Manual Wheelchairs - World Health Organization

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The wheelchair is one of the most commonly used assistive devices for enhancing personal mobility, which is a precondition for enjoying human rights and living in dignity and assists people with disabilities to become more productive members of their communities. For many people, an appropriate, well-designed and well-fitted wheelchair can be the first step towards inclusion and participation in society. The United Nations Standard Rules on the Equalization of Opportunities for Persons with Disabilities, the Convention on the Rights of Persons with Disabilities and World Health Assembly resolution WHA58.23 all point to the importance of wheelchairs and other assistive devices for the developing world, where few of those who need wheelchairs have them, insufficient production facilities exist, and all too often wheelchairs are donated without the necessary related services. When the need is not met, people with disabilities are isolated and do not have access to the same opportunities as others within their own communities. Providing wheelchairs that are fit for the purpose not only enhances mobility but begins a process of opening up a world of education, work and social life. The development of national policies and increased training opportunities in the design, production and supply of wheelchairs are essential next steps. In the light of the realities of the developing world and the immediate need to develop functioning systems of wheelchair provision in less-resourced parts of the world, the World Health Organization (WHO), the US Agency for International Development, the International Society for Prosthetics and Orthotics and Disabled Peoples’ International, in partnership with the Centre for International Rehabilitation, the Motivation Charitable Trust and Whirlwind Wheelchair International, have developed this document to assist WHO Member States to create and develop a local wheelchair provision system and thereby implement Articles 4, 20 and 26 of the Convention on the Rights of Persons with Disabilities. We extend our thanks to the US Agency for International Development’s Patrick Leahy War Victims Fund for its support in producing these guidelines and assisting in their implementation. Etienne Krug World Health Organization Lloyd Feinberg US Agency for International Development Dan Blocka International Society for Prosthetics and Orthotics Preface Venus Ilagan Disabled Peoples’ International
Page 1 and 2: Guidelines on the provision of Manu
Page 3 and 4: WHO Library Cataloguing-in-Publicat
Page 5 and 6: 4 I guIdelInes on the provIsIon of
Page 10 and 11: execuTive summary These guidelines
Page 12: Terminology executIve summary I 11
Page 20 and 21: The introduction to the guidelines:
Page 22 and 23: 1.1 Appropriate wheelchairs Introdu
Page 24 and 25: 1.5 Benefits of wheelchairs Introdu
Page 26 and 27: Access to rehabilitation services I
Page 28 and 29: IntroductIon I 27 centre-based or c
Page 30 and 31: Fig. 1.8. Wheelchair suitable for o
Page 32 and 33: Box 1.2. Wheelchair provision and g
Page 34 and 35: IntroductIon I 33 • ensuring thei
Page 36 and 37: Summary IntroductIon I 35 • About
Page 38 and 39: 2 design and ProducTion … to incr
Page 40 and 41: 2.1 Introduction Purpose and output
Page 42 and 43: Fig. 2.1. example of a manual wheel
Page 44 and 45: 2.2.2 Introducing wheelchair design
Page 46 and 47: 2.3 Wheelchair production and suppl
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Page 50 and 51: Fig. 2.4. Wheelchair without camber
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desIgn and productIon I 57 Fig. 2.5
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2.5.2 Cushions desIgn and productIo
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2.5.5 Armrests desIgn and productIo
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2.6.1 Requirements Fig. 2.16. Testi
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2.6.2 Evaluating strength, durabili
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References desIgn and productIon I
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The training guidelines: 4 Training
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4.1 Introduction Purpose and output
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Building the capacity of local pers
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traInIng I 103 For both of these ap
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Table 4.2. Clinical and technical c
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4.3 Course modules and contents 4.3
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traInIng I 109 Module 12. Services
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112 I guIdelInes on the provIsIon o
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annex a Training resources Organiza
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For more information, contact: Worl
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Manual Wheelchairs - World Health Organization

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