What is the goal of armrest height when fitting a wheelchair?

• A. Support arms while maintaining neutral scapular position
• B. Maximize arm support at all times
• C. Keep arms elevated above shoulder height
• D. Keep arms at waist level

Answer: (A)

Position armrests to support the arms while keeping the shoulder girdle in a neutral alignment. The height that achieves this lets the elbows rest around 90 degrees when seated, with the forearms supported and the shoulders relaxed. This supports smooth propulsion and posture without forcing the shoulders into elevation or bad scapular mechanics.

If the armrests are too high, the shoulders tend to elevate and the scapulae tilt or rotate upward, increasing fatigue and risk of shoulder impingement. If they’re too low, there’s insufficient support, leading to leaning, poor trunk stability, and greater effort during propulsion. Keeping the arms supported at a height that maintains neutral scapular position balances comfort, efficiency, and shoulder health.