Armrests are on all power wheelchairs and some individuals require them for their manual chairs as well. Armrests provide a place to rest the arms when sitting, being pushed, or when driving a power wheelchair. When moving out of the wheelchair, armrests can function as handles and support for the individual to push or grab. Armrests can also help someone who needs pressure relief, allowing the individual to push oneself up to reposition the body (Cooper, 1998, p. 31). This is very important for individuals who have some upper body strength, and are at risk for skin breakdown.
Some individuals may need armrests primarily for support. Sidebars and elbow cushions on armrests are an option for some individuals because they are soft cushions that side either on the side of the arm rest or the back and prevent the arm from falling off of the armrest. These accessories may be used to help stabilize the body, facilitate repositioning, relieve pressure areas, or provide comfort.
Considerations for armrests:
Fixed armrests – This type of armrest is permanently fixed in one position. This may make moving out of the chair more challenging and it may make the seating area narrower (Cooper, 1998, p. 33).
Removable armrests – This type of armrest can be removed for more versatility of the chair but will be a bit more expensive. It may be possible to advocate for reimbursement of this feature when requesting a custom wheelchair. Removable armrests benefit the individual because they can make access to tables and desks much easier. They also help with moving out of the chair (i.e. into a bed, couch, armchair, etc)
Height of armrest –the height of the armrest must fit to the individual’s body and enable function. For example the height of the armrest needs to fit under the desk that the individual uses at work, or the table so the individual can eat dinner with his or her family.
Length of armrest –For persons with low muscle tone, the wheelchair armrests should be long enough to support the individual’s entire extremity. (Cooper, 1998, p. 33).
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