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As with adult wheelchairs, there are different types of pediatric wheelchairs available for children to use. Manual pediatric wheelchairs are generally used by children who have enough strength to push the wheels on their own chair; or in certain instances, by parents or caregivers who will push the child around as needed. These wheelchairs are not meant to be used by those children who have severe disabilities and can't move on their own. Motorized wheelchairs, or electric wheelchairs, are also made in pediatric sizes, but are often custom designed for individuals. These chairs are much more costly, and while manual chairs can often grow with the child, motorized chairs tend to need replacement more frequently.