Hesperian Health Guides
Fitting the Chair to the Child: Measurements
HealthWiki > Disabled Village Children > Chapter 64: Decisions About Special Seats and Wheelchairs > Fitting the Chair to the Child: Measurements
These measurements are for wheelchairs and for special seating without wheels.
SEAT WIDTH
Measure across hips or thighs— whichever is wider. | |
MEASURE WIDEST PART | Add 1 cm (½ inch) to both sides for seat width. |
Note: Some specialists recommend wider seats. But the child gets a better arm position for pushing the wheels if only 1 cm is added on either side. However, you may want to leave a little more room to allow for the child’s growth.
SEAT DEPTH
Note: You may want to add 2 cm or 3 cm to allow for growth and use a backboard or firm cushion to fill in the extra space. | ||
MEASURE FROM BEHIND KNEE TO BACK OF BUTT | Subtract about 1 cm for depth of seat to leave a little space behind the knees. |
SEAT HEIGHT
Note: Raising the seat of a small child higher lets his feet rest above the casters and therefore directly below the knees. The higher seat also helps for eating at the table with the family. Sideways transfers are also easier. Sometimes seats are placed even higher than shown, but this makes pushing wheels with hands more difficult.
ARMREST HEIGHT
MEASURE FROM BOTTOM OF BUTT TO BEND OF ELBOW.
Before measuring, be sure child is sitting as straight as possible. | Put armrest height a little higher than his elbow so that the elbow will be positioned away from the body. |
Note: This measurement is standard, but some children need arm support at a higher level. Experiment.
BACK HEIGHT
MEASURE FROM BOTTOM OF BUTT TO ARMPIT
Note: This measurement is standard, but some children need a higher back, and sometimes head support. Others prefer a back that supports only the hips.