Manual Wheelchairs - World Health Organization

4 I guIdelInes on the provIsIon of manual wheelchaIrs In less resourced settIngs
2.4 Functional performance 46
2.4.1 Wheelchair stability 46
2.4.2 Manoeuvrability 49
2.4.3 Pushing efficiency 53
2.4.4 Other functional performance characteristics 54
2.4.5 Evaluating functional performance 56
2.5 Seating and postural support elements 56
2.5.1 Seat bases 58
2.5.2 Cushions 59
2.5.3 Backrests 60
2.5.4 Footrests 60
2.5.5 Armrests 61
2.5.6 Rear wheels 62
2.5.7 Evaluating seating and postural support elements 62
2.6 Strength, durability and safety 62
2.6.1 Requirements 63
2.6.2 Evaluating strength, durability and safety 65
2.7 User trials and follow-up 65
3. Service delivery 69
3.1 Introduction 71
3.2 Wheelchair service delivery 76
3.2.1 Steps in service delivery 76
3.2.2 Understanding individual user needs 77
3.3 Good practice in wheelchair service delivery 78
3.3.1 Overall service 78
3.3.2 Referrals and appointments 79
3.3.3 Assessment 80
3.3.4 Prescription 81
3.3.5 Funding and ordering 82
3.3.6 Product preparation 82
3.3.7 Fitting 83
3.3.8 Training of users, families and caregivers 84
3.3.9 Follow-up, maintenance and repair 85
3.4 Personnel in wheelchair service delivery 86
3.4.1 Manufacturers or suppliers 86
3.4.2 Referral networks 87
3.4.3 Service personnel 87
3.5 Monitoring and evaluation 91
3.5.1 The need to measure performance 91
3.5.2 Monitoring 91
3.5.3 Evaluation 93