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Determine Seat Size
• Seat width should be determined by measuring from hip to
hip in a straight line. Add two inches to this measurement.
• Seat depth should be determined by measuring from the back
of the hip to the back of the knee of the user while seated.
Subtract one inch from this measurement.
Determine Arm Type and Height
• If the user is going to be standing up to do pivot transfers,
they will require a full-length arm on the chair to help support
them as they push off to stand.
• Desk-length arms are suggested for ease of use with tables
and desks.
• Determine the height of the wheelchair arm by measuring from
the elbow to the seat of the chair while the user is holding their
arms up with their elbows bent at a ninety degree angle. Height
adjustable arms are suggested when possible.
Determine Footrest Style
• Elevating legrests are always suggested when patients
are required to raise their legs for conditions such as edema,
swelling or injury.
• Determine the length of the footrest by measuring from
the back of the knee to the heel of the foot.
• In taller patients, consider using articulating legrests.
These legrests extend longer as the elevating portion of
the leg rest rises.
Determine Back Height
• Determine the measurement from the patient’s scapula or
collarbone down to the seat while the user is sitting in a chair.
• Taller back heights may be required for patients that require
upper trunk support or other support devices that may be
installed for the user.
Determine Floor to Seat Height
• Determine if the user will need to use his or her feet to
propel or move. Measure the distance between the back
of the knee to the heel to determine the seat to  oor height.
Determine Wheelchair Weight and Weight Limit
• Determine the patient’s weight in order to choose what
weight capacity wheelchair will be required.
• Determine the level of upper body strength in the user.
Weaker patients will require lighter wheelchairs.
Achieving a proper  t for a user in his or her new
wheelchair can be extremely critical to the patient’s
health and wellness. It can make the difference
between either promoting recovery or causing further
injury. Some of the issues that an improper  t can
cause for the user of the wheelchair are:
• Posture issues
• Breathing problems
• Sores
• Discomfort
• Pelvic issues
• Hip problems
Measure for
a perfect fi t
How to determine which
wheelchair is the best fi t.
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