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Issue_G_January_2013 10 Dash Lite
4.7 HANDLING & STABILITY ON STEPS & SLOPES
A little forward planning can eliminate difficult
manoeuvres such as 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 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, and 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 atten
(attendant brakes are an available option).
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 av
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
rehabilitation professional.
DO NOT ATTEMPT SIDE TRANSFER ON
SLIPPERY OR UNEVEN FLOORS
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
environment, which they must regularly overcome,
they should consult their wheelchair rehabilitation
service, or community services department
appropriate.
There may still be occasions when steps must be
negotiated. In the event o
detachable pushing handles, these should be
checked for security in the locked 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 in
available, but this is beyond the context of this
guide.
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.
SAFE SLOPE OF 8 DEGREES FOR