Which scenario indicates the need for a power mobility device?

• A. Not able to self propel
• B. Able to self propel with energy
• C. No limitations in transfers or UE function
• D. Can ambulate stairs unassisted

Answer: (A)

The main idea is matching mobility tools to what a person can or cannot do with propulsion. A power mobility device is indicated when someone cannot self-propel a manual chair due to limited strength, endurance, or safety concerns. If a person lacks the necessary upper-extremity strength or stamina to push a manual wheelchair, using a power wheel chair allows independent movement without relying on assistive pushing or frequent rests, which enhances safety and functional independence.

In the scenario where a person is not able to self-propel, that need is clearly met: manual propulsion isn’t feasible, so a power mobility device would support continuous, controlled movement and prevent fatigue or fatigue-related falls. Conversely, if someone can self-propel with energy, they can manage a manual chair with energy-conservation strategies. If transfers and upper-extremity function are not limited, and they can ambulate stairs unassisted, there’s no need for a power mobility device.