Positive Momentum 8TRL J User manual

Remploy 8 & 9 Series User Guide Page 1 September 2006 Revision D
8 & 9 Series WHEELCHAIRS
8TRL / J Adult/Junior Self Propelled (127Kg)
9TRL / J Adult/Junior Attendant Propelled (127Kg)
SP100 Adult Self Propelled (112Kg)
AP100 Adult Attendant Propelled (112Kg)
User Guide and Information

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www.remployhealthcare.com
MANUAL WHEELCHAIRS
GENERAL GUIDE AND SAFETY INFORMATION
Factors considered in selecting a wheelchair apply to both occupants and carers
and include:
•method of propulsion
•seating position
•occupant size and weight
•physical ability of occupant and carer ( where applicable )
•ease of use
•environment
•safety
•degree of independence
•transportation
•costs
Clinical Assessment teams have a responsibility to provide the wheelchair
occupant and carer, where applicable, with a means of achieving effective
mobility, bearing in mind all the above considerations.
There are many different types and variations of wheelchairs available today. It
may not be possible to satisfy all requirements and environments with one chair
for every need of the occupant (and carer) for home, travel or work.
Please read all the information provided
Before attempting to use the Wheelchair

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TABLE OF CONTENTS
1.1 Introduction P4
1.2 Getting in & out of a Wheelchair facing forwards P5
1.3 Side Transfer P5
1.4 Brakes P7
1.5 Pushing Techniques P7
1.6 Kerbs P9
1.7 Handling & Stability on Steps & Slopes P11
1.8 Seatbelts (also posture belts) P12
1.9 Occupant Controlled Mobility P15
1.10 Transportation P16
1.11 Fire Precautions P19
1.12 General Precautions & Information P20
1.13 Looking after your Wheelchair. General care & Maintenance P21
1.14 Service Checklist P22
1.15 Preservation & Storage P23
1.16 Technical Data Sheets P22
Additional information for Distributors, Service Centres, Assessors and
Transportation providers, is contained in the Transportation Guide, which are
included in the wheelchair information pack. The Assessment Guide Lines and

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Technical Information Manual, are available from Remploy Healthcare Customer
Services.
1.1 INTRODUCTION
The type of wheelchair, and attachment features, provided will be different
according to individual user requirements, and clinical assessment of
need. In many cases the result will be a compromise solution.
Some modular wheelchairs can be set up or finely adjusted to suit user
needs. Users should contact their approved distributor if they are having
problem in using their wheelchair, a simple adjustment or alternative build
configuration may help to resolve the problem.
Remploy manual wheelchairs can be divided into two broad categories.
•Attendant Propelled
•Occupant Propelled
This general information section covers safety issues of wheelchair use
covering all of these.
Please read carefully together with all other information provided,
covering the specific model supplied, which will give particular details of
the wheelchair features and construction, methods of operation and
correct setting methods.

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1.2 GETTING IN AND OUT OF A WHEELCHAIR FACING FORWARDS
For maximum safety, these operations should be carried out with the help
of an attendant. The occupant should always try to assist the attendant
wherever possible to share the total effort.
Carers should not attempt to lift without help.
If this is not possible a hoist may be required.
Getting into the wheelchair.
Make sure that the brakes are on, flip up the footplates, taking care that
the heel support straps (if fitted) are not jammed against the footrest
support frame. On some models, footrests may be detached or swung
away for easier access.
Note that when footrests are detached, the mounting swivels
remain exposed, and care should be taken to avoid the occupant
catching these accidentally.
The occupant may be able to help by pushing on the armrests to provide
support whilst being lowered into the seat. Finally, push the footplates
down, and locate the occupant’s feet onthem. see fig 1.
Getting out of the wheelchair.
Make sure that the brakes are on,then flip up the footrests or detach
them. The occupant should place a hand on each armrest, bend slightly
forward and place both feet well back and firmly on the ground,then push
upwards to assist the carer.
1.3 SIDE TRANSFER
When the wheelchair armrest is removed, it will allow sideways entry to
the chair and vice versa, from another chair or car seat. see fig 2.
Physically active Independent users with upper body and arm strength
should eventually develop skill to carry out this manoeuvre without help.
However, it is advisable that an attendant should be available if
assistance becomes necessary.
Make sure the brakes are on, or that the wheelchair is prevented from
moving, It is easier to transfer when flip up footrest assemblies are swung
back out of the way, or removed so as not to interfere with the legs. Fixed
frame wheelchairs with foot bars, which do not have protruding brackets
and footplates, allow side transfer without the need for footrest removal.
Feet should be firmly on the ground and not on the footrest. The safest
way to transfer is to bend slightly forward.
DO NOT ATTEMPT SIDE TRANSFER ON SLIPPERY OR UNEVEN
FLOORS
If there is a gap between the two seat surfaces, it may help to slide along
a smooth transfer board, or to use some other lever point such as a car

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hand grip for additional support whilst manoeuvring from one seat to the
other.

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Figure 1-Getting in/out of the wheelchair
Figure2-Side Transfer
F
i
g
u
r
e
4 -Attendant Control
Figure 3-Maintain a firm grip on the push
handles

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1.4 BRAKES
Hand brakes are provided for preventing wheel movement when parked,
particularly on a slope, or during occupant transfer to and from the
wheelchair. The action of a brake shoe pressing on the tyre makes
correct inflation pressure important, see section 1.5.
Cable operated hub brakes are an option available for mounting on the
push handles to allow the attendant to control the chair without having to
reach down for the hand brake handle. These may also provide the
attendant with a means of controlling the speed of a wheelchair when
going downhill, and are a safety improvement on slopes and undulating
terrain, as described in Technical Information Manual (Part B). Operating
the wheelchair in this way however, demands that the attendant is skilled
in the controlling operation, as a sudden change in direction will result if
one wheel is retarded in advance of the other.
1.5 PUSHING TECHNIQUES
Pushing a wheelchair with a helpful occupant can be an enjoyment for
both people involved provided that there is mutual confidence and
understanding.
When first planning a trip, the pusher should check the distance and
terrain to be covered, bearing in mind that a slope going out is a hill
coming back. A combination of slope and camber is common in many
areas. Try the chair out on typical surface conditions nearby, and practice
manoeuvres likely to be encountered on a longer trip.
The pusher should be familiar with the operation of the wheelchair,
remembering to put the brakes on and steady the chair before the
occupant gets in and out. Where applicable, detachable features such as
push handles and armrests should be checked for security, before setting
out on a journey. The occupant should not be rushed during transferring in
and out of the chair.
Before setting off, the pusher should make sure that the occupant is
comfortable and that clothes, rugs, covers etc do not catch in the wheels
or interfere with the general workings of the wheelchair.
The pusher should walk at a sensible speed, and tell the occupant before
changing position, tipping the chair or manoeuvring, also paying attention
to the surface conditions and avoiding uneven or soft ground wherever
possible.
The pusher should always maintain a firm grip on the push handles. The
chair should not be jolted or jarred, or rocked like a pram. see figs 3 & 4.
Shopping bags or other additional heavy loads should not be carried in a
wheelchair unless specifically designed for the purpose. This particularly
applies to hanging items over the push handles, which can overload the
chair and affect stability resulting in injury if the occupant tips out of the
chair when it is left unattended momentarily.

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Fig. 6.
going down a kerb
finish position
Fig. 5.
going down a kerb
start position
make sure that the front
end of the chair is
lowered slowly to the
floor, and that the
castors are pointing to
the rear.
castors with small
wheels, are more
liable to dig in, than
large wheels, and
require extra care
in use.

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1.6 KERBS
Negotiating a kerb.
The methods described here involve an attendant controlling the
operation. Active users adopt balancing techniques carry out kerb
manoeuvres independently, but methods will vary according to the setting
of the chair, the physical strength of the user and skills acquired through
training and practice with wheelchair experts. See section 1.6.
Going down a kerb:
The chair castors should be taken to the edge of the kerb. The pusher
should hold the chair handles firmly, pressing down on the tipping lever
and at the same time tilting the chair back. see fig 5.
The rear wheels can then be taken to the kerb edge and the foot removed
from the tipping lever. The chair is then lowered down the kerb on its rear
wheels, with the castor wheels facing rearwards, this prevents them
jamming up momentarily as the chair starts to move, before pivoting the
chair gently to the ground, to face direction of travel and then pushing
forward.
Note: The chair must not be tipped forward or the occupant may fall
out. When stabilisers have been fitted, this operation is more
difficult to control, and extra care should be taken.
Going up a kerb. First method.
The chair footplates, or occupant feet if longer, should be taken to just in
front of the kerb edge. The pusher should hold the chair handles firmly,
pressing down on the tipping lever, tilting the chair backwards using body
weight leverage, bringing chair forward till the back wheels touch the
kerb.
The front castors wheels can then be lowered down onto the path, making
sure that the wheels are facing rearwards. With the push handles held
firmly the attendant should now lift and push the chair.
Going up a kerb. Second method.
The chair should be turned round so that the back wheels are against the
kerb and the attendant should hold the pushing handles firmly and tip the
chair backwards.
Using body weight as leverage the attendant should then pull the chair off
the kerb and up onto the pavement, making sure, as above that the castor
wheels are facing rearwards .
The chair may then be pivoted to face the direction of travel and pushed
forward.

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Figure -7
Ensure that push
handle
locks are fully engaged before using
Figure -8
Detachable push handles
must be inserted correctly
Figure -9
Going down/up a flight of
steps

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1.7 HANDLING & STABILITY ON STEPS & SLOPES
ENSURE THAT PUSH HANDLE LOCKS ARE ENGAGED BEFORE USE
A little forward journey planning can eliminate difficult manoeuvres such as
obstacles or steps. Modern public buildings should provide permanent
wheelchair ramps, with a practical slope angle, built according to
regulations, for safe access.
Technical Test data on static stability of wheelchairs should be seen as a
tool for comparison. Data does not convey actual feel of the wheelchair in
the intended environment. Initial supervised user training and assessment
by a rehabilitation professional, with the wheelchair in the intended usage
environment is recommended. Users should ensure that they are
confident with regard to this aspect of use.
An important factor in considering accessibility and slopes is the effort
demanded from the occupant or attendant using the chair. Pushing up a
steep slope, which extends over a distance, may create a need to stop
and rest, which in turn demands additional and undesirable effort to start
back upwards again. Stopping a wheelchair on a steep downward slope
also demands effort and control, and surface conditions need to be taken
into account when deciding what outdoor route to take. Manoeuvres,
which demand over exertion, may create risk of injury to the user and
should be avoided. However, if in temporary difficulty, wheelchair users
should not hesitate in asking for assistance from people nearby, someone
will usually be happy to help.
Modern buildings should have slopes built to a required standard angle,
but this is not the case with all access areas. Learning the geography of
an area is important. As an all round guide, a maximum safe slope of 8
degrees is our recommendation for the Remploy range of manually
propelled wheelchairs. However this recommendation may need to be
changed if the wheelchair has attachments added to it, such as an
elevating legrest or carry bag, which adversely affects stability. Such
changes to the chair specification may have a critical effect, and they
require re-assessment by a rehabilitation professional.
SAFE SLOPE OF 8DEGREES FOR MANUAL WHEELCHAIRS
Where possible, the hazard of negotiating steps should be avoided.
Many falls and injuries to both occupant and helper can occur when
inexperienced people are carrying out this operation, and if users or
carers are concerned about a particular hazard in the usage environment,
which they must regularly overcome, they should consult their wheelchair
rehabilitation service, or community services department., as appropriate.
There may still be occasions when steps must be negotiated. see figs 7,
8 & 9.

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In the event of the chair having detachable pushing handles, these should
be checked for security in the locked in position before attempting this
manoeuvre. Stabilisers may require removal if they interfere with the chair
balance angle on a flight of steps. This should first be checked out with an
unoccupied chair.
Two attendants at least are required for this operation. The attendant
supporting the main load should grip the chair at the push handles, and
repeat the procedure as section 2.6 for getting down a kerb at each step,
the second attendant at the front will be required to guiding the footrest
area, and provide reassurance to the occupant. A third person could act
as guide for the chair team if the steps are high. Reverse this procedure
for going up a flight of steps, with the attendant supporting the main load
at the push handles pulling, and the second attendant at the front guiding
the chair using the corner of each side frame.
Specialist training for very experienced users to negotiate a flight of stairs
independently is available, but this is beyond the context of this guide.
1.8 Seatbelts ( also posture belts )
The fitting of these should be considered in all circumstances where the
chair is used outdoors, over a sloping surface or kerbs. Belts normally
secure the occupant by means of a quick release buckle in the centre. In
cases where the seatbelt is part of the postural/ clinically assessed
needs, provision of a seatbelt will be covered by a clinical assessment.
A basic security seat belt may become required after a period of use, if
the environment or method of use changes, or where the occupant feels a
need for greater security in the wheelchair. These can be fitted
retrospectively by a fully trained and competent technician, but if unable to
utilise any of these instructions, contact either your NHS rehabilitation
engineer or the manufacturer of the wheelchair.
A correctly fitted posture belt should fit over a users pelvis at
approximately 45 degrees from the anchor without obstruction from any
part of the wheelchair (e.g. skirt guard or armrest). The posture belt should
be adjusted so as to fit snugly around the users pelvis to provide an
appropriate sitting position. The adjustment of the belt must be carried out
by a competent person who is able to assess the clients needs and
frequency of checking of the belt adjustment. Future reviews of an
individuals needs should include consideration of the appropriateness of
the posture belt and its method of adjustment, fastening and release
especially where a users’ or carers’ capabilities change over time.
Lengthening or shortening, is affected by slackening and adjusting the
webbing, as it passes through the male part of the fastener until the

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desired fit is obtained. When adjusted ensure the webbing is tightened,
the buckle is located centrally, and the surplus webbing is secured by the
tri-glide provided.
Inspection and maintenance of posture belts and their fittings should be
included within the planned preventative maintenance programme for the
wheelchair.
Wheelchair seatbelts are not tested to meet the crash test standards
required for occupant restraint in a vehicle, but we advise that they should
remain in position during a journey to provide occupant security, and
support during normal traffic movements of sideways cornering and
speed changes.
Transportation, crash tested restraints for both wheelchair and occupant
are part of the actual vehicle equipment, and must be secured to the
vehicle itself, as shown in Fig.12 See section 2.10 of this General Guide
for more details.
N.B. The loop must be fitted in such a way that the eyelet is underneath,
and the loop uppermost, to prevent possible contact with the wheel (Fig
10 ²). The belt must be fitted in one piece, go around the client and
must pass behind the push handle tubes of the wheelchair.
Clean if required, using a damp cloth with a small amount of washing up
liquid. Rinse with a clean damp cloth.
All of our belts have flame retardent properties.

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Fig 10
Remove the rearmost
screws from the canvas
and loosen off the
remaining screws. Take one part of the
lapstrap belt and
choose the correct hole
position to suit the
width of your chair.
Slide the end of the belt
underneath the canvas
and line up the hole
with that in the canvas.
Replace and tighten all
the screws to secure
the lapstrap.
Adjust the length of the
longest belt to fit the
occupant. The belt
should secure the
occupant firmly but
without causing
discomfort.
12
3
Fig 11
Belt with twin webbing loops
shown in the correct orientation
Fig 12
WARNING–DO NOT disassemble, shorten cut or drill this retaining belt, it
could seriously compromise the belts integrity and invalidate
any manufacturers warranty.
Remove the rearmost Seat
Canvas screw and loosen off the
remaining screws on both sides
of the canvas
Take one of the lap strap
fixing loops and slide the
end with the fixing hole
underneath the canvas
and line up the hole with
that in the canvas.
Replace and tighten all
the screws to secure the
lap strap. Then repeat on
the other side of the chair
seat
Adjust the length of
the longest belt to fit
the occupant. The
belt should secure
the occupant firmly
but without causing
discomfort.

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1.9 OCCUPANT CONTROLLED MOBILITY
Handrims
These are provided for the occupant to grip and push round to propel the
wheels. Best results will be obtained by a long pushing stroke, which
gives a continuous and smooth forward motion. Many users find that
gripping across the tyre and handrim at the same time gives better
control. We recommend that when operating in this way, wheelchair
gloves are worn.
Users with gripping difficulties may find larger section or Capstan types,
with easy grip features, more practical.
When using a handrim to turn a chair round in a tight space, push one
wheel forward, whilst pulling the other wheel backwards. Always make
sure when carrying out this manoeuvre, that there are no obstructions or
bystanders in the turning space required.
Balance Training
Physically active, independent people require wheelchairs, which allow
them to safely negotiate kerbs and achieve efficient control and
manoeuvrability.
It can be hazardous for an occupant to attempt wheelie positions on
wheelchairs, which are stable above 10 degrees rearwards static
stability, as physical effort needed to manoeuvre and pull a wheelie can
be excessive, consequently increasing the risk of accidentally tipping over
backwards.
Maximum efficiency of hand propulsion occurs when occupant centre of
gravity and wheel centre coincide, and is dependent on the occupant
shape and size. Physically active people should have wheelchairs
with fine wheel position balance settings, i.e. below 10 degrees rearward
stability. These chairs should have rear stabilisers when supplied to
inexperienced users, allowing the user to practice balancing techniques
with the reassurance that the chair will not accidentally tip over
backwards.
During training, the Therapist, or Training Supervisor can therefore build
up the confidence of the occupant in stages, by initially setting the
wheelchair up in a safe balance position, with the stabilisers acting
positively, and progressing gradually towards optimum performance
settings, with the stabilisers only acting as a back up.
Once satisfied that the occupant has developed the full range of
wheelchair skills, and provided that the medical condition is not
compromised, the therapist can authorise removal of the stabilisers,
and the occupant then takes full responsibility and control of the
wheelchair.

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STABILISERS ARE FOR OCCUPANT SAFETY
THEY SHOULD NOT BE REMOVED UNTIL THE USER IS ABLE TO
DEAL WITH BACKWARD FALLS AND TIP OUTS.
If stabilisers are removed for ascending or descending a flight of steps
additional carers and handlers should be present, and they should be
refitted when the manoeuvre has been completed.
Outdoor Safety Hints
Most pavements slope slightly towards the kerb and the wheelchair may
have a tendency to pull towards the road.Occupant controlled Active User
wheelchairs with cambered wheel setting reduce this tendency.
The fitting of polyurethane tyres eliminates punctures, and provides
reassurance of not being stranded some distance from a service centre,
but the use of these tyres imposes a harder ride and the wheels must be
checked more frequently, to ensure that there is no deterioration of spoke
tension and security. Polyurethane tyres have slightly less grip than
pneumatic tyres, therefore, self propelled chairs fitted with polyurethane
tyres are also fitted with a high friction brake shoe grip.
When out at night, ensure that both you and your wheelchair are visible,
consider both clothing, and light reflective trim features.
1.10 TRANSPORTATION
Wherever possible it is recommended that wheelchair occupants transfer
to a vehicle seat during a journey, with the wheelchair securely stored
separately in a purpose made storage area.
Stowing the wheelchair in a car boot
The folded chair should be placed close to the car boot with armrests,
footrests and other removable parts detached to split total weight into
component form. Wheelchairs with detachable wheels reduce the weight
for lifting. The person stowing the chair should grip convenient fixed parts
of the chair, and lift keeping the back straight, bending from the hips and
knees. If in any doubt about handling the weight, assistance should be
sought.
If stowing proves difficult due to
weight or space limitations, a
compact folding wheelchair such
as the Remploy Stowaway may
provide a practical and additional
alternative for transit purposes
and occasional use
Figure 12 Remploy Stowaway

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Car Driver Information
Physically active wheelchair users can drive cars and store the wheelchair
in the car independently, with a lot of practice. Training at specialist
driving centres is recommended. Two door cars provide the greatest
access space. Gaining entry to the car first involves side transfer as
section 3. When carrying this manoeuvre a wheelchair users should
chose a position where there is no risk of interference from other traffic.
The stored wheelchair requires locating not only so that the driver can
reach it, but also to remain safely secured during the journey.
With sideways folding wheelchairs the driver should pull the folded
wheelchair into the vehicle into space behind driver or passenger seat.
see figs 13 &14.
Fixed frame wheelchairs, with quickly detachable wheels can be
disassembled once the driver has transferred into the car. The parts then
being stored safely within the vehicle.
It is recommended that wheelchairs stored on the front passenger seat
are secured using the car seat belt through the frame. A wheel bag may
be useful for long journeys or for keeping dirt away from the car seating
area. When there is another able bodied passenger present, the storing
options as section 9.1 are recommended.
Figures 13 & 14.
A Sideways Folding wheelchair can be
stored behind the front seat.
Guidelines for Wheelchair & Occupant Transportation in Vehicles

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This information is given in order to reduce the risk of bad practice. It is
based on current available knowledge. Wheelchair users and transport
operators have a responsibility to ensure that safety measures take
account the needs of wheelchair occupants and other passengers to
minimise the risks involved for each individual situation. Vehicles
transporting wheelchair occupants should have safe, secure wheelchair
access, transport operators should recognise this. Available publications
are MDD Report No 92/07, and Dept of Transport Code of Practice VSE
87/1.
Public Transport
Wheelchair users who choose to travel in a local bus or public service
vehicle should recognise that this involves risk, and a complexity of
related issues. The user has a responsibility to make the decision of how
to travel carefully. Pre journey planning will avoid difficult access
situations, which could be encountered later, when it is too late to do
anything about it. In busy, congested areas, users will require skill to avoid
collisions with other passengers, when approaching and boarding the
vehicle. Wheelchair brakes may not hold a chair and occupant stable
against inertia forces of normal traffic conditions, such as cornering or
coming to a halt, and wheelchairs in vehicles should be prevented from
moving by other means. Dept of Transport approved designated
wheelchair areas in low floor buses with support pillars and hand rails at
wheelchair height are the most suitable. Users are advised to check
availability of wheelchair facilities with the transport vehicle operator, and
note time schedules.
Specialised Transport for Wheelchair Occupants.
These vehicles should be fitted with approved restraint systems. Dept of
Transport approved taxis for individuals are available, but users with neck
problems are advised to check that there is adequate headroom.
Restraint systems for minibuses range from wheelchair tie downs, to
more compact foldaway devices. Installers and operators of vehicles with
restraint systems must be trained in their correct use by the restraint
manufacturer, or approved mobility specialist. The CTA can provide
useful advice. Remploy are participating in the creation of new safety
standards in this area through membership of BSTA, in co-operation with
the Dept of Transport & B.S I.
The wheelchair must be secured to the floor by a restraint system,
preferably in line with direction of travel. see Fig15. The wheelchair
should not be occupied by more than one person. Fittings such as trays,
should be stowed separately.
Wheelchairs used for transportation of occupants in vehicles should have
a full height backrest of at least 415 mm for adults, head supports are
recommended.

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Wheelchair Seat Belts and Posture Belts are not crash tested restraints,
although they help keep an occupant in a preferred position during normal
vehicle motion. To meet crash safety standards, wheelchair and occupant
must be secured to the vehicle independently. The occupant restraint
should be secured directly to the vehicle at a point above shoulder height.
No component of a wheelchair restraint should pass through the wheels.
Wheelchair restraints should secure the wheelchair in such a manner that
they cannot become free if chair components deform, or if one or more
tyres deflate. Under no circumstances should wheelchairs be modified or
strained to allow installation of clamps or fittings.
1.11 FIRE PRECAUTIONS
DISABLED PERSONS ARE AT GREATER RISK THAN OTHERS IN THE
EVENT OF A FIRE. THE ENVIRONMENT IN WHICH A WHEELCHAIR IS
USED SHOULD INCORPORATE SAFETY PRECAUTIONS TO MINIMISE
FIRE RISK TO WHEELCHAIR OCCUPANTS
When using the chair, both indoors and outside, always take precautions
against fire risks. Avoid smoking, and do not park the wheelchair against
an open fire, or intense heat source. Bear in mind that the temperatures
reached in a hatchback car on a hot day can cause stored wheelchair
component parts to become too hot to handle. When parking, the pusher
should position the chair so that the occupant can see and communicate
as well as possible. In buildings check that fire exits and procedures are
understood.
Fig 15
Side view of Remploy
Powerider tied down to
floor of a vehicle using
webbing restraints. Note
that separate occupant
crash tested restraint is
not shown in this view.