When using a wheelchair, going up and down stairs can be challenging. While some people can go up one or two stairs alone, going up many stairs is best done with help. In most cases, you will need at least two assistants to help you up and down stairs. Practice stairs with your therapist before trying it with assistants. Always make sure your assistants are able and strong enough to help you.
- Remove anti-tippers or swing them into an upright position.
- If you have a seat belt, put it on.
- If your chair does not have push handles, use a spotter strap. It should be attached to the axle under the chair.
- Make sure the stairs and the top landing are clear. Your chair and an assistant need to fit at the top of the staircase. Also make sure the stairs are not slippery.
- Position yourself with your back wheels against the stairs. Place your hands on the rims of the wheels. When going up, pull hard backwards and hold the wheels firmly so that they don’t roll back down.
- Assistant 1 is the leader. They stand behind you holding the push handles. When ready to lift, they should keep their back straight. They will help pull you up by lifting with their legs and guiding you with their arms. They should step up one step at a time.
- Assistant 2 crouches in front of you holding the chair’s frame beside your knees. They should not hold on to parts of the chair that can move or come off (e.g. footrests). Keeping their back straight, they will push you up one step at a time while lifting with their legs. They should make sure that the chair stays tilted backwards.
- Go up one step at a time. Before every step, count “1, 2, 3, LIFT”. Start with your chair in a wheelie position (chair tilted back with the front wheels off the ground). Keep the chair tilted back until you reach the top.
Going down stairs is safest when going down or facing backwards. Always go down one step at a time. Going down facing backwards might feel strange at first but it is the better way to go down. Your assistants will have more control since they can use their whole body to slow the chair. When you go down facing forward, it is less safe for the assistants. Before starting, make sure both you and your assistant know how many steps there are.
- The assistant stands on the stairs facing the top. Their feet should be on two different steps.
- Position your chair at the top of the staircase with your back to the steps.
- The assistant holds the push handles or rigidizer bar. They should get ready by placing their top leg in a position to receive the weight of the chair.
- When you are ready, lean far forward with one hand on the railing and one hand on the rim of the wheel.
- Allow yourself to roll slowly backward one step at a time. After each step, hold the wheel and railing firmly to prevent your chair from rolling. Stop on each step so that your assistant has a chance to adjust their position.
- Stay leaning forward until all 4 wheels are on the bottom landing and your anti-tippers are back in the safe position.