In other parts of the country like the northern mountain areas, this is less of a concern. Here the physical therapists prefer more traditional solid seating with lateral, head, hip supports and seat belts. Terrain Throughout Nicaragua, the usual terrain will be dirt and gravel. Most of the houses have dirt floors. Some roads are paved but many are dirt, mud, gravel and rocks.
Many houses are too small for a wheelchair to be used inside with whole families living in one room.
Most routes will inevitably include many high curbs, small gates or doorways. Use Los Pepitos does not expect a wheelchair to be used indoors, but rather sees it as a way for the parents to take the children around town or for brothers and sisters to take them to school. Usually the children will sit in a rocking chair or bed while in the house. Ergonomics Los Pepitos suggested that most wheelchairs be designed for children who will not be able to push themselves. They thought the push handles should be well designed for parents.