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Knees together or knees apart in wheelchair?

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    Knees together or knees apart in wheelchair?

    Hi,

    I tend to sit in my wheelchair with my knees apart but I know others like to sit in their chair with their knees together, what are the pros and cons of each?

    This probably seems a ridiculous question as I have been a quad a while now but thought I would ask anyway haha.

    I'm guessing one of the reasons to keep your legs apart if you are a guy is so that everything is not more squished and it's a more natural sitting position and a reason for having your legs together would be to help keep your chair narrower.

    Thanks,
    Rob

    #2
    I would just pitch in that letting you knees be apart should take into consideration whether this allows the side of your lower leg and knee rest against your leg rest down post, and knees together should take into consideration if your inside knees are pressing too tight together. I have seen both circumstances result in pressure injuries, with the former sometimes resulting in osteomyelitis as well of the fibular head.

    I have also seen people break a leg by keeping their knees widely spread and catching a knee on a door jam when going through narrow doorways.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      Hi, thanks for the reply. Yeah they would be something you would have to watch for for sure!

      Anyone else have any input on this?

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        #4
        The two seat cushions I've used, Roho Hybrid Elite and Ride Designs Java, have both positioned my knees about midway between the two extremes. Just lucky I guess.

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          #5
          Mine sit somewhere in-between. (Footrest height can also be an important influence on how our knees sit, in my experience.)
          "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

          "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

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            #6
            yeah mine sit about midway too.So does anyone know why it's some people's preference to have their knees together?

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              #7
              My knees tend to rest against the leg rests which leaves "dents" on the sides of my legs. It's also somewhat painful so I made up some cushioning to prevent the dents/pain. I would imagine it could be the same reason(s) some people have their knees together.

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                #8
                my left side turns in and if i remeber i push my left out as its turn in at the hip

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                  #9
                  ah I see. Seems to be different for a lot of people.

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                    #10
                    Mine do not touch, but are not spread apart either.

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                      #11
                      Originally posted by rob1 View Post
                      yeah mine sit about midway too.So does anyone know why it's some people's preference to have their knees together?
                      Chastity?? Demure?? lacking confidence?? ‚Äč
                      Because they can??
                      My right leg falls to the right and sits against the front frame, I try to be aware of it; maybe I need another cushion like the Roho Elite. I tried the 4" version and it worked but felt 'odd' (unfamiliar?) and was too high for my liking.
                      Last edited by slow_runner; 21 Nov 2021, 7:09 AM.

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                      • SCI-Nurse
                        SCI-Nurse commented
                        Editing a comment
                        I think you will find that women much prefer to have their knees together, especially if wearing dresses. My mother was an example; we made her several wide elastic/velcro bands to manage that. Man spread is not a look that most women are looking for! (KLD)

                      • rob1
                        rob1 commented
                        Editing a comment
                        Yeah I can imagine ladies prefer that haha!

                      #12
                      My chronically tight adductors forced my knees together for years. I had to force a box between my legs at home to slowly loosen the assembly.

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                        #13
                        agree with KLD mentioned above. where-ever your knees are positioned wide or together, it will effect how your hips and ischial tuberosities (the sit-bones) are positioned while you are sitting.

                        pbr
                        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                        Comment


                          #14
                          If my legs aren't splayed enough, I develop pressure areas in my groin/leg area.

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