Understanding the Challenges and Capabilities of Walking for Wheelchair Users

The question of whether a person in a wheelchair can walk is complex and multifaceted. Many factors, including physical conditions, the environment, and emotional states, come into play when considering the ability of a wheelchair user (WW) to walk. This article delves into the challenges and capabilities, focusing on physical limitations, muscle atrophy, assistive devices, rehabilitation, and emotional factors.

Physical Limitations and Conditions

Many individuals who use wheelchairs may have physical conditions that limit their ability to walk. These can include paralysis, severe weakness, and other mobility impairments. Attempting to walk without the necessary muscle control or strength can be dangerous, potentially leading to falls or injury. It is crucial to assess the individual's physical capabilities before encouraging them to walk.

Muscle Atrophy and Extended Use of Wheelchairs

Extended periods of using a wheelchair can lead to significant muscle atrophy, weakening, and shrinking of muscles in the legs. If a person has not been using their legs for an extended period, they may find it difficult to stand or walk, even if they have the potential to do so. This atrophy can make the muscles less responsive and less able to support walking movements.

Assistive Devices and Rehabilitation Efforts

Some individuals may use assistive devices such as walkers or crutches to aid in walking. These devices provide stability and support, making it easier for the WW to try walking. Rehabilitation and therapy can also play a vital role in improving strength, balance, and coordination, making walking possible over time. Regular exercise and physical therapy can help to mitigate muscle atrophy and improve overall mobility.

Emotional Factors and Rehabilitation

Emotional factors can significantly impact a WW's willingness and ability to walk. For some, attempting to walk may bring feelings of hope and empowerment, especially if they have had past success in walking. However, for others, it may cause frustration or disappointment. Psychological support and encouragement from friends, family, and healthcare professionals can play a crucial role in the rehabilitation process.

Hidden Illnesses and Social Challenges

The condition of a WW can also be influenced by hidden illnesses. These illnesses may not be immediately apparent to others but can significantly affect their ability to walk. Hidden illnesses such as Ehlers-Danlos Syndrome, which has 13 forms, and other conditions like soft tissue damage, medication side effects, seizures, Mast Cell Activation Syndrome (MCAS), reactive hypoglycemia, and dysautonomia (which has 15 forms), can all impact a WW's mobility.

For those with hidden illnesses, coming out of their homes can be a challenge. Public shame and social stigma can be a significant barrier. The recent phenomenon of "Abelism" brings attention to the discrimination and abuse that AWUs (Ambulatory Wheelchair Users) face when retrieving or putting away their chairs in a vehicle. This phenomenon can result in "Social Murder," where the social pressure and stigma cause severe emotional and physical distress.

Conclusion

To summarize, whether a person in a wheelchair can walk depends on a variety of factors. It is a combination of physical capabilities, underlying reasons for wheelchair use, rehabilitation efforts, and emotional states. Wheelchair users who are ambulatory can face unique challenges due to hidden illnesses and social perceptions. Understanding and respecting the individual needs and circumstances of each WW is essential to support their journey toward better mobility and independence.

Keywords: Wheelchair Users, Hidden Illnesses, Ambulatory Wheelchair Users