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contraindications of using a one arm drive self propelling wheelchair

by Anna O'Loughlin
(Belfast Ireland)

Question: Are there any contraindications to using a self-propelling one arm drive wheelchair to mobilize after a stroke? Does it effect the affected side negatively?


Answer: Honestly, it should be fine. You do want to encourage a patient to use their affected hand as much as possible so they do not fall into the pattern of learned non-use. However, you do not want to stop a patient from doing a functional task altogether because they can't use their affected hand. Now if someone is trying to do a trial of constraint induced movement therapy for a couple of weeks and has been asked to not use the non-affected limb, that is different, but outside of a specific therapy protocol, I would not discourage a patient from doing a task independently. Remember to just encourage the use of the affected side as much as possible.

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wheelchair
by: dean r.

What you probably really want to do to recover instead of compensate is to get a lever powered wheelchair, requiring you to pump with both arm/hands. They might be hard to find but a student did show off one to president Obama, a picture does exist.

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