You Are Instructing a Patient About Wheelchair Propulsion in a Nursing

Multiple Choice

You are instructing a patient about wheelchair propulsion in a nursing home setting. Assuming that the patient has adequate strength and range of motion, what instructions should you give the patient for the most efficient forward propulsion using both hands?

A) Place one arm behind you and one slightly in front of you (at the 10 o'clock and 12 o'clock positions on the pushrims) .
B) Place both arms behind you (at approximately the 10 o'clock position on the pushrims) .
C) Push the pushrims forward with long strokes, releasing them at about the 4 o'clock position on the pushrims.
D) Push the pushrims forward with short, quick strokes.