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Manual Wheelchairs - World Health Organization

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64 I guIdelInes on the provIsIon of manual wheelchaIrs In less resourced settIngs<br />

Table 2.12 provides a list of ways in which wheelchairs are used and the related strength and<br />

durability requirements for each component.<br />

Table 2.12. Wheelchair uses and required durability and strength requirements<br />

Part Need for strength, durability and safety<br />

Footrest Footrest should fold with a reasonable amount of force.<br />

Footrest should not break or bend when used to lift user and wheelchair.<br />

Footrest should not break or bend when additional passengers or packages are loaded.<br />

Footrest should not break or bend when hitting an object such as a wall or curb.<br />

Brake Brakes should stop a wheelchair from sliding when on an incline.<br />

Brakes should not suddenly release while in use.<br />

Armrest Armrest should be removable with a reasonable amount of force.<br />

Armrest should not break or bend under the user’s body weight.<br />

Armrest should not break or bend when used to lift user and wheelchair.<br />

Push handles Push handles should not break or bend when used to lift user and wheelchair.<br />

Handgrip should not slide off of push handle when user is being assisted up stairs or curb.<br />

Frame Frame should not break or bend when used on uneven terrain.<br />

Backrest and seat Backrest, seat and frame should not break or bend during transferrals or while riding on<br />

uneven terrain.<br />

Rear wheel and axle Frame, wheels or axles should not break or bend when user goes over a normal kerb.<br />

Wheels, axles or wheel-mounting hardware should not fail when user drops off kerb at angle.<br />

Axles or wheel-mounting hardware should not break or bend when under typical forces.<br />

Castor assembly Castor should not fail when the castor wheel hits an object (e.g. a curb).<br />

General Surfaces should not have sharp edges, sharp points or pinch points.<br />

Wheelchair should not be flammable, i.e. easily combustible materials should not be used.<br />

<strong>Wheelchairs</strong> should be equipped with front and rear reflecting stickers or signs for increased<br />

road safety.<br />

Miscellaneous Tipping levers should not break when assistant uses levers to tip user back.<br />

Hand rim should not break or bend when it hits an object.<br />

Wheelchair should not break when it falls or is dropped by handler loading or unloading it<br />

from bus or car.<br />

Fatigue test Wheelchair should not break in normal use.

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