Which factor is NOT typically considered during wheelchair fitting?

• A. Comfort
• B. Cosmetic color of the frame
• C. Posture
• D. Skin integrity

Answer: (B)

Wheelchair fitting centers on how the chair supports the body in a safe, comfortable, and functional position. Comfort ensures the user can tolerate the seat without pain or pressure points, which is essential for consistent use. Posture is crucial because proper pelvis and spine alignment improves stability, propulsion efficiency, and reduces the risk of deformities or excessive strain during transfers and daily activities. Skin integrity is a top priority since prolonged pressure or shear over bony areas can lead to pressure ulcers; cushions and load distribution are chosen to protect vulnerable areas.

Cosmetic color of the frame doesn’t affect fit or function. It’s an aesthetic choice and doesn’t change geometry, support, or how load is distributed, so it isn’t a typical factor in the fitting process.