A Success Story Of Help Handicapped

He loss of a foot or limb due to landmine explosions or any disease is a major tragedy for any human being and to come to terms with this loss of a part of the body is not only a very traumatic experience but also fraught with dire economic consequences.

A financially independent person suddenly realizes that he or she is totally at the mercy of relatives and friends and unable to indulge in any income generating activity. Prospects of poverty loom large over the horizon and this mental anguish coupled with the physical injury can wreck many a life.Buy online Handicapped Tricycle  and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Tricycle manufacturer, distributor, dealer and supplier of variety of Tricycles at low price in india  for handicapped

Rehabilitation of such individuals is of prime importance and it is here that Help Handicapped International (HHI) plays a pivotal role especially in conflict areas where the number of landmine amputees is large.

HHI is a registered charity working for the welfare of the physically handicapped and an NGO in special consultative status with ECOSOC.

HHI specializes in fitting the Jaipur Foot prosthetic-an artificial limb developed in India and the most preferred in Asia and Africa because of the following factors:

(i) It is light in weight

(ii) It is fast and easy to fabricate. Since its manufacturing takes only a few hours the patient who comes to the centre in the morning can walk out on his own artificial limb by evening.

(iii) It is very cost effective.

(iv) It facilitates cycling, walking bare foot and squatting-all tasks essential to lead a near normal life in these continents.

Post fitment the patient undergoes physiotherapy sessions to become accustomed to the artificial limb. He or she is also explained about some simple exercises that could be carried out at home as well as some tips on the proper use and maintenance of the prosthetic.

HHI has been organizing camps for fitting of Jaipur Foot prosthetics to landmine and other amputees in Afghanistan, Sudan, Burundi and Kenya. The last three countries now have a permanent centre for this activity and thousands of handicapped have availed of the facilities. Two camps have been organized at Kabul in Afghanistan where over 1000 amputees have been rehabilitated.

In association with other organizations HHI has also undertaken similar activities in the Dominican Republic and Honduras.

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HHI is also helping its associate trust-Ratna Nidhi Charitable Trust-to organize Mobility Camps for the handicapped at several locations in India. These camps offer free fitting of Jaipur Foot to amputees, Callipers to polio affected children as well as free distribution of Tricycles, Wheelchairs and Crutches. Over 50,000 handicapped have benefitted from these camps during the last three years.

HHI’s success story is unique because at first glance its activities might seem to be not even distantly connected with the theme of the Annual Ministerial Review of 2007 which is Strengthening efforts to eradicate poverty and hunger, including through the global partnership for development.

However, it must be emphasized that hunger and poverty can be temporarily eradicated by handing out a dole. However, any sustainable and effective eradication program necessitates creation of an income generating avenue for the beneficiary and this is what HHI is trying to do by rehabilitating the handicapped and making them physically able to continue with their profession. It is an indirect route to attaining the desired goal but nevertheless permanent in nature as well more dignified and socially acceptable.

In fact HHI has gone a step further by co-ordinating the fabrication of special purpose vending machines based on the tricycle-a three wheeler cycle very popular in Asia. An amputee can use this custom built cycle as a mobile vendor of day to day necessities and thus become economically independent in spite of his handicap.

Unfortunately the number of landmine amputees in the conflict areas of the world is so huge that to rehabilitate all of them is a daunting task calling for time, efforts and above all resources.

Help Handicapped International is fully committed to the cause and realizes that its success story would not have a happy ending till a majority of our unfortunate physically challenged brethren are put on the road to economic salvation.

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Wheelchair Ergonomics

INTRODUCTION

Wheelchairs provide variable mobility to people with various physical disabilities. There are four major types of wheelchairs: indoor, outdoor, combined and special. Ergonomics, or design of equipment to prevent injury, considers all physical and anatomical limitations of the users. Occupational therapists perform ergonomic assessments to evaluate proper wheelchair fit for each individual client. A complete assessment may prevent future injury, and improve mobility.Buy online Ergonomic Wheelchair  for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store.

SEAT WIDTH

The width of the wheelchair seat is based on the users’ widest point, usually the hips or thighs. If shoulders are wide, consider the shoulder width when choosing a seat width. A too-wide seat leads to difficulty in mobility, inadequate support and discomfort. A narrow seat contributes to pressure sores, inadequate support and discomfort. It is important to have an exact measurement of the seat width for optimal mobility and environmental accessibility.

SEAT DEPTH

The seat depth is measured from the back of the pelvis to the back of the knee. Users with one leg longer than the other require both legs measured. Also, make sure the user is in a proper posture prior to all measurements. Subtract 1 to 2 inches from the measurements for optimal comfort.

SEAT HEIGHT AND ANGLE

The distance of the seat from the floor needs to consider a ground clearance of foot rests at 2 to 3 inches. When using a seat cushion, its thickness needs to be considered in this measurement. Also, drop hooks lengths need to be subtracted. It is important to have knees at 90 degrees when the feet are placed on the ground.Buy online Ergonomic Wheelchair for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Ergonomic Wheelchair manufacturer, dealer and supplier of variety of karma Ergonomic Wheelchair  at low price in india

Tilting the back of the wheelchair seat down towards the floor provides multiple benefits. It assists gravity with positioning, improves vision, improves stability, and trunk control, while increasing comfort. The tilt is accomplished by decreasing rear wheel size, or increasing the front castor.

BACK HEIGHT

The back height of the wheelchair is measured from the top of the seat cushion to the top of the back support cloth. Occupational therapists assess the height of the user, their balance needs, and their need for support in relation to the wheelchair. If the back height is too high a user will have limited arm and shoulder mobility. If the height is too low, the user has inadequate support resulting in fatigue and sliding. The therapists will use five anatomical landmarks for these measurements, depending on the condition of the user. Also, proper seat to back angle needs evaluation.

FOOTRESTS AND ARMRESTS

The footrest settings must accommodate the length of the users’ legs. A measurement is taken from the back of the knee to the heel. Shoes should be worn during the measuring. The thickness of the cushion is subtracted from this measurement. If the footrest length is high it leads to pelvic pressure, hip rotation and discomfort. Too low footrests result in thigh pressure, hip rotation and sliding. Also, footrest angles usually sit at 60, 70 or 90 degrees. Pediatric users find 90 degrees helpful.

Armrest height is measured from the seat surface, or cushion, to the elbow. During measurements the elbow is flexed at 90 degrees, the arms are comfortable at the sides, while the shoulders remain relaxed. Armrest width should accommodate the environment and assist in transfers to and from the wheelchair. 

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Basic Wheelchair Information

Instruction for Wheelchair User

• Seat width and depth

If the chair is too big or too small it will be difficult to use and uncomfortable.

• Pelvic (hip) position and support

If your hips are not positioned well, it might be hard to use your arms and it could make you tired. Basically, your hips are the base of your support when you are sitting, it is important to know if they are straight or if one side is higher than the other.

• Cushion

A VERY important part of the wheelchair! You need to feel stable and have a cushion that will decrease the possibility of a pressure sore. Ideally, the clinic will pressure map you sitting on the cushion.

• Leg support

Footrest angle, leg rest length, foot support – it is important your feet are aligned well so you have as much support to sit up as well as possible. You can what feels most supportive.Buy online Basic Wheelchair for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of  Basic Wheelchair  manufacturer, distributor, dealer and supplier of variety of Karma Basic Wheelchair at low price in india

• Appropriate trunk support

The back support of the wheelchair will help you stay upright and increase your endurance. Just like a good seat in a car, if it is comfortable and you are able to move as freely as possible and have the support you need, you can drive longer and be more alert.

• Back support

You might want a low back or a high back. A low back will give you more room to move your arms, but has less back support. A high back will provide support, but might limit your arm movement.

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• Chest support

Lateral supports (supports the side of your chest) or chest strap (a strap on your chest if you are worried you will fall forward). These features help you keep your balance when leaning forward, or to the side.

• Headrest

You might want a head support if you feel it gives you the necessary support while driving your chair or if your wheelchair seat is able to tilt back.

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Wheelchair Safety With Power Wheelchairs

Folding Lightweight Wheelchairs

For indoor wheelchair safety the folding power wheelchair models that are lightweight have front casters which turn easily, making them ideal for use in small apartments. Having the casters in front makes this a dangerous chair to use outdoors as the front wheels can turn sharply if encountering a crack in the sidewalk, incline, or rocks.Wheelchair india is manufacturer, supplier, distributor and dealer of Karma KP 10.2 Power Wheelchair for disabled and handicapped in india.

They usually have one or two removable batteries and have a similar appearance as the manual wheelchair. They can be controlled with a joystick or a sip and puff method.

Lightweight Power Assisted Wheelchairs

These chairs can be propelled in a similar manner as the manual wheelchair or use a battery. You may want this type if you want to keep fit and get some exercise but need some power when going up an incline or when traveling a distance. They are smaller and lighter weight than the folding wheelchair and have smaller batteries and motors.

Dual Purpose Power Wheelchairs

These chairs generally are good for either indoor or outdoor use. You need to have larger wheels in front for outdoors as this is a safety feature. It is better to have six wheels for stability when traveling outdoors.

These indoor/outdoor power chairs compromise wheelchair safety and perform poorly when you do not have enough room to turn indoors and you need to travel over rough ground and uneven surfaces.

Their optimum performance indoors is when you have wider doors and hallways in assisted living facilities, nursing homes, or homes/apartments. Ideal outdoor surfaces in urban and suburban areas would include sidewalks and paved areas.

Outdoor Power Wheelchairs

These chairs weigh as much as 400-500 pounds, add the weight of the user up to 250 pounds and the total weight is approximately 650 pounds. They are very efficient outdoors with their rear wheels they can safely climb up to 40% grades and curbs.

The wheelchair safety for steering comes from the rear wheel dolly or by braking with one front wheel and turning with the other. Some options include elevating seats, back/headrests and leg rests. Due to their weight, should they require maintenance, a tow truck may need to be called.

Indoor Stair Climbing Power Chairs

The past 30 years has produced some stair climbing wheelchairs. Liability insurance has prohibited some manufacturers from pursuing the development of this type of power mobility device. Users are at a high risk of serious injury or death if they occupy the wheelchair while climbing stairs. Others in the area are also at risk for injury or death.

There are several things to consider before you are purchase a stair climbing power chair. A few of the most important factors include the strength to control the manual controls to turn or brake quickly. Your vision needs to be clear enough to see defects or objects on the stairs that would cause an accident. You should be able to understand the dynamics of how the power chair climbs the stairs.

Other considerations include using familiar versus unfamiliar stairs on a regular basis, keeping the stairs/steps clutter free and training from a professional. Who will climb the stairs first...the therapist, engineer, user?

Wheelchair Controls

Most power chairs are controlled by the user without the use of computers, etc. The wheelchair safety of this operation is dependent upon the quick reaction and alertness of the user to recognize dangerous situations. A young, healthy, alert paraplegic with good upper body strength is at less risk for injury than an older powerchair user who is weak and has decreased reaction time.

Factor out the cost of the computer system that responds and can be programmed to recall different terrains, stairs, etc. it is generally recommended to have this feature on your power chair. Theoretically it is ideal, however, reality says there is always the possibility of it failing at a critical time. You should consult your power mobility trainer, therapist or physician for the best recommendations for you.

Arm Stabilization

It is important to provide good support for your arms, not only for posture, but for the safe operation and control of your power scooter or wheelchair. There are several styles of arm supports systems that can be installed depending upon your specific need. Ask your power wheelchair professional what would be best for you.

Wheelchair Brake Systems

Critical to wheelchair safety is knowing your brake system. Manual braking systems can be configured and installed on all power wheelchairs or scooters. Be sure that you or the user can operate them efficiently should the need arise. Most joy sticks move the power chairs forward, backward, turning left and right and when released the power chair stops or brakes.

Ask your power wheelchair vendor about manual or mechanical brakes. Dynamic brakes do not lock the wheels of your chair or keep it from rolling down a steep incline. For quadriplegics unable to use the standard manual brakes, a user controlled small electric motor can be installed.

Power Wheelchair Brake Systems

A safety shut off should be installed for the person using other methods of control than the typical hand control. The normal user can control the movement and braking system with hands.

The quadriplegic should have special shut off controls that have electronic sensors that detect when the chair is out of control and can immediately “shut off” or stop the power wheelchair. Again, being persistent and getting these wheelchair safety features installed is only to your benefit.

Wheel Safety

Power wheelchairs used outdoors should have powered large wheels in front, never a caster style wheel that can get caught in cracks or uneven surfaces. Caster wheels in front are best used on indoor chairs and when outside on smooth, solid surfaces. Front caster wheels are designed for improved maneuverability indoors.

Wheelchair Safety With Disabilities

For optimum wheelchair safety you should have a seatbelt fastened around your waist and around your chest. As with all belts the user should be able to quickly release in case of an emergency.

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Healthy, fit, active paraplegics are at the lowest risk of injury when operating a manual or power wheelchair.

Amputees with missing arms or legs are a low risk if they have good upper body control and strength and the wheelchair is set up for their individual needs.

Individuals with Parkinson's Disease, Cerebral Palsy, or Multiple Sclerosis are at a mild to moderate risk depending upon the advancement of the disease. These individuals tend to have decreased strength and motor control. An assessment for wheelchair safety is recommended.

Those individuals with very little upper body movement, using specialized systems such as sip and puff and or-gyroscopic (inertia) wheelchair controls are a high risk. Paralyzed children and adults, as well as very small adults requiring specialized seating most often use power wheelchairs and are high risk for injury. 

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Benefit Of Power Wheelchair

Power mobility allows people to move within their home and community and it can help maximize independence for those with limited mobility. The two main types of power mobility available are in the form of electric scooters or power wheelchairs. The choice to use either an electric scooter versus an electric wheelchair depends on the users' needs and abilities. Knowing some of the benefits of power wheelchairs can help you also May know Power Wheelchair Cost for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Power Wheelchair manufacturer, distributor, dealer and supplier of variety of Karma Power Wheelchair.

1.Seating Options

Power wheelchairs are customizable and have more options for seating. For users who require positioning devices for trunk control and stability, a power wheelchair can be customized with seat and back cushions with many positioning features. Power wheelchairs also have options for electric tilt and recline, which are features that can be beneficial for people who have limited ability to reposition themselves in the wheelchair. Tilt and recline features provide comfort and pressure relief from sitting for long periods of time.

2.Travel Distance

Both electric wheelchairs and electric scooters allow a person to travel for long distances. This is an important benefit for people with limited mobility as it provides opportunity to go farther in their community than they might in a manual wheelchair.

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3.Energy Conservation
Using a power wheelchair can be beneficial for conserving a person's energy. This is especially important for people with disabilities, such as multiple sclerosis or post polio syndrome. A power wheelchair can allow people to be mobile within their home or community without expending a lot of muscle work and energy. This, in turn, can benefit people by allowing them to conserve their energy for other activities important to them.

4.Space Conservation
A main difference between a power wheelchair and electric scooter is the turning radius. Power wheelchairs typically have a smaller turning radius, which means that they are more maneuverable in small spaces. Power wheelchairs also have more options with center wheel drives or front wheel drives for a small turning radius in tight spaces.

5.Variety of Terrain
Power wheelchairs also offer the benefit of traveling over a variety of terrain through the options of tire types and wheel positions. The most popular position for wheels in power wheelchairs are rear wheel drive, where the large wheel is in the back and the smaller casters are in front, which provides stability in driving both indoor and outdoor. Alternatively, center wheel drives or front wheel drives, where the large wheels are placed in the center or the front of the power wheelchair change the center of gravity for the wheelchair and can help in maneuvering over obstacles and curbs.

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Ergonomic seat system provides comfortable seating

Tool-free disassembled into 3 parts 

Quick-release battery pack

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        Height adjustable and flip back armrest

        2-level adjustable back angle

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Benefit Of Ergonomic Wheelchair

Ergonomics: Benefits of Active Sitting for the Able-bodied

The field of ergonomics, in particular that of office furniture, now offers various active sitting products that enable different kinds of movement: forward and backward, lateral (side to side), 360 degree wobble, etc. It is important to note that the ergonomic research also indicates that - although movement is necessary - it is not enough.

All movements are not the same; there are movements to be avoided. For example, movement that alternates between different awkward sitting postures that repeatedly load the same joints will provide little benefit.Buy online Ergonomic Wheelchair for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Ergonomic Wheelchair manufacturer, distributor, dealer and supplier of variety of karma Ergonomic Wheelchair at low price in india The benefits of active sitting are understood to occur with movements through a graded range of centered and symmetrical postures.

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The active and controlled postural positions in sitting are believed to activate and strengthen muscles in the back and core area,to relieve the static loads acting on joints, ligaments, and tendons, and to promote circulation for elimination of waste products. Thus, a dynamic, ergonomic sitting position is believed to lead to improved posture, core stability, and circulation.

Although extensive research in the field of ergonomics and active sitting is yet to become widely available, the logical benefits are easily extrapolated. The pelvis is tilted more forward in active sitting, and this pelvic position situates the spine for proper alignment and postural health.Since the individual is able to move in a controlled manner during active sitting, the body will strengthen postural muscles to maintain balance.

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This conditioning of the core muscles of the spine and trunk may significantly aid in preventing back pain. In turn, it is understood that movement lubricates and nourishes the spinal joints and intervertebral discs, keeping skeletal joints flexible and healthy.Many age-related changes in spinal joints are likely due to a lack of proper nourishment and motion. With postural stabilization in sitting and reaching, the leg and calf muscles are activated.

When the muscles of the lower extremities work lightly, as during active sitting, the resulting regular pumping action stimulates the return of lymphatic fluid, and minimizes lower leg edema and swollen ankles.Since movement allows blood to flow freely from the lower extremities, this improved circulation can reduce the risk of the development of deep vein thrombosis (DVT) while seated. 

Meanwhile, overall bodily movement may "shake out" muscle tension and stress that can build up in the neck, shoulders, or jaw during prolonged sitting postures. It is even thought that movement while sitting might improve focus and alertness because of the sensory and vestibular input.

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Benefit Of Heavy Duty Wheelchair

There are many ways in which a person with disabilities and physical mobility issues can get from A to B in this day and age. But bay far the most common method of personal transportation is the humble wheel chair. They come in many different designs as well as sizes, with light, heavy or medium weighted devices available for specific uses and to cater for the individual needs of the user.

So in this News we'll take a brief look at Heavy Duty Wheelchair  and where they are needed most. This is not an in-depth look, but just an overview with a view to expanding upon this subject at a later date.

Durability

Of course the obvious use for heavy duty wheelchairs are for those users who have become very overweight or obese. This often happens directly due to the lack of exercise that their conditions bring about as it is sometimes simply not possible to engage in any form of meaningful exercise depending upon the severity of the physical handicap suffered by the user.

In this case, then a heavy chassis and running gear are needed to cope with the extra weight of the user so that they can still get about in safety and comfort that the more lightweight wheelchairs would not be able to fulfill sufficiently.

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Strengthening

The additional bracing and strengthening that is needed for these types of chairs comes with the trade off that they are in themselves much heavier than regular or lightweight models and are therefore that much more difficult to push around. For this reason, the fitter and stronger helpers are required to assist for safety reasons.

In some cases, when a wheelchair user needs a heavy duty version, the better option is to go for a motorized wheelchair. These devices are built to take the extra weight in their stride while negating the need for a helper and providing freedom and a modicum of additional dignity for the user.

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