more often without an operation.
Children's bones contain growth plates where new bones cells are quickly dividing. The presence of growth plates is an
important consideration as a fracture in or around the growth plate can have significant long-term effects. Because of this,
children are watched closely by their doctor as they heal.
2 Gripping the wheels. A manual chair meant to be under the control of its occupant will have a metal rim intended for the hands, called a push rim. This
rim does not touch the ground. It may be easier for you to grip the whole wheel (both the rim and the tire). Either way is fine.
3 Going forwards. To go forwards, reach backwards and grip the the wheels as far back as you can. Push the wheels forward by keeping hold of the rims
and moving them in a forwards direction.
5 Turning right. Hold the right wheel still, and push the left wheel forwards.
6 Turning left. Hold the left wheel still, and push the right wheel forwards.
7 Spinning on the spot. If in a tight corner, you may need to spin on the spot. Push one wheel forwards and the other one backwards at the same time.
8 Stopping. Grip the rims and use friction to slow them down. Pinch the push rim between your thumb and the side of the first joint of your index finger.
If the rims are wet, pinch the tire instead. Use caution, as this friction creates heat that can burn your hands if you are on a slope or stopping suddenly.
9 Staying still. If you will be staying still for some time - e.g. to sit at a table - or you will be using your hands for something - e.g. to take off your coat
- then put the brakes on -- or else you might roll backwards!
10 Going over bumps. Avoid bumps where possible.
Go slowly at first. Hitting a bump (even one as small as 1cm) at speed can catapult you out of your chair and across the floor.
It is useful to practice popping a wheelie to lift front wheels off the ground long enough to go over a small bump.
Back over the bump. Larger obstacles such as curbs can be traversed by backing up them slowly and safely. Do not back down a large obstacle or you
will tip over.