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Introduction to a wheelchair

Whether you're new to using a wheelchair or helping someone who is, this video shares the must-know tips for safe and confident wheelchair use. Presented by Vanessa, you'll get clear, practical guidance on how to use, fold, and adjust an attendant-propelled wheelchair the right way — from brakes and armrests to seat cushions and lap belts.

Attendant-propelled wheelchairs

Attendant-propelled wheelchairs, sometimes called transit wheelchairs, are designed for individuals who require assistance from another person to move their wheelchair.

They are easily identified by their smaller back wheels, compared to the large wheels on self-propelled models.

Attendant-propelled

Self-propelled

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Weight limit sticker

The seat

The brakes

The footplates

The backrests

The armrests

The lap belt

 

 

 

 

Important notes:

  • These are mobility aids, not designed for extended periods of sitting.

  • Ensure the wheelchair is professionally serviced at least once a year.

  • Look for a weight limit sticker and ensure the user does not exceed the specified capacity.


 

 

 

 

 

The seat

  • Some seats come padded, but most have a plain canvas base.

  • It is recommended to use a pressure cushion for comfort and pressure relief.

  • Cushions vary depending on individual needs.

  • Always check the cushion is positioned the correct way up and facing the right direction.


 

 

 

 

 

The brakes

  • Some models have brakes on the push handles, while others are located near the rear wheels.

  • Always apply the brakes whenever the wheelchair is stationary, including when

    • Someone is getting in or out of the chair.

    • The attendant steps away from the chair.


 

 

 

 

The footplates

  • Footplates must be in place when someone is seated.

  • Ensure footplates are fully folded up and out of the way when the person is getting in or out.

  • Check the person’s feet are correctly positioned in the footplates, in front of the footrest strap.

  • Correct foot placement helps avoid injury from the wheels.

  • Carers should watch for wheelchair users trying to stand while footplates are down, as this can cause falls.

 

 

 

The backrest

  • The backrest is foldable, which is useful for storage in tight spaces, such as the back of a car.

  • Be careful not to trap your fingers or any part of the person’s body when folding or unfolding.

  • Always ensure both handles click securely into place before moving the chair.


 

 

 

 

 

The armrests

  • Some armrests fold back, while others detach, useful for storage or side transfers.

  • Armrests are side-specific – ensure they are placed correctly with the armrest padding facing outward.

  • Take care not to pinch fingers or the user’s body when removing or reattaching.

  • Always check both armrests click securely into place before use.

  • When lifting the folded wheelchair never lift from the armrests as they are not secure and may detach

 

 

 

The lap belt

    • Lap belts are not required for moving, but may offer a sense of security.

    • Particularly useful on slopes or kerbs.

    • NEVER use the lap belt as a restraint.

    • ALWAYS obtain consent from the person before using the lap belt.


 

Folding a wheelchair

01
Fold up footplates and remove them completely
02
Remove the cushion
03
Assure the lap belt straps are out of the way
04
Fold the chair by pulling up with your hands on the front and back of the canvas
05
Fold the backrest down (this is optional but can be very useful if storing the chair in small spaces or transporting it in a car)

Unfolding a wheelchair

01
Check that the lap belt straps are out of the way and will not get caught in any of the mechanisms of the chair
02
Unfold the backrest if it is down and assure both handles click into place
03
To open the seat, put your fingers on the inside of the canvas and push down. Be very careful not to pinch your fingers
04
Place the cushion making sure it is the correct way around
05
Put the footplates on making sure you have the correct plates on the correct sides and that they click into place
06
Do a final check to make sure everything is secure and safe

Meet our experts

Vanessa Marques

Vanessa graduated from London South Bank University in 2022 with a Postgraduate Degree in Occupational Therapy. She brings a wealth of experience having worked with both children and adults in the NHS and various charity organisations, which include settings specialised in learning disabilities and palliative care. Vanessa has worked within the Therapy Team at Nightingale Hammerson since 2022, supporting residents through personalised therapeutic interventions to enhance independence, well-being and improve quality of life. Vanessa enjoys enabling residents to engage and participate in their meaningful activities and tasks, as well as supporting the learning and development of team members within the organisation.

Rosalind Gray

A compassionate and versatile Occupational Therapist and AHP Manager with over 30 years’ experience across the NHS, local authorities, private and charity sectors. I specialise in supporting adults with physical disabilities, dementia, rehabilitation needs, environmental adaptations, and palliative care. I’m committed to putting people at the centre of everything I do, delivering genuinely person-centred services and ensuring accessibility for all. I have a proven track record in interdisciplinary leadership, change management, innovation, creative problem-solving, service design, environmental adaptation, performance management, mentoring, customer service, and delivering outcomes that make a meaningful difference. In my spare time, I’m a passionate nature photographer!

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The resources available are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances.  The resources are for your information only, and we advise that you exercise your own judgment before deciding to use the information provided. Professional medical advice should be obtained before taking action. Full terms and conditions