Wheelchair Basics Everyone Should Know: Leg Rests, Brakes, Arm Rests & Folding Like a Pro

Greetings, friends — Dr. Shawn here, Your PT Guy. My mission? Helping you move better, stay independent, and laugh a little while we do it. Today’s video (and now, this blog) is all about wheelchair basics that everyone with a wheelchair needs to know. We’re covering:

Let’s roll. (Pun 100% intended.)

Step 1: Leg Rests – Don’t Crush Your Sit Bones

If your knees are riding high like you’re on the world’s worst carnival ride, all that pressure goes straight to your sit bones. That’s a recipe for pressure sores — not fun.

The fix? Adjust your leg rests so your thighs are level with the seat. Push the release pins, slide the rests down, lock them back in. Boom. More comfort, less pressure.

Pro tip: If you’ve got a leg injury, elevate that footrest carefully. And please, don’t just let it drop like a medieval guillotine. Your ankle will not appreciate the drama.

Step 2: Brakes – AKA Your Safety Net

Your wheelchair brakes aren’t just for decoration. Before you stand, lock those brakes. Push forward until you hear that little click, then test the wheels. If they still move, the bracket probably needs a tiny adjustment.

Also, don’t forget: take the leg rests off before standing, or you’ll be doing an unintended hurdle event.

Step 3: Arm Rests – The Unsung Heroes

Need to transfer to a couch, recliner, or that one super-comfy armchair you “borrowed” from your kids? Arm rests make life easier. Push the release pin, pop them off, transfer smoothly, and feel like a PT pro in your own home.

Step 4: Folding the Chair – Easy Peasy

Want to put your wheelchair in the car without turning it into a wrestling match? First, remove the leg rests. Then grab the seat sling and pull straight up — voila, folded. To reopen, just push down on the frame.

Simple. Even I (a physical therapist) manage it… most days. (Yes, I once put it on backwards. No, you don’t get to judge me. )

Fall Prevention: Your Next Step

Now, here’s the deal: wheelchair basics are great, but if you really want to protect your independence, you’ve got to think bigger — fall prevention.

If this was helpful (and at least mildly entertaining), make sure you subscribe to my YouTube channel so you don’t miss future tips and laughs. Until then — keep moving, keep laughing, and keep fall-proofing your life.

FAQs About Wheelchair Basics

Q: How do I know if I need a wheelchair?
A: If walking is unsafe, exhausting, or your doctor has you on limited or non-weight bearing status, a wheelchair can help you stay mobile and independent.

Q: What’s the difference between a transport chair and a wheelchair?
A: A transport chair is lightweight and meant to be pushed by someone else (small wheels). A standard wheelchair has large wheels so you can propel yourself.

Q: How do I choose the right size wheelchair?
A: Your hips should fit comfortably between the armrests without rubbing. If it’s too wide, you’ll slouch. Too narrow, and it’s basically denim skinny jeans—uncomfortable and bad for circulation.

Q: Can I use a wheelchair in the house?
A: Absolutely. Just check your doorway widths first. Older homes can have tight squeezes—sometimes tighter than my jeans after Thanksgiving dinner.

Q: Do I still need to exercise if I’m using a wheelchair?
A: Yes! Even with a wheelchair, it’s important to keep your arms strong, work your good leg (if you have one), and do some safe seated exercises. Mobility = independence.

Q: How do I prevent tipping over in a wheelchair?
A: Stick with smooth surfaces, avoid leaning too far forward or sideways, and don’t try any fancy “wheelies” (unless you’re auditioning for a circus).

Q: Should I rent or buy a wheelchair?
A: If you only need it short-term (like after surgery), renting may be smarter. If it’s long-term, buying and customizing for comfort is the way to go.

Q: How can I avoid falls when transferring in and out of a wheelchair?
A: Use your brakes (please, always), move footrests out of the way, and keep one hand on a stable surface when shifting. And if you want to master transfers and prevent falls, check out my Fall Prevention Webinar.

Q: How else can I reduce fall risk?
A: Excellent question. I already talked about the Fall Proof webinar, but if you're interested in specific ways to reduce fall risk at home, my book, Don't Fall reveals 101 ways to reduce your fall risk at home.