The only issues are some cracks in the vinyl arm covers, some pinches into the foam handle wrap (like the foam that used to cover the handlebars of our '70s 10-speeds...), and one small slit in the back of the head pad. Everything can be used as-is, but if you prefer, the cracks can be easily and inconspicuously covered for a few bucks by stretching a new pair of thick, black socks over them and/or covering the head pad with another stretchy black sock or child-sized black winter hat, and the foam could be replaced, or simply covered with another, slightly larger-in-diameter, black foam tube.
This unit features the18-inch seat width configuration of the Days Solstice Comfort Tilt-in-Space Wheelchair, a specialized medical device is designed to safely shift a user's center of gravity backward while maintaining a constant 90-degree hip and knee angle, a function that helps to effectively redistribute pressure from the user's posterior to his back, making it highly beneficial for individuals with muscular dystrophy, neuromuscular conditions, or severe edema who cannot sit upright in standard wheelchairs for long periods of time.