Wheelchair Prescription & Positioning

Jessica presents with a C6 spinal cord injury and is being fitted for a wheelchair. She has full innervation of the deltoids, biceps, and wrist extensors but lacks active triceps function. The patient requires independence in propulsion and activities of daily living. During assessment, she demonstrates forward shoulder positioning and mild scapular instability. Which wheelchair feature is MOST appropriate to optimize the patient’s function and minimize shoulder strain?

A) Reclining backrest to improve postural support

B) Lightweight frame with adjustable axle position

C) High backrest to improve scapular stability

D) Elevating leg rests to reduce shoulder loading

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