A primary care provider’s guide to wheelchair prescription for persons with spinal cord injury

Erin Michael, Terin Sytsma, Rachel E. Cowan

Research output: Contribution to journalArticlepeer-review


The wheelchair is an essential tool for individuals with spinal cord injury (SCI). When the capacity and fit of a wheelchair is matched to the needs and abilities of an individual with SCI, health, function, community participation, and quality of life are maximized. Throughout an individual’s life, function and health status can decline (or improve), necessitating a new wheelchair and/or seating components (eg, cushions and backrests). Additionally, a patient’s current wheelchair may be identified as a factor contributing to a health concern or functional deficit, again necessitating wheelchair adjustments. Primary care physicians often manage the complex and lifelong medical needs of individuals with SCI and play a key role in wheelchair evaluation and prescription. This article provides a broad overview of indicators that a new wheelchair is needed, describes the wheelchair prescription process, identifies important team members, reviews the major wheelchair components, and provides guidance to match components to patients’ needs and abilities.

Original languageEnglish (US)
Pages (from-to)100-107
Number of pages8
JournalTopics in Spinal Cord Injury Rehabilitation
Issue number2
StatePublished - 2020
Externally publishedYes


  • Durable medical equipment
  • Physician
  • Primary care
  • Service delivery
  • Spinal cord injury
  • Wheelchair

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology


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