Toddlers-do you use a W/C or stroller?

SoonerSarah

DIS Veteran
Joined
Sep 8, 2010
Messages
740
Our tentative rehab discharge date is about 3 weeks away, and while they will be handling a lot of my daughters aftercare needs, the one thing that the doctors and therapists arent completely sure about is a wheel chair vs. Stroller.

At this point, she is able to sit well, her trunk control for the most part is good, although she still has to be watched and isn't allowed to sit on the floor because she does sometimes fall back. Her right side is moving more, but her arm is still very limp, and usually hangs, and her right leg as well. She can tolerate standing, while being fully supported, for a few minutes. Things could end up changing a lot between now and discharge.

She has a little chair that the therapist here put together for her. Once we go home, they said it is possible she could just use a stroller, but that she may need a wheelchair.

Does anyone have personal experience to share with me? While I know a few kids in wheelchairs, I've never known a little one. Pros and cons of each?
 
Glad to hear she is recovering!:hug:

If I remember, is she about 2?
EDITED TO ADD - I just saw her birth year in your signature.

At that age, she would still fit into a stroller, so a lot would depend on whether she needs a special needs stroller to provide the support she needs or if she would be OK in a regular stroller.
If she’s OK in a regular stroller, you have a little more time to see how the recovery goes and decide what to do.

My youngest DD was 19 months old when she was diagnosed with cerebral palsy. She used a regular stroller until she was about 30 months old.
At that point, she either needed to get a special needs stroller or a wheelchair. Now, there are lots of choices for strollers for larger kids, but at that time, seeing a 3-5 yr old in a stroller was unusual.

Here are the pros and cons from our point of view at the time:

Special Needs Stroller Pros
  • less expensive, so we would have a smaller co-pay
  • easy to fold, could fit in our trunk
  • light weight and easy to push
  • low to the ground and she might have been able to get in and out

Special Needs Stroller Cons
  • many can’t ‘grow’ as the child grows, so we would need a new stroller fairly soon
  • low to the ground and she would not necessarily have a good view of things as we use the stroller because of the height
  • she would not be able to move the stroller and would be dependent on others to push her all the time


Wheelchair Pros
  • most can ‘grow’ by adjustments or replacing modular parts
  • very adaptable - as her needs for support, etc change, the wheelchair can be adjusted
  • she would be able to move the wheelchair, even if she would not have the stamina or ability to wheel it around for long periods
  • the wheelchairs we were looking at sat her up higher, so she could see better
  • big wheels made it very easy to roll
  • a child in a wheelchair may be looked at as more ‘capable’ than a chilld in a stroller
  • when we went to WDW, there would be no question about whether her device was a wheelchair or not:earsgirl:

Wheelchair Cons
  • more expensive than a special needs stroller, so higher copay
  • a bit more trouble to fold and stow in our vehicle
  • heavier

At the time we got her first mobility device, it was not known whether or not DD would ever walk in a functional way. For that reason, the therapists were leaning toward a special needs stroller.
We ultimately decided on a wheelchair because the Pros of the wheelchair were more important to us than the Pros of the special needs stroller.
We realized we had made the correct choice for our DD on her first trip with the wheelchair to WDW, when she propelled her wheelchair toward things she wanted (and away from things she didn’t).
She didn’t end up as a functional walker and she doesn’t have the stamina to drive her wheelchair for long distances, but she can propel her wheelchair herself inside the house and for short distances when we go out. That independence was the main Pro for us.

Also should mention - wheelchairs can be fitted so that they can be driven with one hand if her right side doesn’t gain full strength.

:hug: to you, what ever you decide and :wizard:pixie dust for continued recovery.
 
http://www.facebook.com/photo.php?pid=18769009&l=19bad3c519&id=857320617

This is the chair we are using now. She is very, very low to the ground. I can see where it would be nice for her to be able to get into it, but we are a while away from that I think. However, at this point, she is only in the chair for 30 minutes at a time, for around 2 hours or so a day. She can not tolerate it much longer, and I don't know if it is because she isn't comfy, or because she is just bored. Anyway, there is also no way she can sleep in it, and we can't keep her in the sun too long either (we live in Texas).

Thank you for your very detailed list, it is just what I needed!

Oh, you mentioned special needs strollers. I have seen a few, I think one was called Liberty, is that what you have?
 
I would also see about your insurance coverage. The insurance may only cover one mobility device. If you choose a stroller and you decide to get a wheelchair before she has outgrown the stroller, they may deny coverage for the wheelchair.

Since she is still fairly young, you could consider getting a wheelchair using the insurance and see if you can find a regular stroller (or used special needs one) to pay out of pocket for so you have more flexibility.

At WDW, there shouldn't be a problem with tagging any of these with a stroller as a wheelchair tag and you would have full access to the park with it. If a cast member questions it, once you show them the tag (that you get from guest relations) you should be allowed to continue with whatever option you are using.
 

http://www.facebook.com/photo.php?pid=18769009&l=19bad3c519&id=857320617

This is the chair we are using now. She is very, very low to the ground. I can see where it would be nice for her to be able to get into it, but we are a while away from that I think. However, at this point, she is only in the chair for 30 minutes at a time, for around 2 hours or so a day. She can not tolerate it much longer, and I don't know if it is because she isn't comfy, or because she is just bored. Anyway, there is also no way she can sleep in it, and we can't keep her in the sun too long either (we live in Texas).

Thank you for your very detailed list, it is just what I needed!

Oh, you mentioned special needs strollers. I have seen a few, I think one was called Liberty, is that what you have?
That's a nice chair.
I work in a specialized acute care hospital, where we get older adolescent and adult patients for ventilator weaning, who are often in comas. One of our big programs is brain injury rehab. In the beginning, 30 minutes up in a wheelchair is a lot. It’s very tiring to be upright like that and people have to work up to longer periods. So, your DD is doing well with being up 2 hours a day. That’s a good start.
It’s hard to tell with kids if they are just bored being in one position, or tired , or uncomfortable or just want to move. The wheelchairs also tend to hold them up much straighter than they would be if sitting in a chair (I know I would protest if I had to sit so straight in a chair all day as my DD sits in her wheelchair).
This is my DD last fall in her manual wheelchair when we visited the Fairies at MK.
DisneyPhotoImage74.JPG

You can see she is sitting pretty straight up, similar to your DD in the link you posted. Even when she was little, her wheelchair back was set pretty straight up and down. You would not think someone could sleep sitting that straight, but it didn’t really stop her once she was used to the chair.
When she was little and got too tired to sit, we usually just stopped for a while and held her while she slept.

My DD is a young adult, so children's wheelchairs have changed a lot since she got her first one. At that time, even the children's wheelchairs had large tires and she sat pretty high. Now most of the children's wheelchairs sit much lower to the ground, to put them more at the level of peers.

One big advantage of the low seat is that many kids will learn to get in and out of their wheelchair with a little assistance. The stroller handles let the parents push it with little difficulty.

I'm typing on my iPad, so I need to post this and then come back with some links (don't want to lose what I already typed).

AdaptiveMall has a very good website where you can see lots of different types of special needs strollers. They don't do insurance, as far as I know, and its better in most cases to deal with local people, including therapists who can do the fitting and advice.
But, you can get a good idea of features and what different types of special needs stroller exist here:
http://www.adaptivemall.com/allstrolpus.html

When my daughter was little, the major company making children’s wheelchairs was Sunrise Medical. They still make very nice chairs - in fact all of my DD’s manual wheelchairs have been by Sunrise.

Invacare is also one of the big companies and make a couple of styles of pediatric wheelchairs.

Colours makes really beautiful and well thought out wheelchairs and has a nice line of children’s wheelchairs. They are a newer company (at least in the US).
mickeymaker2003 said:
I would also see about your insurance coverage. The insurance may only cover one mobility device. If you choose a stroller and you decide to get a wheelchair before she has outgrown the stroller, they may deny coverage for the wheelchair.
That is a very good point that I had forgotten about. One of our considerations in choosing a stroller was that we were concerned that if DD wanted to be more mobile by herself and we wanted to get a wheelchair, it would be hard to get funding.

We really wanted the option for her to be able to propel it herself if that was at all possible.
Since she is still fairly young, you could consider getting a wheelchair using the insurance and see if you can find a regular stroller (or used special needs one) to pay out of pocket for so you have more flexibility.
I know people do sell them sometimes on eBay or Craig’s list, so it might be possible to get a stroller later on without having to pay the regular retail price.
And, with ‘regular’ strollers going up to 45-50 pounds, she may fit in one for quite a while.
At WDW, there shouldn't be a problem with tagging any of these with a stroller as a wheelchair tag and you would have full access to the park with it. If a cast member questions it, once you show them the tag (that you get from guest relations) you should be allowed to continue with whatever option you are using.
There is more information about that in post #6 of the disABILITIES FAQs thread about Guest Assistance Cards. That thread is near the top of this board or you can follow the link in my signature to get there.
 
It is a very smooth ride, and I sort of hate to say it, but I find the chair to be adorable. Something about minature things appeals to me. Anyway, we have been very surprised at how easy it is to handle and maneuver.

I just wish that we were able to get a better idea of what is going to happen with her.
 
It is a very smooth ride, and I sort of hate to say it, but I find the chair to be adorable. Something about minature things appeals to me. Anyway, we have been very surprised at how easy it is to handle and maneuver.

I just wish that we were able to get a better idea of what is going to happen with her.
The pediatric wheelchairs are much nicer now than they were when my DD was little. One nice thing is a small chair like that will put her on the same level as the other little preschool kids in their tiny school chairs (the ones adults get stuck on when we visit the classrooms).

I wish I had a crystal ball for you so you could see the future, but that’s one of the things not available to us:wizard:

I guess, you just have to keep doing what you are doing and trust that what you are doing is the best that you know how.

Sending lots of :hug:
 
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I would also see about your insurance coverage. The insurance may only cover one mobility device. If you choose a stroller and you decide to get a wheelchair before she has outgrown the stroller, they may deny coverage for the wheelchair.

Since she is still fairly young, you could consider getting a wheelchair using the insurance and see if you can find a regular stroller (or used special needs one) to pay out of pocket for so you have more flexibility.

At WDW, there shouldn't be a problem with tagging any of these with a stroller as a wheelchair tag and you would have full access to the park with it. If a cast member questions it, once you show them the tag (that you get from guest relations) you should be allowed to continue with whatever option you are using.


This is good advice, IMHO. This is what we would have done, however our DD is ok in a stroller. And it is always nice to know that a 'stroller as wheelchair" tag is available (we have used and is great help). Disney has been wonderful...we have 2 girls with different special needs and our vacation to the 'world' was amazing because the 'tag' made it EASY. our lives are not, by any stretch of the imagination, EASY. But this one week a year is. :)
 
My DD has a SN stroller (canvaid) that she got when she was 3 and is now 6 and she could still use it for 3 more years. Some strollers are meant to grow with your kid. The stroller is an option for a child who cannot self propel a wheelchair. Your DD should have an OT that would be of most help when choosing a stroller/wheelchair.
 
This reply is a little late, but I thought I'd add our experience. My DD has spina bifida (with no leg function) and we were encouraged to get a Kimba system for her at 12-18 months (stroller base and stationary base) due to poor trunk control. It was really a waste of resources for us. She is 3 (nearly 4) and uses a ZippyKidz for mobility. Prior to that, she used a Ready Racer (which is even lower to the ground and allows the legs to lie straight in front). However, we just got back from WDW and we just used our regular Graco stroller for her there. She is 34" and about 25 pounds, so she still fits easily in there and it was comfortable (and had a good sunshade) and was much easier to transport. I hope this helps in some way. This board has been a tremendous resource for me.

Lori
 
Boy Lori did you just bring back memories of our Kimba Stroller. My son was just about to turn 3 when we were advised to go to a seating clinic for assistance in getting him the proper chair. That chair was around $5,000.00 and way more than our son needed. As we use to tell people ... it costs as much as a used car and weighed about the same.
My son is about to turn 12 and is now traveling around in a Convaid bus transportable stroller. He has DS, is Autistic and has visual issues. He didn't start walking until around the age of 6 and is very cautious and slow when walking. This Convaid is perfect for him.
 














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