Studies have shown that manual wheelchair users push an average of 2,000 to 3,000 times a day. That takes a toll on the upper extremities, especially hands and wrists. The good news is there are a variety of pushrim options that offer superior propulsion through ergonomic design, increasing pushing power and reducing the stress on hands and wrists. In addition, these pushrims help keep your hands clean by eliminating the need for “tire grabbing” while pushing. Here is a list of some pushrim options.