When using a wheelchair safety belt, which practice is correct?

• A. Place over the abdomen
• B. Apply over the thighs or lap (not over the abdomen)
• C. Remove during transfers
• D. Loosen belt for comfort

Answer: (B)

Placing the safety belt over the thighs or lap is the proper approach because it secures the pelvis and lower trunk, helping to prevent forward sliding or tipping of the chair. When the belt sits on the hips and thighs, it provides stable restraint without pressing directly on the abdomen, which could cause abdominal pressure, breathing difficulty, or discomfort. A belt placed over the abdomen can compress internal organs and interfere with breathing, especially if the person jolts or the chair stops suddenly. The belt should be snug enough to stay in place but not so tight that it restricts breathing or circulation, and it should remain in place during transfers to keep the person safely restrained. Loosening the belt for comfort or removing it during transfers undermines safety, and placing it over the abdomen defeats the purpose of proper restraint.