Wheelchair Rear Wheel Positioning

Feeling a little uncomfortable or unsafe in your wheelchair? You might be surprised to learn that a simple adjustment to your rear wheel positioning could be the answer. Getting your rear wheels set up just right is a big deal! It’s not just about comfort, it’s about keeping you safe and helping you move around easily.

This guide will take you through everything you need to know about rear wheel positioning, covering everything from the different types of positioning to how to get it perfect for you.

Imagine this: You’re zipping along, enjoying a sunny afternoon in the park. Suddenly, you feel your wheelchair tipping backwards! Or maybe you find yourself struggling to navigate tight corners, feeling like your chair is fighting you every step of the way.

These situations can happen when your rear wheels aren’t positioned properly. It’s like trying to drive a car with the wheels misaligned - you might get where you’re going, but it’ll be a bumpy and stressful ride.

Let’s get into the nitty-gritty of wheelchair rear wheel positioning and how to make sure your ride is smooth and safe.

Understanding the Different Types of Rear Wheel Positioning

Wheelchairs can be set up with three different types of rear wheel positioning:

  • Standard: The rear wheels are directly under your centre of gravity. This is a good starting point for many people, providing a balanced mix of stability and manoeuvrability.
  • Forward: The wheels are moved slightly forward. This makes the wheelchair more nimble, easier to turn, and perfect for navigating tight spaces.
  • Rearward: The wheels are shifted slightly backward. This provides greater stability, making it ideal for outdoor use or if you need extra support.

Key Factors to Consider When Finding Your Perfect Position

Finding the ideal rear wheel positioning is a bit like finding the perfect pair of shoes - it’s all about finding what fits your unique needs. Here are the key factors to keep in mind:

  • Wheelbase: This is the distance between rear wheels and your front.
    • A longer wheelbase makes your wheelchair more stable but can be harder to maneuver in tight spots.
    • A shorter wheelbase makes it easier to turn but can be less stable.
Wheelchair Rear Wheel Positioning Wheelbase
  • Seat-to-Floor Height: How high your seat is can affect how easily you can propel your wheelchair.
    • A lower seat height gives you better leverage for pushing yourself.
    • A higher seat height can be more comfortable for some users, especially if they rely on assistance for mobility.
  • Your Unique Needs: Factors like your strength, posture, range of motion, and your preferred level of activity all play a role in determining the best wheel position for you.

The Benefits of Getting it Right

When your rear wheels are positioned correctly, it’s like unlocking a whole new world of comfort and control:

  • Increased Stability: A stable setup means a safer ride. You’ll be less likely to tip over, giving you more confidence and independence.
  • Improved Maneuverability: You’ll be able to navigate around obstacles and through tight spaces more easily, making your day-to-day life easier.
  • Enhanced Comfort: Proper positioning can reduce pain and discomfort in your back, shoulders, and arms, allowing you to stay comfortable for longer.

Common Mistakes to Avoid

Even though proper rear wheel positioning is so important, there are some common mistakes people make:

  • Not Considering Individual Needs: Everyone is different, so what works for one person might not work for another.
  • Ignoring Seat Height: The height of your seat has a big impact on wheel positioning.
  • Placing the Wheels Too Far Forward or Backward: This can lead to problems with stability or maneuverability.

How to Measure and Adjust Your Rear Wheel Position

Here’s how to make sure your rear wheels are positioned correctly:

  1. Find a Flat Surface: Make sure your wheelchair is on level ground.
  2. Check Your Seat Height: Make sure your seat is comfortable and allows you to reach the handrims easily.
  3. Adjust Your Wheels: If your wheelchair has adjustable rear wheels, experiment with different positions to find what feels best.
  4. Reach for the Hub: The ideal position is when you can reach the hub of the rear wheel with the tip of your middle finger, while keeping your arm straight. This ensures your center of gravity is over the wheels.
  5. Check Your Arm Angle: When you’re propelling your wheelchair, your elbow should be bent at a comfortable 100-120 degree angle.

If you’re unsure about how to adjust your rear wheels or need help finding the right position, it’s best to seek advice from a wheelchair specialist or healthcare professional.

Wheelchair Rear Wheel Positioning 2

Maintaining Comfort and Safety Over Time

Once you’ve found the perfect rear wheel positioning, there are a few things you can do to keep it comfortable and safe:

  • Regularly Check Your Wheel Position: Make sure your wheels are still aligned and comfortable as you use your wheelchair.
  • Maintain Your Wheelchair: Keep your wheels clean, lubricate moving parts, and check for any damage.
  • Stay Informed: Keep up with new developments in wheelchair design and technology.

Taking a Closer Look: Pelvic Tilt and Wheelchair Positioning

Your posture and how you sit in your wheelchair can have a big impact on rear wheel positioning. Here are some common postural issues that can affect your comfort and how you use your wheelchair:

  • Anterior Pelvic Tilt: This happens when your pelvis tilts forward and your head tilts upwards. It can make it difficult to navigate smoothly and put stress on your shoulders and back.
  • Posterior Pelvic Tilt: This happens when your pelvis tilts backward and your torso leans forward. This can make it difficult to reach the handrims comfortably.
  • Pelvic Migration: This is when your pelvis slides forward in the seat, sometimes as a result of self-propulsion.
  • Pelvic Obliquity: This is when one side of your pelvis is higher than the other.

If you notice any of these postural issues, it’s important to consult with a healthcare professional or wheelchair specialist to address them and make sure your wheelchair is adjusted to accommodate your unique needs.

Wheelchair Positioning for Sports

For wheelchair athletes, rear wheel positioning is even more crucial. It can make a huge difference in their performance.

  • Camber: Camber is the angle of the wheels in relation to the ground. Increasing camber widens the wheelchair, which provides more stability and a smoother ride. It also makes the wheelchair easier to maneuver, allowing for faster acceleration and quicker turns.
  • Wheel Inward Tilt: Turning the wheels inward can help athletes with sports like racing, as it positions the hand rims in a more natural place for pushing. This can reduce shoulder strain, which is essential for athletes who rely on self-propulsion.

The Value of Mobility

Finding the right rear wheel positioning for your wheelchair is vital to getting the most out of your mobility aid. It allows you to move around with confidence, comfort, and efficiency.

  • Professional Advice: Don’t hesitate to seek professional help if you’re unsure about how to adjust your rear wheels or need advice on finding the best position for your needs.
  • Regular Adjustments: As your needs change, you may need to make adjustments to your rear wheel positioning.
  • Stay Informed: Keeping up-to-date on the latest in wheelchair technology and best practices can help you stay comfortable and safe.

With the right setup, you can enjoy the freedom and independence that only a well-adjusted wheelchair can provide.

Wheelchair Rear Wheel Positioning 3

Conclusion: Your Wheelchair, Your Freedom

Your wheelchair is more than just a piece of equipment—it's your key to independence and freedom. And finding the right rear wheel positioning is like finding the perfect key to unlock that freedom fully.


By understanding the different types of positioning, the factors that influence your ideal setup, and the importance of proper posture, you can take control of your comfort, safety, and overall wheelchair experience.


Remember, don’t be afraid to experiment, seek professional guidance, and keep learning! With a little knowledge and effort, you can ensure your wheelchair is always working with you, not against you.

For more advice and information, visit the NHS ICB website. You can find your local ICB there for support and resources.

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Frequently Asked Questions

What is the correct wheel position for a wheelchair?

The wheels should be positioned so the wheelchair is stable and rolls smoothly. This means they should be aligned, with the axle centred and the wheels spinning freely. If you notice any wobble or uneven rolling, you might need to adjust the wheel alignment.

What is the proper positioning in a wheelchair?

You should be sitting comfortably with your back straight and your feet flat on the footrests. Your knees should be slightly bent, and you should have enough space to move around. It's best to have a qualified healthcare professional adjust your wheelchair to ensure proper positioning.

Where should the axle of a wheelchair be placed?

The axle should be placed in the centre of the wheelchair, ensuring the wheels are evenly spaced and aligned. This helps with stability and smooth rolling.

How do you put a wheel back on a wheelchair?

Firstly, make sure the quick-release lever is open. Then, align the wheel with the axle, ensuring it's properly seated in the fork. Close the quick-release lever firmly, making sure it's secure.

 What is the proper wheel position?

The proper wheel position is when the wheels are aligned and centred, with the axle in the middle. This allows the wheelchair to roll smoothly and avoids any uneven movement.

How to align wheelchair wheels?

If the wheels are misaligned, you can usually adjust them using the quick-release levers. Loosen the lever, then move the wheel until it's in the correct position. Tighten the lever once you're satisfied. If you can't adjust it yourself, you may need to ask a professional for help.

What is the correct way to move a wheelchair?

The correct way to move a wheelchair depends on the situation. For smooth movement on level surfaces, push from behind using the push handles. When going uphill or downhill, use a "push and pull" technique for better control. Always be mindful of the terrain and any potential obstacles.

How do you measure a wheelchair rear wheel?

You can measure the rear wheel by measuring the diameter of the wheel itself. It's important to measure the outside diameter, including the tyre. This information is useful when you need to replace the wheels or get new tyres.