Wheelchairs: an Alternative to Prosthetics

For individuals with lower-limb amputations or other mobility-affecting disabilities, choosing between assistive devices can have a huge impact on the quality of daily living. The decision between using a wheelchair, prosthesis, or both depends on various factors that influence functional performance and overall health.

As New Mexico's leading provider of upper-limb and lower-limb prosthetics, PrimeCare is well-versed in discussing mobility options with our patients. Knowing the role of different mobility solutions helps us ensure each patient finds their optimal path to independence.

Wheelchairs as Mobility Devices

While prosthetics serve as replacement limbs, wheelchairs represent a distinct category of assistive devices. According to the World Health Organization, over 80 million people globally need wheelchairs, particularly in developing countries where access to prosthetic care may be limited.

Unlike prosthetics that replace a missing limb, wheelchairs work as mobility systems that support the entire body. Modern wheelchairs incorporate advanced materials and technologies, ranging from basic manual chairs to sophisticated power-assisted models capable of reaching high speeds and navigating diverse terrains.

Today's wheelchairs come in several main categories:

• Traditional manual wheelchairs pushed by the user or caregiver are ideal for basic mobility needs and indoor use.
• Sport-style lightweight chairs are made from aluminum or titanium and they’re perfect for active users who value independence.
• Electric-powered chairs with joystick controls offer mobility solutions for those with limited upper body strength.
• Compact, foldable transport chairs designed for travel and temporary use are typically pushed by caregivers.

Making the Choice: Wheelchair vs. Prosthetic Devices

The decision between mobility solutions depends on multiple factors, including the specific medical problem, lifestyle needs, and rehabilitation goals. Our team is here to ensure you have the facts and help guide you in the right direction. Each option has distinct advantages and considerations for different situations.

When to Choose a Wheelchair

A wheelchair might be the preferred choice when:

• Multiple injuries or bilateral amputations affect mobility.
• The patient needs to conserve energy for certain activities.
• Balance or stability issues make prosthetic use challenging.
• Immediate mobility is required during early rehabilitation.
• Long-distance travel or extended standing is necessary.

When to Choose a Prosthetic Device

Various prosthetics often work best when:

• The amputation is unilateral, especially for below-knee amputees who maintain good balance.
• The person maintains good upper-body strength.
• Core stability and balance are strong.
• The individual prioritizes standing activities.
• Navigating stairs or uneven terrain is frequent.

Your healthcare team can help assess these factors and determine which option best suits your specific situation. It’s important to regularly reassess your mobility needs to ensure your choice continues to support your lifestyle and goals effectively.

Can I Use Both Prosthetics and a Wheelchair?

Many individuals find success using both mobility devices for different scenarios. It’s a flexible approach that allows for maximizing independence and comfort in various situations:

• Recovery periods: During initial prosthetic training or after medical procedures, a wheelchair provides essential mobility while building prosthetic skills.
• Long-term health: Alternating between devices helps prevent overuse injuries, protects joint health, and maintains better body mechanics over time.
• Lifestyle flexibility: Having both options allows participation in more activities, from standing sports with prosthetics to wheelchair basketball or racing.
• Career support: While some office environments are easily navigated with a partial foot prosthesis, other workplaces might benefit from wheelchair mobility, giving you professional flexibility.
• Control travel distances: Walk shorter distances with prosthetics to maintain strength and mobility, while relying on a wheelchair for longer journeys or extended activities like shopping or event attendance.
• Protect your residual limb: Switch between devices based on residual limb comfort such as using a wheelchair during sensitive periods or after intense prosthetic use to prevent overuse and maintain skin health.
• Medical management: During socket adjustments, skin issues, or prosthetic maintenance periods, having a wheelchair ensures continuous independence.
• Family participation: Different family activities might favor one device over another, from beach trips to shopping outings.

This flexibility in mobility solutions ensures users can maintain independence while protecting their health and energy levels.

Essential Wheelchair Tips for New Users

Transitioning to using a wheelchair means you must understand key aspects of mobility and safety. Whether using it as a primary device or in combination with a prosthesis, proper technique ensures optimal results. Here are our tips for those new to wheelchairs.

• Master basic movements: Learn proper pushing techniques, including hand placement on wheels and smooth motion patterns for efficient propulsion and reduced shoulder strain.
• Master proper posture: Avoid leaning forward unnecessarily as it strains your back — instead, maintain an upright position with your shoulders aligned over your hips for better control and comfort.
• Practice safe transfers: Use proper transfer techniques between your wheelchair and other surfaces, always engaging brakes and maintaining three points of contact.
• Customize your setup: Adjust your wheelchair's position, including footrests, armrests, and backrest angles for maximum comfort and proper posture.
• Navigate various surfaces: Develop skills for handling different terrains, from smooth indoor floors to outdoor paths, including proper techniques for ramps and curbs.
• Maintain your chair: Regularly check tire pressure, brake function, and frame condition to ensure safe and smooth operation.
• Prevent pressure points: Change position often and use proper cushioning to protect skin health and prevent potential injuries.

This attention to proper wheelchair techniques helps ensure safe, comfortable, and effective mobility.

Your Journey to Enhanced Mobility

Choosing between a wheelchair and prosthetics doesn't have to be an either/or decision. Many individuals successfully integrate both solutions into their lives, maximizing their independence and quality of life.

As New Mexico's trusted provider of custom prosthetics, at PrimeCare, we’re here to help you explore all of your mobility options so you feel confident in your decision. Since 2009, we’ve provided cutting-edge technology and compassionate care to help individuals improve their quality of life. Contact our team to discuss personalized solutions that match your lifestyle and goals!