Wheelchair assistance is more than "just pushing"

When a family member starts using a wheelchair, many people probably think,

"As long as I push it, it'll be fine."

That's a natural thought.

In fact, being a little careful makes moving around safer and more comfortable for both the rider and the person helping.

Here are the basic points families should know.

① When you stop, check the brakes first

When the person stands up from the wheelchair or moves to a bed, always make sure the brakes are on.

If the brakes aren't on, the wheelchair can move and lead to a fall.

② Choose level paths whenever possible

Some sidewalks slope slightly toward the road.

If that continues for a long stretch, the rider's body tilts, which can strain the lower back and neck.

Don't rush — choosing paths that are as level as possible is reassuring.

③ Don't force steps or steep slopes

Steps and slopes carry a risk of falls.

Rather than trying to manage alone, it's also important to ask people nearby or care staff for help.

Put moving safely first.

④ Speak before you move

Moving the wheelchair suddenly can startle the rider.

  • "We're moving now."
  • "There's a small step."

Saying a word like this before moving helps them feel at ease.

⑤ Check the footrests

Make sure the feet haven't slipped off the footrests.

Moving with the feet dangling is dangerous.

Pay attention to clothing too

Clothing is surprisingly easy to overlook.

For example, if

  • a jacket is too long
  • trouser hems are too long

they can catch on the wheels or footrests.

Also, sitting for long periods tends to make clothes wrinkle at the back and seat. It's important to choose clothes that are comfortable in a seated posture.

You don't have to do it all alone

Wheelchair assistance puts a strain not only on the rider but also on the person helping.

"I feel a little unsure."

If you feel that way, don't push yourself — consult a physical or occupational therapist, a visiting nurse, or the person's care manager.

They can teach you assistance methods suited to the person's physical condition.

If you're unsure about clothing, ask Setagaya Kaigo

For wheelchair users, an important point in choosing clothes is whether they're comfortable not only standing but also seated.

At Setagaya Kaigo, we ask about

  • the person's physical condition
  • how long they sit
  • how easy it is to change
  • how easy it is to assist

and suggest care clothing that suits each person.

Please feel free to ask us.

Ask us casually on LINE Should trousers be longer once someone uses a wheelchair?

Summary

When pushing a wheelchair, it's not just "push and it'll be fine" — small steps like checking the brakes, speaking before moving and choosing safe routes make moving around safer and more comfortable.

Also, clothes that are too long or have wide hems can catch on the wheels or footrests, so take care.

When assistance is difficult, don't try too hard on your own — consult professionals such as physical and occupational therapists, and choose methods that are manageable for both the rider and the helper.