Centre of Gravity and Manual Wheelchairs

Canadian Clinical Blog by Sheilagh Sherman, BA, BHScOT, MHM, OT Reg. (Ont.) - Sunrise Medical

Hello all!

Last month, I wrote an introductory article on the different types, or categories, of manual wheelchairs available. This month, let’s focus on centre of gravity and its application to manual wheelchairs.

The position of the rear wheel on a manual wheelchair relative to the frame effects the position of the centre of gravity and will impact the performance of the wheelchair. The graphics below illustrate the position of the rear wheel along the horizontal plane, which changes the weight distribution between the rear wheel and the front casters.

clinical-01-post.jpg

Graphics are copyright of Sunrise Medical, Inc.

When a person sits in a wheelchair, the person’s mass is distributed between the front casters and the rear wheels. How the mass is distributed between the front casters and the rear wheels – that is, the relative distribution of weight between the front casters and the rear wheels – affects performance indicators, such as rolling resistance and manoeuvrability. When the rear wheels are in a rearward position relative to the frame of the wheelchair, as illustrated in the above graphic to the left, the mass of the person using the wheelchair is distributed to a greater extent over the front casters than compared to when the rear wheel is in a more forward position relative to the frame, as shown in the above graphic to the right. When an increased percentage of weight is distributed over the front casters, rolling resistance is increased and the wheelchair is more difficult to propel, whether through hand propulsion, foot propulsion, or a combination of the two. More strength and energy is required to propel the wheelchair.

In addition, weighting the front casters makes the wheelchair more difficult to manoeuvre, requiring more force to be exerted to turn the wheelchair. Another consideration is the turning radius. When the rear wheels are in a rearward position, the overall length of the wheelbase is greater and the turning radius is increased, compared to when the wheels are in a more forward position. One of the benefits of having the rear wheels in a more rearward position is that there is stability in the wheelchair; that is, the wheelchair is less likely to tip backwards. This stability, however, means that it is difficult to “de-weight” the front casters to perform a wheelie, which may be required for mobility, such as when crossing obstacles.1

When the rear wheels are in a more forward position, the opposite effects occur. The percentage of weight going through the front casters is decreased. As a greater proportion of weight goes through the rear wheels, rolling resistance is decreased, making it much easier to propel the wheelchair. When the rear wheel is in a more forward position, the overall length of the wheelbase and the turning radius are decreased. Since less effort and strength is required to propel and manoeuvre the wheelchair, energy expenditure is lessened when rolling resistance is decreased.

Just as stability is increased when the rear wheel is in a more rearward position, stability is decreased when the rear wheel is in a more forward position. This means that the wheelchair has the potential to tip backwards. Ideally, the rear wheel should be adjusted as far forward as possible without compromising the stability of the person using the wheelchair or interfering with the front casters. 1,2 This may need to be done incrementally to allow the person using the wheelchair to become accustomed to the increased rearward instability with forward movement of the rear wheel.2

So how is the rear wheel adjusted into a more forward position? For a custom folding wheelchair, the rear wheel may be adjusted through the axle sleeve or axle plate. If the model of custom folding wheelchair has an axle sleeve, as depicted in the photograph below to the left, moving the axle sleeve forward or backward in the axle plate allows for the centre of gravity adjustment. Other models of custom folding wheelchairs have axle plates with holes, as depicted in the photograph below to the right, and it is the axle plate that moves horizontally along the frame of the wheelchair to adjust centre of gravity and weight distribution between the wheels.

clinical-02-post.jpg

Photographs are copyright of Sunrise Medical, Inc.

The centre of gravity adjustment is one of the reasons why a custom folding wheelchair is easier to propel than a standard wheelchair, which does not have the same ability to adjust for centre of gravity through the rear wheel. In a standard wheelchair, the rear wheel is in a rearward position relative to the frame. While this position provides for rearward stability, as we have seen, it increases rolling resistance and the strength and effort required to propel a wheelchair.

References

  1. Rehabilitation Engineering & Assistive Technology Society of North America. (2012). RESNA Position on the Application of Ultralight Manual Wheelchairs. Downloaded from http://resna.org/resources/position-papers/UltraLightweightManualWheelchairs.pdf
  2. Consortium for Spinal Cord Medicine Clinical Practice Guidelines. (2005). Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals. Paralyzed Veterans of America.

As always, please provide your comments, questions, and suggestions regarding Clinical Corner. Please email me at Sheilagh.Sherman@sunmed.com. I look forward to hearing from you!


Sheilagh Sherman BA, BHScOT, MHM, OT Reg. (Ont.) - Clinical Education Manager, Canada

Sheilagh Sherman, BA, BHScOT, MHM, OT Reg. (Ont.)

Sheilagh Sherman joined Sunrise Medical Canada in 2010 as a Clinical Educator. Prior to joining Sunrise, Sheilagh gained extensive clinical experience working in a variety of settings, including neurological rehabilitation, complex continuing care, and community rehabilitation. As the Clinical Education Manager, Sheilagh is a clinical resource for therapists across Canada involved in seating and mobility. She leads workshops, seminars, and webinars on the clinical aspects of seating and mobility. In addition, Sheilagh has presented at national and international conferences on seating and mobility.

Sheilagh also has an educational background that makes her well suited to the role of Clinical Education Manager. Sheilagh earned a Bachelor of Arts degree in Political Science from the University of Toronto in 1988, which enables her to understand healthcare policy and policy changes. Sheilagh graduated with a Bachelor of Health Sciences (Occupational Therapy) degree from McMaster University in 1994. In 2012, Sheilagh earned a Certificate in Adult Education/Staff Training from Seneca College. She applies adult learning principles to the workshops she leads. Finally, she also has a Master of Health Management (MHM) degree from McMaster University after graduating in 2015. Courses that Sheilagh completed during the MHM degree, such as Knowledge Translation, Evaluating Sources of Evidence, and Quality & Safety in Healthcare, assist Sheilagh in using an evidence-based approach in her work.

In her free time, Sheilagh enjoys running, in addition to practicing yoga.


Date: 2014-01-14


DISCLAIMER: FOR PROFESSIONAL USE ONLY. THIS WEBSITE (AND THE DOCUMENTS REFERENCED HEREIN) DO NOT PROVIDE MEDICAL ADVICE. Sunrise Medical (CA) LLC (“Sunrise”) does not provide clinician services. The information contained on this website (and the documents referenced herein), including, but not limited to, the text, graphics, images, and descriptions, are for informational purposes only and should be utilized as a general resource for clinicians and suppliers to then use clinical reasoning skills to determine optimal seating and mobility solutions for individual patients. No material on this website (or any document referenced herein) is intended to be used as (or a substitute for) professional medical advice, diagnosis or treatment. Never disregard your professional medical training when providing medical advice or treatment because of something you have read on this website (or any document referenced herein). Clinicians should review this (and any other materials) carefully and confirm information contained herein with other sources. Reliance on this website (and the information contained herein) is solely at your own risk.


Categories

AdaptedStrollers AdaptiveDriveControls AdjustableSeating Anniversary assessment BackRest BackSupport Bariatric Batteries BestPractice BodyShape Camber CasterHousingPosition CentreOfGravity ChangeInFunction ClinicalEducator COG Comfort ControlModule Cushion CushionCover CushionDesign CushionMaterial Customization CustomSeating Design dissipation DriveWheel DynamicTilt EarlyInterventionDevices Edema Education ElectricScooters ElectricWheelchair Electronics Encoders Falls FallsPrevention FemoralLoading Growth Handcycling Hardware HeadRest HeadSupport Heat ISO7176-19 KnowledgeTranslation LateralPosition Maneuverability Manual ManualWheelchair ModularFrame ModularSeating Moisture Motors OccupantRestraint OccupationalTherapy OTA/PTA OutcomeMeasures Outcomes Parasport PelvicObliquity PelvicRotation positioning PosteriorPelvicTilt Postural PowerAssist PowerMobility PowerWheelchair Pressure PressureInjury PressureManagement PressureRedistribution PressureUlcer PreventionOfSliding Programming protection PushrimActivatedPowerAssistWheelchair RearWheel Recline RehabAssistant ReviewArticle Rigid rigidity RigidWheelchair RollingResistance scooter Scooters SeatElevation Seating SeatingAndMobility SeatingGoals SeatingProductParameters skin SkinProtection Sliding SpecialtyControls Sports StaffTraining StandardizedTerms StandardWheelchair SteerCorrection supports technology TherapistAssistant Tilt Tilt-in-Space TiltMechanism transit VibrationDampening WC18 WC19 WC20 Wear Weight WeightShift WeightShifting Wheelchair wheelchairbasketball WheelchairConfiguration WheelchairCushion WheelchairProvision WheelchairProvisionSteps WheelchairTennis WheelchairTiedowns

OUR FAMILY OF BRANDS