Category: Shoulder preservation

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Weight or Configuration: Which one is more important for a manual wheelchair?

When discussing manual wheelchairs, we often focus on the idea of having the lightest weight wheelchair possible. Yes, weight can be an important factor when we think about propelling a manual wheelchair all day. We also have to consider where the weight in the system is coming from. I said system here because it is…

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Why Everyone Should Be Talking About the Shoulder

If you are a physio or occupational therapist working with an individual who is utilising a manual or power wheelchair, you should have a better understanding of the shoulder than a sports physio. Yes, that’s right you read that sentence correctly. Our client needs us to better understand the shoulder than a sports physio. Why?…

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Shoulder Preservation: Are we doing enough?

We have been discussing shoulder preservation over the past couple months and today I want to finish our discussion with this video. When I watched this video, I became overwhelmed with several emotions. I must have watched this clip 10 times in a row. Over and over, each time thinking about all of my clients,…

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Shoulder Preservation: Let’s talk about Power Assist

When we are considering a manual wheelchair, are we considering a power assist option? We have been discussing shoulder preservation and how it relates to the weight of the wheelchair, the configuration of the wheelchair, and to the individual and their pre-morbid shoulder health. We have also discussed how mobility is NOT and should NOT…

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Shoulder Preservation: Functional Mobility versus Exercise

As we continue our discussion on shoulder preservation one common question that comes up from therapists, end-users, and families frequently is: Should Propelling a Manual Wheelchair be Exercise? This question comes in many forms. Often the therapist in the dilemma of worrying about the end-user being as independent as possible, the idea of maintaining the…

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Shoulder Preservation: An end-user perspective-Mal`s story

In 1980, when I acquired my SCI, there was very little talk about preservation of shoulders. The focus was on strength, lots of weights and pushing. The adage “if you don’t use it you lose it” was strongly endorsed. In those days, I thought that shoulder pain was a good thing, it meant I had…

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Shoulder Preservation Part 4: The Recommendations for Shoulder Preservation with Manual Wheelchair Propulsion

Let’s continue our conversation on propulsion with a manual wheelchair. Last week, we briefly looked at 7 of the recommendations based on clinical practice guidelines.  Today, we will begin our dive into those recommendations.  Let’s start at the top: Provide manual wheelchair users with SCI a high-strength, fully customisable manual wheelchair made of the lightest…

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