Which frame type is best for a user who can self-propel using two upper extremities and has adequate lower-extremity range of motion?

• A. Ultralight
• B. Standard
• C. Hemi
• D. One-hand drive

Answer: (B)

A standard manual-frame wheelchair is the best fit when a user can propel with both arms and has good range of motion in the legs. This frame provides a comfortable, efficient platform with a typical seat height that positions the hands at an optimal push height for two-handed propulsion. It offers good stability and compatibility with standard rims and daily activities, without needing special adaptations.

Ultralight frames are excellent for highly active users who want the lightest possible weight and are comfortable with more setup and maintenance; they’re not necessary here since the user already has adequate leg ROM and can rely on both arms for propulsion. Hemi-height frames are designed for those who propel primarily with one hand or with leg assistance due to limited upper-extremity function. One-hand drive frames are specialized for users with only one functional upper extremity. Since two arms are available, those specialized configurations aren’t needed.