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Evidence-Based Strategies for Preserving Mobility for Elderly and Aging Manual Wheelchair Users
Philip S Requejo1, Jan Furumasu2, Sara J Mulroy3
1Physical Therapy Department, Rancho Los Amigos National Rehabilitation Center, 7601 E. Imperial Highway, Downey, CA 90242, USA ; Rehabilitation Engineering Program, Rancho Los Amigos National Rehabilitation Center, 7601 E. Imperial Highway, Downey, CA 90242, USA ; Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, 7601 E. Imperial Highway, Downey, CA 90242, USA.
Elderly manual wheelchair (MWC) users can preserve function and mobility through ergonomic strategies, proper wheelchair configuration, and tailored exercise programs. This review offers evidence-based recommendations to enhance independence and quality of life for aging MWC users.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Biomechanics
Background:
- Aging manual wheelchair (MWC) users face accelerated functional decline, impacting independence and quality of life.
- Maintaining mobility is crucial for the well-being of elderly individuals using MWCS.
Purpose of the Study:
- To review current evidence and provide recommendations for preserving function and mobility in elderly MWC users.
- To identify strategies for maximizing independence and quality of life in this population.
Main Methods:
- Systematic review of existing research on MWC use in the elderly.
- Analysis of evidence related to ergonomics, wheelchair configuration, training, and exercise.
Main Results:
- Ergonomic adjustments and individualized wheelchair selection can decrease pain and improve self-propulsion.
- Targeted training, strengthening, and exercise programs can enhance endurance and capacity for daily mobility demands.
Conclusions:
- Implementing evidence-based recommendations can significantly improve function, mobility, and independence for aging MWC users.
- A holistic approach combining ergonomic principles, appropriate equipment, and physical conditioning is key to preserving mobility.
