Assistive Technology / Adaptive Equipment

Question 1

Wheelchair axle placement for bilateral below-the-knee amputations

Answer 1

Axle should be positioned SLIGHTLY FORWARD

★ to provide better stability & maneuverability
★ shifts CoG forward, which can enhance the client’s ability to self-propel the w/c efficiently using upper body strength
★ prevents w/c from tipping backward (esp. during propulsion or when negotiating obstacles)

Question 2

Why is wheelchair axle placement important?

Answer 2

Axle positioning affects CoG which impacts how easily a person can propel the w/c

★ functional independence
★ safety & comfort
★ postural alignment