Manual wheelchair users may at some point need to start using power mobility or power assist wheels to preserve upper body function. Those who are ambulatory may choose to use a wheelchair as their primary means of mobility if this helps preserve upper limb function.
All equipment should be assessed, including bathroom equipment, seating systems, cushions and mattresses. Therapy interventions may be necessary for shoulder protection and conservation strategies. Energy conservation or work simplification strategies may also be helpful for those who have considerable fatigue.