Page 27 - Mobility Management, November 2017

that technology doesn’t exist. The technology is there to solve the problems. It’s just not spread evenly and being applied.”
Veteran ultralightweight wheelchair users are famous for knowing and declaring exactly what they want when it’s time to order their third or fourth chair. But that supposed knowledge can work against them as their bodies age.
“Over time, wheelchair design and technologies also advance,” Garven said. “If a person doesn’t keep up with their own changes and needs, as well as how the industry has progressed, they will most certainly not be in optional equipment 10 to 20 years later.”
Kiger agreed that mat evaluations need to happen as part of the new-chair assessment process, even with clients who just want to duplicate their old chairs.
“Are [clinicians] doing a pain scale?” she said. “Ask: When you’re propelling, what is your pain typically like? Are you truly looking at the whole gamut of mobility-related activities of daily living? They might not initially feel a twinge of pain when they start propelling, but they’ll say, ‘When I reach up in my cabinet to get the cereal in the morning, it sure does hurt.’ If their shoul- ders are hurting when they’re reaching up, that could manifest in other areas down the line.”
It’s worth checking, Garven added, to make sure a chair is still optimally set up to accommodate its user’s current abilities.
“One of the most important considerations for propulsion, in addition to push technique, is rear wheel access,” she said. “A great rule of thumb is to have the hub of the rear wheel near the fingertips when the arm is extended down.”
Whelan said he’s thought about education programs to cover the newly emerging topic of aging consumers who have spinal cord injuries.
“We talk about what complex rehab is, and that’s what it is to me,” Whelan said. “The complex rehab initiative is about recog- nizing what this industry is, and what people like Alan need, and how to apply technology. We need to fundamentally change the way we approach this part of the market. It’s a different market for full-time, life-long wheeled mobility technology users. It’s
no different than for life-long amputees: My stump is diminishing
in size; they get a new socket. I don’t have the same flexibility; they retune the prosthetic. It’s a constant set of changes in prosthetics, because they recognize the changes going on physiologically.
“It’s the same thing for wheeled mobility users.”
Ludovici acknowledges that his industry experience and knowledge have been critical to his independence as he’s aged. He also knows not every long-term ultralight user is as fortunate.
“The older I get, the more I need,” he said. “And the more tech- nology I get to create. In some respects, it’s good for the industry.” m
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