Wheelchair Propelling Techniques

This ‘Wheelchair Propelling Techniques’ section might (at first) seem pretty self-explanatory. You sit down and push with your hands right? Well actually there’s a bit more to it. Little adjustments with your body can make a big difference.

Lets start with simply moving a chair over smooth ground. Make sure you’re siting comfortably, don’t slouch and place your hands on the push rims of your wheels. Gripping the push rims is largely about your own grip and comfort, hold the rims how you feel comfortable.

 What I would suggest is not having your thumbs around the rim, instead have your thumb on the outside of the rim, inline with your fingers. The reason for this (I learnt the hard way) is that at high speeds, such as whizzing down hills, it’s very easy to get your thumb jammed in the spokes. Holding the rims this way is also a bit cleaner if you’ve got dirty wheels.

 

When it comes to moving the chair, reach forwards a decent distance and pull as far back as you feel comfortable. Aim to move your chair as much as possible (without hurting yourself or over reaching) with each push.

Using lots of tiny pushes isn’t an efficient way of getting around and it’s sure to wear you out before you get far. If you’re aiming to go in a straight line try to push or pull symmetrically on both wheels.

To turn a corner simply push one wheel more than the other or to turn on the spot push one wheel forward and one backward. The Wheel you turn backwards will be on the inside of the turn.

Hopefully none of that is too much of a surprise for you, sit in your chair and just practice moving around, I’m sure you’ll get the hang of it pretty quickly.

Curbs Ramps & Uneven ground.

There are a few tips and tricks that need a bit more practice, these include curbs, ramps and uneven ground.

For these it’s important to understand how shifting you weight in your chair can affect it. Lean forwards and you’ll put more force through the front casters (the little wheels). Lean backwards and you’ll put less force through the front casters. If you’re going up a slope leaning forwards will help avoid your chair tipping back. If you’re on soft ground and the front casters are sinking in try leaning backwards to help lift them out.

For ramps with hand rails it’s also possible to pull yourself up using the rails. With narrow ramps you can pull yourself up using a kind of sling-shot action to make your way up the ramp. For ramps with one rail you’ll probably have to have one hand on a wheel.

Curbs are a little trickier but with a bit of practice it’s fairly simple. In order to get up a curb you need to be able to lift the front casters completely off the floor. This is called the ‘Wheelie’ technique. When learning to do this I strongly recommend having someone stand behind you or using anti-tips to avoid tipping yourself backwards onto the floor. I’m not going to cover the wheelie skill set here but there are loads of instructional videos on YouTube and I’m happy to teach it in person.

Toe Propelling

Plenty of wheelchair users use toe or foot propelling to make getting around easier. Toe propelling involves scooting forward in your seat so that your feet reach the ground. To do this you’ll either have to fold up the foot plates of your chair or tuck your feet behind them. Some people even remove the foot plates from their chairs to make toe propelling easier. Once you can reach your feet to the floor you can ‘walk’ your feet along the ground as you propel your chair to make it easier to get around. Some people move their chairs using just toe propelling but it’s pretty hard going.

Toe propelling makes pushing your chair easier it’s also good exercise and helps keep your circulation going which can stop you getting cold. Toe propelling for short distances can also mean you have better use of your hands for important jobs like carrying snacks or playing Pokémon Go.  The final benefit of toe-propelling is getting up ramps, not only does it help with the effort but being sat further forward in your chair can prevent you from tipping backwards on steep slopes.

Downhill

Most wheelchair users will tell you that whizzing downhills at super speed is one of the highlights of not walking. The one thing I would suggest though is wear gloves! Whizzing downhill at super speed is also a great way to melt your hands with friction.

If holding the push rims is a challenge then you can cheat a little. When it comes to steering simply use the outside of your foot on the inside of the casters to change the direction of the wheels. Nudge the angle of the wheel with your foot to change direction instead of relying on your hands. This is a agood technique to master if you also have upper body issues. You can thank Dominic (WheelWorldDad) for that one.

If you have inventive ways of getting around in your chair I’d love to hear them. Please feel free to comment or drop me an email.

As always questions and shares are welcome.

JBOT

16 thoughts on “Wheelchair Propelling Techniques

  1. Toe propelling is EXACTLY the “description” I needed. Since we live in a 100+ year old house and the doorways are VERY narrow, traditional wheelchairs don’t fit for my 6’4″ husband (MS diagnosis going on 11 years with recent relapse flare leaving him now unable to walk unassisted). Looking at https://chaircaddie.com/ since even though it’s not “made” as a wheelchair, since he can still use his legs some, this would supplement the walker he uses to allow him to toe propel through the larger rooms of our home like dining room/living room until he reaches the first “doorway” of issue.
    HOWEVER, was wondering, any suggestions of appropriate footwear? I’d think with our hardwood floors, just socks aren’t going to cut it, even hospital socks, and was thinking ahead. Unfortunately he’s a size 16 EEE… which is ANOTHER hurdle. Anyway, any suggestions are welcome. Since he weighs 450lb, traditional fold up wheelchairs, transport chairs, etc. are NOT a solution. Placing these chair caddies with metal framed church chairs strategically through the house near doorways of issue is my plan.

    1. That’s a really difficult challenge. Ye Olde houses are not made wheelchair friendly! I wonder if CosyFeet would do slippers that did the job though for footwear. They certainly go up to a EEEE.

  2. Hi Jo,

    Thanks for the article.

    I read it because you mention toe propelling. I’m looking for a non-power chair to be used indoors, by someone with very little arm strength and little arm coordination, but who could toe propel around the house. Can you recommend any good chairs (with links to websites ideally)? The person is 5’5″ and has tried toe propelling with an OT-provided attendant chair (I think it’s make and model is a Drift Easy Transit Wheel), but found it a little bit too high a bit hard to maneuver.

    It seems like there are no wheelchairs designed specifically for toe propelling, but from what my sister and cousin say (one works in a care home and one is an OT, both in the United States), many, many people do toe propel as their main way of getting around. I’m picking my OT cousin’s brains too, but thought I’d ask you too, as you are here in the UK, and seem to be used to thinking outside the proverbial box!

    Any suggestions are gladly welcomed. All the best to you.

    1. That’s a really interesting challenge! I would think any custom made, ultra lightweight chair would solve the problem by simplys customising it to sit lower down! Something like the Wonturnus Dalton or Quickie Xenon would probably fit the bill! I’d be inclined to go with a regular self-propel wheelchair even if the big wheels never get used simply because they improve ride quality and offer a better centre of gravity and turning circle than transit chairs! Hope that helps!

      1. This is very interesting as before my fall I used yo scoot around everywhere at work in a sturdy office chair.

        You may just have given me some independence back. Thank you.

    1. I’m new to the chair and its only temporary for now, but im one of those people that likes to find easier ways to do things.
      My husband and I have had issues with doors.
      I had a thought.
      What if we get a door stop and put a string on it?
      Whether I’m on my own or with a pusher, we can focus on getting the door propped open, wheel through, then pull the string on the doorstop to retrieve it.

      1. I’m working on a project for school about a simulated experience being in a w/c for a day. What types of physical challenges do you experience? How do you feel emotional and/or psychological about using a w/c? What type of physical barriers do you experience in public?

        Thank you for your input.

        1. Curbs are a nightmare for me. Stairs are bad. Doors that are not automatic are more difficult..

  3. Getting up curbs can be a real problem when using a manual chair, there is a curb climber which fits across the frame and sits in the centre between the footrests. This can make the tranisition a lot smoother and takes out a lot of the worry about tipping up.

  4. I love the tip about using your feet on the front caster wheels to change direction – genius!

    I went to Bromakin when researching active chairs and power assist wheels. I got to (literally) road test equipment, which was really helpful. The lovely man helping us showed me his way of getting up curbs. He takes the curb slowly and at an angle, so that he’s going up on one caster wheel. Once he’s up, he turns his chair a little so that the other one joins the first. I don’t think I’ve explained that very well – it’s better with a demonstration! Xx

    Tania | When Tania Talks

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