I have no idea if this is the right thread to post this on, so I'm sorry if its not, but I have a question, for all the wheelchair knowledgeable members. My SCI injury level is T-4-T5 which as you probably know means that I can very easily fall out of my WC, as I have no back or abdominal muscles that want to help me sit upright or help me balance. I've been using a safety strap provided by my rehab team, but it doesn't feel secure, I still fall forward sometimes and if I do it up too tight to prevent this it restricts my breathing. Is there anyone with similar problems, I'm interested too see what others use, what else is available, how they work, how comfortable they are etc.
I'm T9 incomplete. I don't wear a safety strap. I was two and a half months in the hospital after my accident, and they never put a safety strap on me. I was, however first in a hard cast which was hinged, and then in a very stiff, fabric covered, two piece, lace up brace. So, when I was where you are 'time-wise', I did have a lot of insecurity about staying upright. However, I wasn't helped/allowed to get out of bed and into the wheelchair as much as I wanted, and this wasn't something that they did 'for my own good'. They just didn't want to use their staff to bother getting me up. After I'd already been up exploring the hospital in my wheelchair, there was a four-day weekend when the therapists were not working, and the staff just left me there stuck in bed, watching TV all four days. I got vertigo from lying down so much. I'd turn my head to look at the TV, and the room would spin at a 45 degree angle. I finally fought and begged my way out of bed again. I remember that I had to stay ridgedly upright, with my back against the back of the chair. Other people had to press the button on the elevator for me. And once, I dropped my little unopened bag of potato chips on the floor inside the elevator. I was alone and was unable to lean over and pick up that bag of potato chips (that I'd bought myself from a vending machine). So determined was I not to loose that bag of potato chips that I would not leave the elevator without it. Finally, someone else opened the door to get on the elevator and found me sitting there. The first thing I said was, "Would you pick up that bag of potato chips for me, please?" He looked shocked but picked it up and handed it to me. Next, I said, "And, would you hold the door for me so I can get off the elevator, please?" Again, a look of shock and confusion as I explained that I'd just been there waiting for someone to get my potato chips for me before rolling out of the elevator.
So, having told yet another story that I've never told online before, here's what I want to tell you...while I wore that brace, I had almost no balance at all. And I wore that brace for a long time. No doctor or therapist ever told me for how long I was supposed to wear it. But after I stopped wearing the brace, I felt quite 'atheletic' by comparison. I got pretty good at holding onto the arm of the wheelchair with one hand while leaning to pick up something with the other. I couldn't pick up coins on the floor after I dropped them, but if it were something like a kleenex box, I could snag it. Have your therapists told you if the strap is supposed to be a permanent part of the equipment you wear?
vintage, Vintage I'm sorry to here that your recovery was awful, as if the whole deal isn't bad enough! One of the things I'm working on in rehab is my arm strength, I have quite high level of pain I'm my arm ands shoulders, so its a bit tough at this stage to steady myself, if I start to fall. The safety strap is permanent so far, I'm hoping to prove them wrong and not need it anymore At this stage the nerve pain in my upper body is the same horrible level as when I was first injured, having said this its only been two months, so anything can happen. When I first woke up in intensive care (I was in a coma for 4 days) after the initial holy crap what the hell happened wore off and I started to think a tiny bit clearer I tried to sit up, well the pain that shot through my upper body was enough to make me scream, but I remember thinking thank god its only the top half of me thats injured ill be back on surfboard in no time. That's about when I realised that not feeling pain from my chest upper chest down was bad. Because of the other injuries i got in the car wreck, i've pretty much just started rehab, but last week we were working on using my arms to lift my upper chest up that's step on of the "Ellie will sit up on her own again" journey, it must of looked hilarious! Even I was laughing, I kind of felt like a fish out of water my head goes so far forward and the shoulders go no where. First time they moved me from my hospital bed to a wheelchair, my twin brother went to push me and i had a complete melt down, I was so scared of not being able to control my upper body. Now I'm not scared just frustrated! I have been watching you tube clips of paraplegic and quadriplegic's doing transfers and things, quadriplegics have more control over their upper body then i do. This is going to change eventually but for right now i have to deal with it. Like i said my arms and shoulders have a lot of pain there, and they are very weak, i cant push my chair for very long at all. So for right now the strap is my friend but later on the strap will be banished
Keep up the good work elena , you will get there and you will make progress. vintage , I am so sorry that you went through that crap, its just wrong on every level.
Okay, so the strap will probably be phased out later on. Or, maybe you would wear it only when you are alone on a campus, or something like that,...just for extra safety in certain circumstances. I'm sorry about your arm and shoulder pain. The pain would certainly interfere with 'strength building'. I didn't have arm or shoulder pain from my accident, but I had something a little similar. I'd had a 'slip and fall' accident eleven years previous. That gave me a rotator cuff injury (right shoulder). So, when the therapists told me to pull myself over and transfer to the wheelchair, I couldn't do it without help. I was also quite overweight at the time. I could tell that I would re-injure my shoulder if I tried to force it to do more than it could, but the therapists wouldn't accept this. Later, I figured out that they were under a time constraint to get me to transfer unassisted, or else they would have to suspend my services. If they would have just told me their time constraint, rather than treating me like I was a failure, I could have solved the problem. They would have had to allow me to transfer my own way, and they probably wouldn't have let me do that. (I lost a lot of weight soon after my accident. I don't use a sliding board. I tie my wheelchair to the bedframe. I turn sideways and fall backwards onto my bed. Then, lying on my back, I reach over my head and grab the rail on the far side of the bed, then pull my body further onto the bed.) The hospital therapists cancelled my rehab without teaching me hardly anything. More on this later.
I used to have a little herb garden. I thought I'd get home to it. But I can't cross the grass in my wheelchair. And the faucet is over by the herb garden. I can't get to it to water the plants. I'd planted seeds in pots when I had an aide to bring me the pots. But I lost the service that paid for the aide, and all my herbs died of thirst. So sad.
I want to get hold of my medical records to find out if I was in an 'induced coma', and if so, for how many days. I saw that for three days, the police department was calling every day to see if I'd died yet. Oh, and besides my broken back, the car took off my left leg above the knee. The impact also caused a nicked spleen. I have a scar from belly button up the middle of my chest from that surgery. ...pretty much 'road kill' that didn't go ahead and die. (I was standing behind my car when I was hit.) And, just like you, I'm just so happy for everything that I have left. I think that one thing that helps us through this is that we have always had a variety of interests and projects. Are you like that, too?
I'm T3 and thus have similar issues. I had a strap but no longer use one. The key things for me were to wear an abdominal binder, and to ensure that the lumbar S shape is maintained by putting a roll of some sort at lumbar level and essentially arching backwards from that level. That normal lordosis is maintained by the muscles usually but is lost due to the paralysis and the result is you just tend to roll forwards, whereas that is significantly reduced by a lumbar roll or pad.
Yes to what Iain says. You desperately need a seating evaluation with a very experienced wheelchair PT specialist. they are rare. Mostly we get evaluated by salespeople and only learn after years of poor seating that there ws a solution all along.
Was your upper body quite weak before your injury, or did something happen in the accident that affects your upper back and arms? Get an opinion on your MRI or xray from a competent neurologist. Or a second opinion. Most people manage to strengthen what they have.
Hello Elena! I recently purchased safety strap for my grandmother as she often falls. It is also lightweight, anodized aluminum with solid one-piece frame. You can also check the same and shop online. There are many good straps which give support and prevent from falls.
elena , A seating evaluation will also help determine whether the dump (center of gravity) in your chair is enough. For your level, you need a bigger dump and some side guards so you have less chance of falling out of your chair.
Also, if you want to get stronger, the best starting place is to use exercise bands to build up strength. There are some good videos on the Shepherd Center app (SCI-Ex) for helpful stretches. Check out explanation of app on the link below.
Keep up the good work elena , you will get there and you will make progress. vintage , I am so sorry that you went through that crap, its just wrong on every level.
Hi elena, I'm a T2-T4 incomplete, but have never actually been told I'd have problems falling out of the chair. Now that you mention it.... I've found over the years that I replace my core muscles with my arms, meaning I'm always balancing myself with one arm while the other hand manipulates what it needs to. Much of my compensation comes from either sitting at and leaning on a tabletop, and I've tried to design kitchen counters etc, at a height that supports my elbows while I work (a bit dodgy for pouring hot liquids, but doable). It sounds as though you're in the early stages of rehab, but working your core will help tremendously (you'll hate it. It's really hard work). You'll gradually gain strength in your arms and learn your own little tricks to support yourself. Be patient. One day at a time. I've never used a strap to keep me in my chair (except for the new Grit wheelchair, but that's off road so doesn't count) and never fallen out of it, even on steep inclines. I depend mostly on my wheelchair dump to keep me in my seat. As tetra, suggests, get yourself a GOOD wheelchair positioning PT, and do not automatically trust the wheelchair vendors - nice as they seem, they don't live your life.
Though I'm T-9, I rely on quickly grabbing the arm of my chair if I experience imbalance. And no matter what I'm holding or doing, I keep firmly in mind that staying "in" the wheelchair takes priority over whatever else I'm holding or doing. Once, I was chasing a particularly annoying fly with a fly-swatter and, in my enthusiasm, I almost forgot my priority,...over-extending myself. (Brief scare.) I got him, but yes, the fly almost won a very decisive victory.