As a part time user of crutches (specifically smartcrutches, hence the below image), I've found a couple small products have been able to improve the quality of my experience when using them out n about n decided i might as well make a post with them on :) i might add more as i try out other things in the future and such also
The first thing is a small storage bag to attach to your crutch, you can get ones made specifically for crutches, and smart crutch even has their own branded one for the sizing of their crutches, but I got a bag intended for use on bicycles and found that it fit quite well for a fraction of the price, and likely would also do so on normal forearm crutches. I can't put too much stuff in the bag for regular usage as it would throw off my balance but it's great to have my phone and some change in to be within easy reach.
The second thing is new ferrules, specifically I got flexyfeet's ferrules which are available in a variety of sizes to fit pretty much any crutch or cane, they have shock absorption and their flexibility also means I get a lot more grip and feel safer walking with them than I did with my previously very worn down standard ferrules.
i love when i see another cane user/ disabled person in public and we make that eye contact of solidarity
like yes!! you are like me!! i am like you!!
"gnc straight man being called a faggot doesn't experience homophobia" what the fuck are you talking about. there's absolutely no logic in anything like that. we have kids who literally killed themselves because of homophobic abuse in schools and you would dare to tell them it isn't homophobia that killed them because they weren't actually gay? insane. and so fucking cruel
one of the biggest things I can recommend to anyone getting a new custom chair (but especially a first custom chair) is to understand all of the parts of a wheelchair and what they do. I decided to make a guide with wheelchair parts to research and places to look for information to make this process a little bit easier. additional link suggestions are welcome.
General resources:
Permobil - The Wheelchair Handbook
Motion Composites - Preparing for Your Wheelchair Evaluation: Before the Evaluation (Part 1)
Motion Composites - Preparing for Your Wheelchair Evaluation (Part 2)
1. Frame
Motion Composites - Folding vs Rigid Wheelchair Frames: How to Choose
Permobil - Manual wheelchairs: rigid and folding frames. How do you choose?
GTK - Oh what’s in a frame? Comparing Multiple Materials
Motion Composites - Wheelchairs: Carbon Fiber Versus Aluminum
2. Front frame angle
Motion Composites - Understanding the Impact of Rigid Wheelchair Front Frame Angle
Sunrise Medical - Rigid Frame Wheelchairs – Frame Angle and Inset
4. Seat dump
Permobil - Ergonomic Seating and Manual Wheelchairs
Spinlife - Wheelchair Back & Seat Angle
5. Caster size, style, and position
Motion Composites - Front Casters for Manual Wheelchairs Practical Guide
Sunrise Medical - Front Caster Position in Manual Wheelchairs
6. Caster forks
New Mobility - Caster Wheels and Forks
Sunrise Medical - Maneuverability in Manual Wheelchairs - What Fork to use?
New Mobility - Innovations: Emerging Trends in the Wheelchair Market (information about single sided forks)
7. Footplate
Motion Composites - Footrest Options to Support Function and Mobility
When Tania Talks - Active User Wheelchair Footplate Options
8. Calf strap
Spex Seating - Lower Leg Support Considerations in Wheelchair Seating
9. Seat pan
Permobil - Solid Seat Insert for Wheelchair: Taking a Closer Look at Cushion Components
10. Seat cushion
Permobil - What to Look for in Seating & Positioning Products
Permobil - How to Choose a Cushion in Long Term Care
Permobil - Cushion Geometry: Linear and Contoured
Freedom Mobility Center - Wheelchair Seat Cushions: 5 Tips for Choosing the Right One for You
Mobility Basics - Seat Cushion Rigidizer
Motion Composites - Selecting the Right Cushion for Your Wheelchair a Clinicians Guide
Motion Composites - Covering the Basics of Wheelchair and Back Support Covers
11. Seat belts
12. Clothing guards
Sherman Oaks Medical Equipment - Wheelchair Clothes Guards / Side Guards Guide
13. Arm rests
United Spinal Association - Wheelchair Armrests What Do They Really Do?
Spinlife - Wheelchair Arm Rest Choices
Motion Composites - Armrests: Getting the Support you Need
14. Back supports
Motion Composites - Solid vs Upholstery Backs
Mobility Management - How to Choose the Right Back Height for your Client
Freedom Mobility Center - Why a Solid Back is Preferred Over a Sling Back
Mobility Basics - Back Supports
Sunrise Medical - Tips for Selecting Prefabricated Wheelchair Backs
Motion Composites - Covering the Basics of Wheelchair and Back Support Covers
15. Head supports
16. Push handles
Motion Composites - Push Handles: Pushing Around
17. Wheels
Motion Composites - Rolling Along: The Importance of Rear Wheel Selection
Sunrise Medical - Comparing Wheelchair Wheel Spoke Options
Mobility Basics - Manual Wheelchair Wheels
18. Tires
New Mobility - Everything You Need to Know About Selecting the Right Wheelchair Tires
GTK - Solid versus Pneumatic Tyres
Mobility Basics - Manual Wheelchair Wheels
Motion Composites - Tire Selection: Balancing Performance and Maintenance
19. Brakes
Motion Composites - Wheel Locks: Unlocking Safety and Function
20. Push rims/Hand rims
Motion Composites - Getting a Grasp: Understanding the Impact of Hand Rims
DME Hub - Wheelchair Hand Rom Options and Factors to Consider
21. Anti-tip wheels
22. Camber
Motion Composites - Camber - Degrees of Performance
23. Center of Gravity
Motion Composites - Rear Wheel Position 101
People love to talk about whether or not disabled people can work
but if you can work just fine and your disability is destroying your ability to have a life outside of work (because work takes all your energy and more)
Dead silence. Nobody cares.
Disclaimer: Though I have been using a cane for 6 years, I am not a doctor, nor am I by any means an expert. This guide is true to my experience, but there are as many ways to use a cane as there are cane users!
This guide will not include: White canes for blindness, crutches, walkers, or wheelchairs as I have no personal experience with these.
This is meant to be a general guide to get you started and avoid some common mishaps/misconceptions, but you absolutely should continue to do your own research outside of this guide!
The biggest recurring problem I've seen is using the cane on the wrong side. The cane goes on the opposite side of the pain! If your character has even-sided pain or needs it for balance/weakness, then use the cane in the non-dominant hand to keep the dominant hand free. Some cane users also switch sides to give their arm a rest!
A cane takes about 20% of your weight off the opposite leg. It should fit within your natural gait and become something of an extension of your body. If you need more weight off than 20%, then crutches, a walker, or a wheelchair is needed.
Putting more pressure on the cane, using it on the wrong side, or having it at the wrong height will make it less effective, and can cause long term damage to your body from improper pressure and posture. (Hugh Laurie genuinely hurt his body from years of using a cane wrong on House!)
(an animated GIF of a cane matching the natural walking gait. It turns red when pressure is placed on it.)
When going up and down stairs, there is an ideal standard: You want to use the handrail and the cane at the same time, or prioritize the handrail if it's only on one side. When going up stairs you lead with your good leg and follow with the cane and hurt leg together. When going down stairs you lead with the cane, then the good leg, and THEN the leg that needs help.
Realistically though, many people don't move out of the way for cane users to access the railing, many stairs don't have railings, and many are wet, rusty, or generally not ideal to grip.
In these cases, if you have a friend nearby, holding on to them is a good idea. Or, take it one step at a time carefully if you're alone.
Now we come to a very common mistake I see... Using fashion canes for medical use!
(These are 4 broad shapes, but there is INCREDIBLE variation in cane handles. Research heavily what will be best for your character's specific needs!)
The handle is the contact point for all the weight you're putting on your cane, and that pressure is being put onto your hand, wrist, and shoulder. So the shape is very important for long term use!
Knob handles (and very decorative handles) are not used for medical use for this reason. It adds extra stress to the body and can damage your hand to put constant pressure onto these painful shapes.
The weight of a cane is also incredibly important, as a heavier cane will cause wear on your body much faster. When you're using it all day, it gets heavy fast! If your character struggles with weakness, then they won't want a heavy cane if they can help it!
This is also part of why sword canes aren't usually very viable for medical use (along with them usually being knob handles) is that swords are extra weight!
However, a small knife or perhaps a retractable blade hidden within the base might be viable even for weak characters.
Bases have a lot of variability as well, and the modern standard is generally adjustable bases. Adjustable canes are very handy if your character regularly changes shoe height, for instance (gotta keep the height at your hip!)
Canes help on most terrain with their standard base and structure. But for some terrain, you might want a different base, or to forego the cane entirely! This article covers it pretty well.
Many cane users decorate their canes! Stickers are incredibly common, and painting canes is relatively common as well! You'll also see people replacing the standard wrist strap with a personalized one, or even adding a small charm to the ring the strap connects to. (nothing too large, or it gets annoying as the cane is swinging around everywhere)
(my canes, for reference)
If your character uses a cane full time, then they might also have multiple canes that look different aesthetically to match their outfits!
When it comes to practical things outside of the cane, you reasonably only have one hand available while it's being used. Many people will hook their cane onto their arm or let it dangle on the strap (if they have one) while using their cane arm, but it's often significantly less convenient than 2 hands. But, if you need 2 hands, then it's either setting the cane down or letting it hang!
For this reason, optimizing one handed use is ideal! Keeping bags/items on the side of your free hand helps keep your items accessible.
When sitting, the cane either leans against a wall or table, goes under the chair, or hooks onto the back of the chair. (It often falls when hanging off of a chair, in my experience)
When getting up, the user will either use their cane to help them balance/support as they stand, or get up and then grab their cane. This depends on what it's being used for (balance vs pain when walking, for instance!)
That's everything I can think of for now. Thank you for reading my long-but-absolutely-not-comprehensive list of things to keep in mind when writing or drawing a cane user!
Happy disability pride month! Go forth and make more characters use canes!!!
-> A visual guide
[ID: a graphic with simple figures. on the left is a column of 3 identical images of a wheelchair user sitting in front of a pedestrian. on the right are examples of do's and don'ts. the first don't is a person attempting to step over the wheelchair user. the second don't shows a person attempting to push the wheelchair user. the final image is a do with a person saying "excuse me" to the wheelchair user]
❌ stepping over wheelchair users
❌ pushing wheelchair users
✅ asking politely for the wheelchair user to move
Adult diapers are for disabled people. Full stop. That is what and who they are for. They are for disabled people who need to wear them because of their disabilities. They don't exist for kink. If someone is using them for kink that is not the fucking fault of disabled people. Stop acting like every adult who wears a diaper is disgusting. You're disgusting for assuming that over what the diaper was fucking made for. Grow the fuck up. Someday you'll lose control of your bladder and bowels too.
Dear game developers:
Make your games more accessible by
Allowing Button remapping
Supporting multiple kinds of controllers
Supporting multiple types of inputs for when solving puzzles or clues
Match the color and or pattern puzzle
Follow the sound and controller vibration to find the mcguffin
Allow for zooming in and out if you’re doing any kind of “pattern alignment” puzzle.
Subtitles on everything, for fuck’s sake
If your motion/camera thing’s instructions start with “stand up and….”, rethink your design.
Allow for adjusting the field of view
Aim assist.
If someone is struggling with a puzzle or task, start offering tool tips and hints on screen
Remember that the goal is not to have the player play the game like you would. The goal is for the gamer to have fun and experience the game and art you’ve spent so much time and energy to create in a way that brings them joy.
Removing and avoiding harmful tropes around disability - physical or otherwise.
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