Update on the Evidence: RESNA Ultralight Manual Wheelchair Position Paper

Research Objectives To identify optimal manual wheelchair configuration for people who self-propel for full-time wheeled mobility. To identify new evidence on how prescribing an ultralight weight manual wheelchair can minimize secondary complications in the body functions, promote functional independence with mobility related activities of daily living, and provide opportunities to participate in life roles Design This position paper was written following a scoping literature review process, open review period through RESNA and peer-review process. Setting This position paper is relevant to any prescribers or clinicians recommending manual wheelchairs. The results of the scoping review is applicable to treatment settings where people use a manual wheelchair for primary mobility, from pediatrics to long term care. Participants N/A. Interventions The RESNA Paper on the Application of Ultralight Manual Wheelchairs was published in 2012 and sought to provide evidence to support the application of fully customizable manual ultralight weight wheelchairs. Since that time, new developments in clinical research in our understanding of manual wheelchair considerations have prompted a revision of this foundational document. Main Outcome Measures The presentation will describe the intention of the revision and review new evidence based topics incorporated into the new position paper including: Manual wheelchair configuration, wheelchair training and wheelchair skills relating to function, rolling resistance and propulsion effort, various propulsion styles and considerations for overuse injuries in all extremities. Results The results of the scoping literature review and position paper will provide supportive evidence for the need for ultralight weight manual wheelchair configuration and the impact on body functions and structures, activities of daily living, and participation. Conclusions This scoping review and position paper will allow the clinician and practitioner to have supportive evidence for equipment recommendation for their patients who use a manual wheelchair full-time for mobility. Author(s) Disclosures Jennith Bernstein is a full-time employee of Permobil, Inc.; however, this work is presented on behalf of an entire work group of clinicians, engineers, and professors.