For patients at C8 and below, which handrim type is described?

• A. Friction Surface Handrims
• B. Projections
• C. No Handrims
• D. Standard Handrims

Answer: (D)

Handrim design is chosen based on how well the person can grip and control the rim. For someone with a C8 or lower injury, finger strength and hand dexterity are typically sufficient to grasp and propel around a smooth, standard rim. A standard handrim provides the familiar, smooth surface that these individuals can grip securely to generate propulsion efficiently. Other options are aimed at people with weaker grips or limited finger control—friction surfaces help when grip is poor, projections offer extra texture for limited tactile feedback, and no handrim isn’t practical for standard manual propulsion. So the standard handrim best fits the functional abilities at this level.