Physical Therapy Assistant Practice Exam 2025 – Complete Prep Guide

Leaning forward in the wheelchair is the most appropriate technique for a patient with paraplegia to ascend an incline. This action shifts the center of gravity forward, which helps to maintain balance and stability as the wheelchair climbs the slope. By leaning forward, the patient can take advantage of gravity to push themselves upward more effectively, reducing the risk of tipping backward.

This technique also allows the user's arms to utilize more strength as they push the wheels. The forward position contributes to better propulsion mechanics, enabling the patient to generate the necessary force to ascend the incline successfully.

Staying upright without leaning might not provide enough adjustment to maintain balance, particularly on steeper inclines. Leaning backwards can increase the risk of tipping over, making it an unsafe option. While using handrails can be beneficial for support, it may not always be available or practical in all environments where the patient needs to ascend an incline. Therefore, leaning forward offers a practical and safe method for navigating an incline in a manual wheelchair.