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Wheelchair Wisdom #1: Five Signs Your Wheelchair No Longer Fits
Many people continue using the same wheelchair for years because “it still works.” However, just because a wheelchair is still functional doesn’t necessarily mean it’s still the right wheelchair for you.
Our bodies change over time. Health conditions progress, posture alters, strength changes and our daily routines evolve. A wheelchair that was perfect a few years ago may no longer provide the support, comfort or function you need today.
At The Wheelchair OTs, we often meet people who have gradually adapted to an uncomfortable wheelchair without realising that many of their problems could be improved with a specialist wheelchair and seating assessment.
Here are five common signs that your wheelchair may no longer be the right fit.
Five signs your wheelchair may no longer fit
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1. You're sliding forwards in your chair
Do you find yourself constantly shuffling backwards?
Sliding forwards usually isn't because you're "sitting badly." More often, it's a sign that something about the wheelchair isn't working for you.
It could be:- An incorrect seat depth.
- An unsuitable seat angle.
- A cushion that's no longer appropriate.
- Changes in posture or muscle strength.
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2. You're leaning to one side or struggling to sit upright
Many people gradually develop a sideways lean or find themselves becoming more hunched over during the day.
This can happen following a stroke, with neurological conditions such as Parkinson's disease or multiple sclerosis, or simply as we become older and our trunk strength reduces.
Without the right support, poor posture can become progressively more difficult to correct and may lead to pain, fatigue and pressure problems.
A wheelchair should support your body — not leave your muscles doing all the work. -
3. Sitting becomes uncomfortable or painful
A wheelchair should allow you to sit comfortably for the activities that matter to you.
If you're experiencing:- Back pain
- Shoulder pain
- Hip discomfort
- Neck pain
- Pain over your sitting bones
Often, relatively small changes can make a significant difference. -
4. You're relying on extra cushions or pillows
It's common for people to add cushions, folded blankets or pillows to try and make themselves more comfortable.
While these may provide temporary relief, they rarely address the underlying problem.
A wheelchair should be properly adjusted to fit the individual. If you're relying on makeshift solutions, it's often a sign that your seating needs reviewing. -
5. You're spending less time sitting out
One of the biggest warning signs is when someone begins asking to go back to bed earlier or spends less time in their wheelchair because they feel uncomfortable.
This isn't just about comfort. Reduced sitting tolerance can affect independence, social interaction, eating, family life and overall quality of life.
The right wheelchair and seating can often help people sit out for longer, participate in more activities and enjoy greater comfort throughout the day.
Remember – people change, so wheelchairs should too
Many people assume that once they've received a wheelchair, that's it. In reality, wheelchairs should be reviewed regularly. Changes in health, posture, weight, mobility or daily routine may mean that your wheelchair needs adjusting — or that a different seating system would better meet your needs.
Sometimes a simple adjustment is all that's required. Sometimes a different cushion, backrest or footrest positioning can transform comfort. In other cases, a specialist seating system or tilt-in-space wheelchair may provide much better postural support and pressure management.
How The Wheelchair OTs can help
At The Wheelchair OTs, we specialise in independent wheelchair, posture and seating assessments carried out in your own home. We don't simply recommend wheelchairs — we assess how you sit, move and function in your everyday environment to find the most appropriate solution for your individual needs.
Our aim is to maximise comfort, improve posture, reduce pressure, support independence and help you continue doing the things that matter most. If you've recognised any of these five signs, it may be time for a review. We'd love to help.
Contact The Wheelchair OTs to arrange a specialist wheelchair and seating assessment and discover how the right wheelchair can improve comfort, posture and quality of life.
Matt & Sally