - Wheel Locks: Unlocking Safety and Function

20. Push rims/Hand rims

Motion Composites - Getting a Grasp: Understanding the Impact of Hand Rims

DME Hub - Wheelchair Hand Rom Options and Factors to Consider

21. Anti-tip wheels

22. Camber

Motion Composites - Camber - Degrees of Performance

23. Center of Gravity

Motion Composites - Rear Wheel Position 101

I want more people to be aware of disabled joy. The freedom of getting the right mobility aid. The sense of victory and accomplishment when doing a task you thought you would never succeed at. The smug superiority of zooming ahead of your walking friends on a downhill slope. The relief of a proper diagnosis answering your questions. The peace of learning how to radically accept yourself and your body. It ain’t all bad, folks.

A general cane guide for writers and artists (from a cane user, writer, and artist!)

Disclaimer: Though I have been using a cane for 6 years, I am not a doctor, nor am I by any means an expert. This guide is true to my experience, but there are as many ways to use a cane as there are cane users!

This guide will not include: White canes for blindness, crutches, walkers, or wheelchairs as I have no personal experience with these.

This is meant to be a general guide to get you started and avoid some common mishaps/misconceptions, but you absolutely should continue to do your own research outside of this guide!

The biggest recurring problem I've seen is using the cane on the wrong side. The cane goes on the opposite side of the pain! If your character has even-sided pain or needs it for balance/weakness, then use the cane in the non-dominant hand to keep the dominant hand free. Some cane users also switch sides to give their arm a rest!

A cane takes about 20% of your weight off the opposite leg. It should fit within your natural gait and become something of an extension of your body. If you need more weight off than 20%, then crutches, a walker, or a wheelchair is needed.

Putting more pressure on the cane, using it on the wrong side, or having it at the wrong height will make it less effective, and can cause long term damage to your body from improper pressure and posture. (Hugh Laurie genuinely hurt his body from years of using a cane wrong on House!)

(an animated GIF of a cane matching the natural walking gait. It turns red when pressure is placed on it.)

When going up and down stairs, there is an ideal standard: You want to use the handrail and the cane at the same time, or prioritize the handrail if it's only on one side. When going up stairs you lead with your good leg and follow with the cane and hurt leg together. When going down stairs you lead with the cane, then the good leg, and THEN the leg that needs help.

Realistically though, many people don't move out of the way for cane users to access the railing, many stairs don't have railings, and many are wet, rusty, or generally not ideal to grip.

In these cases, if you have a friend nearby, holding on to them is a good idea. Or, take it one step at a time carefully if you're alone.

Now we come to a very common mistake I see... Using fashion canes for medical use!

(These are 4 broad shapes, but there is INCREDIBLE variation in cane handles. Research heavily what will be best for your character's specific needs!)

The handle is the contact point for all the weight you're putting on your cane, and that pressure is being put onto your hand, wrist, and shoulder. So the shape is very important for long term use!

Knob handles (and very decorative handles) are not used for medical use for this reason. It adds extra stress to the body and can damage your hand to put constant pressure onto these painful shapes.

The weight of a cane is also incredibly important, as a heavier cane will cause wear on your body much faster. When you're using it all day, it gets heavy fast! If your character struggles with weakness, then they won't want a heavy cane if they can help it!

This is also part of why sword canes aren't usually very viable for medical use (along with them usually being knob handles) is that swords are extra weight!

However, a small knife or perhaps a retractable blade hidden within the base might be viable even for weak characters.

Bases have a lot of variability as well, and the modern standard is generally adjustable bases. Adjustable canes are very handy if your character regularly changes shoe height, for instance (gotta keep the height at your hip!)

Canes help on most terrain with their standard base and structure. But for some terrain, you might want a different base, or to forego the cane entirely! This article covers it pretty well.

Many cane users decorate their canes! Stickers are incredibly common, and painting canes is relatively common as well! You'll also see people replacing the standard wrist strap with a personalized one, or even adding a small charm to the ring the strap connects to. (nothing too large, or it gets annoying as the cane is swinging around everywhere)

(my canes, for reference)

If your character uses a cane full time, then they might also have multiple canes that look different aesthetically to match their outfits!

When it comes to practical things outside of the cane, you reasonably only have one hand available while it's being used. Many people will hook their cane onto their arm or let it dangle on the strap (if they have one) while using their cane arm, but it's often significantly less convenient than 2 hands. But, if you need 2 hands, then it's either setting the cane down or letting it hang!

For this reason, optimizing one handed use is ideal! Keeping bags/items on the side of your free hand helps keep your items accessible.

When sitting, the cane either leans against a wall or table, goes under the chair, or hooks onto the back of the chair. (It often falls when hanging off of a chair, in my experience)

When getting up, the user will either use their cane to help them balance/support as they stand, or get up and then grab their cane. This depends on what it's being used for (balance vs pain when walking, for instance!)

That's everything I can think of for now. Thank you for reading my long-but-absolutely-not-comprehensive list of things to keep in mind when writing or drawing a cane user!

Happy disability pride month! Go forth and make more characters use canes!!!

I did a thing! I'm going to need my walker for BotCon next week, and it's just so drab. So I got a bunch of flame decals and Transformers stickers and went to town.

Two weeks ago my cane got a similar treatment.

This is kinda weird but I’m trying to figure out how weird my ankles actually are. I have over-pronated ankles but high arches, which apparently is strange because flat feet cause over-probated ankles and high arches cause under-pronated.

Over-pronated ankles look like ) (

Under-pronated ankles look like ( )

And normal ankles are straight | |

Please reblog if you care to so I can get a larger sample! It would be much appreciated!