Page 21 - Mobility Management, January/February 2022
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somebody a chair with 0° camber is if I’m worried about them getting through a door — if they’re wide and their chair is wide, and I’m worried about door access,” Rosen said. Basically, everybody else she sets up in her clinic “gets 2° to 4° of camber because the chair rolls better. The wheels are closer to your body, so you have better wheel access. It just makes for a more stable base.”
Such modest amounts of camber, Rosen added, are not readily noticeable, unless you know what to look for. “With 2° to 4° of camber — you really don’t see it. It’s not obvious that there’s camber in the wheels, unless you’re actually specifically looking. Anybody who would look at the chair would not think there was camber at 2° or 4°.
“But if you push a chair with 0°, 2°, and 4° of camber, you’d feel the difference.”
Because Everything Matters in Manual Wheelchairs
Camber can make those rear wheels easier to reach, a real benefit especially to very young ultralightweight wheelchair users with shorter arms.
“If I really know there’s never going to be a door access issue because you’re super small, I’ll go with 4°
[of camber], because you’ll come back and tell me
it’s easier to push,” Rosen said. “It gets the wheel a little closer to him up at the top so he’s not having to abduct so much, and it’s an easier turn. If I make [an adult wheelchair] just a smidgen too wide, you can’t get into your house. In kids’ [wheelchairs], I don’t have to think about that.”
Despite its great potential impact, Rosen added that camber is just one element in the science and art of opti- mally setting up an ultralightweight wheelchair, whether it’s for a world-class athlete, a weekend warrior, or a giggling preschooler whose main goal is keeping up with siblings.
“Some of it being easier to push is [due to] the rest of my setup,” she said.
“Everything matters on a manual chair. I can put your center of gravity in a great place, but if I give you no camber, you’re going to feel like it’s hard to push. If I put your seat depth in the wrong place and make you sit uncomfortably, having perfect camber doesn’t make a difference.
“I can give you the lightest-weight chair on the market, whatever that is today, and if I don’t set up everything right, it can feel just as bad as pushing a steel chair.” m
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