The back height is selected on the basis of the client s trunk strength and mobility needs. Armrests and legrests should also be adjusted for height. When clients are seated up straight with their shoulders relaxed, their forearms should rest lightly and comfortably on the armrest pads. Adjustable height armrests should be used whenever possible. When the client is seated back in the wheelchair, the foot-plates should support their feet with their knees slightly below their hips.
Some frames are adjustable in width as well as depth.
This is an important consideration for a growing child. Frame size adjustability may also be helpful for clients with significant weight fluctuations. The first step is to obtain medical history, activity level, daily routine, and transfer status information. Second, find out the client s expectations and goals for the wheelchair. Third, address the environment in which the chair will be used and the transportation mode.