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What is the difference between accessible tub and shower?

5 min read

According to the CDC, over 1 in 4 older adults fall each year, with bathrooms being one of the most common locations for these incidents. Understanding what is the difference between accessible tub and shower is crucial for enhancing safety and independence in the home, especially for individuals with mobility challenges.

Quick Summary

Accessible tubs feature a watertight door for entry, offering a deep soaking experience, while accessible showers provide a low or zero-threshold entry for ease of access with wheelchairs or walkers. This guide compares their key features, space requirements, and costs to help determine the best fit for your bathroom and mobility needs.

Key Points

  • Entry Differences: Accessible tubs feature a watertight side door for seated entry, while accessible showers provide a low or zero-threshold opening for walk-in or roll-in access.

  • Mobility Accommodations: For wheelchair users, the curbless accessible shower is the safest and most convenient option, while walk-in tubs cater to individuals who can manage a small step and benefit from seated bathing.

  • Therapeutic Features: Accessible tubs offer therapeutic benefits like hydrotherapy jets and heated seating, providing a relaxing soaking experience not available with a shower.

  • Daily Convenience: Accessible showers are quicker and more efficient for daily routines, while walk-in tubs require the user to wait for the tub to fill and drain while seated.

  • Installation and Cost: Walk-in tubs are typically a higher-cost investment due to their complex design and installation requirements, whereas accessible showers can be more affordable.

  • Space and Design: Accessible showers can be customized to fit various bathroom sizes and layouts, including smaller spaces, creating a more open feel.

  • Maintenance Requirements: Accessible tubs require more maintenance due to seals and jets, while accessible showers are generally easier to clean.

In This Article

Understanding Accessible Bathtubs

Accessible bathtubs, also known as walk-in tubs, are designed to eliminate the high side wall of a standard tub, allowing users to enter through a side door. These tubs cater to individuals who can manage a small step but benefit from a seated, relaxing bath. The watertight door and built-in seat provide a secure and comfortable bathing experience, reducing the risk of falls associated with stepping over high thresholds. Once the door is sealed, the tub fills with water, allowing for a therapeutic soak. Many models come equipped with therapeutic features like hydrotherapy jets, heated seats, and integrated grab bars for added luxury and safety.

Pros of accessible bathtubs

  • Therapeutic benefits: Hydrotherapy jets and warm soaks can alleviate muscle and joint pain, beneficial for those with arthritis or chronic pain.
  • Higher sense of safety: The deep seated position minimizes the risk of falling while bathing. Built-in seats and grab bars add further security.
  • Standard footprint: Many accessible tubs fit into the space of a standard bathtub, which can simplify installation and alignment of plumbing.
  • Spa-like experience: Features like heated seats and water jets create a luxurious, relaxing bath experience.

Cons of accessible bathtubs

  • Inconvenience of filling and draining: The user must enter the tub before it fills and remain seated until it drains, which can lead to getting cold while waiting.
  • Higher upfront cost: The unit and installation are often more expensive than an accessible shower, especially with added features like hydrotherapy.
  • Requires mobility for entry: Despite a low step, users must still be able to lift their feet over a small threshold and safely sit down in the tub.

Understanding Accessible Showers

Accessible showers, also called roll-in or walk-in showers, are defined by their low or zero-threshold entry, which makes them ideal for wheelchair users and individuals who cannot lift their legs. The design prioritizes ease of access, often eliminating any curb to create a seamless transition from the bathroom floor. These showers provide a faster, more convenient bathing experience for daily routines. Features such as non-slip flooring, adjustable handheld showerheads, and wall-mounted or fold-down benches enhance safety and comfort.

Pros of accessible showers

  • Maximum accessibility: The curbless design is the safest and most convenient option for those using wheelchairs, walkers, or other mobility aids.
  • Quick and efficient: The immediate flow of water and quick drainage make for a more time-efficient bathing process.
  • Customizable and versatile: Showers can be customized to fit various bathroom sizes and layouts, offering a modern, spacious aesthetic.
  • Easy to clean: With fewer crevices and moving parts, accessible showers are generally easier to clean and maintain than accessible tubs.

Cons of accessible showers

  • Less safety standard: Standard accessible shower installations may not automatically include features like grab bars or seating, which can add to the total cost.
  • Not suitable for soaking: The design is for showering and does not offer the therapeutic soaking benefits of a tub.
  • Potential for splashing: Without a high tub wall, there is a greater risk of water splashing onto the bathroom floor, requiring proper drainage and waterproofing.

Accessible Tub vs. Accessible Shower: A Comparison Table

Feature Accessible Tub (Walk-in Tub) Accessible Shower (Roll-in/Walk-in)
Entry Watertight, low-threshold door Low or zero-threshold entry for easy walk-in or roll-in
Bathing Experience Deep, seated soaking for relaxation and hydrotherapy Quick, upright or seated showering for daily routines
Best for Mobility Individuals who can manage a small step and transfer to a built-in seat Wheelchair users and those with significant mobility limitations
Space Requirements Often fits the footprint of a standard tub, but some larger models are available Can be customized to fit various spaces, including small bathrooms
Cost Typically a higher upfront cost due to complex unit and installation Often more budget-friendly, especially for tub-to-shower conversions
Time Efficiency Requires waiting for the tub to fill and drain while seated Provides immediate access to water and quicker bathing process
Therapeutic Options Many models include hydrotherapy jets and heated seats Primarily focused on hygiene, though some luxury features can be added
Cleaning More surfaces to clean, including door seals and jets Generally easier to clean with fewer surfaces and non-porous materials

How to Choose Between an Accessible Tub and Shower

Making the right choice depends on your specific needs, the available space, and your budget. Here are some factors to consider:

  1. Level of mobility: For those who use a wheelchair or have very limited leg mobility, a roll-in shower with a zero-threshold entry is the safest and most convenient option. For individuals who can step over a small lip and enjoy a seated, relaxing bath, a walk-in tub is a good fit.
  2. Daily routine and preference: If you prefer quick, efficient bathing and a spacious feel, a shower is a better choice. If you desire the therapeutic benefits of soaking and have the time to fill and drain the tub, a walk-in tub is preferable.
  3. Available bathroom space: While many walk-in tubs fit a standard bathtub space, accessible showers can often be customized to fit even smaller bathrooms. However, roll-in showers for wheelchairs require specific clearances, which may necessitate a larger space.
  4. Budget considerations: Accessible tubs generally require a higher initial investment than accessible showers due to their complex features and installation. Weigh the upfront cost against the desired therapeutic benefits and safety features.

Conclusion

Ultimately, the choice between an accessible tub and a shower depends on personal preference and individual mobility needs. Both options offer significant safety advantages over standard bathing fixtures, making a bathroom more accessible and reducing the risk of falls. Accessible tubs provide a secure, seated soaking experience with therapeutic benefits, ideal for those who can navigate a low threshold. Conversely, accessible showers offer a fast, convenient, and highly-accessible solution with a low or zero-threshold entry, making them the superior choice for wheelchair users. By carefully evaluating your needs, daily habits, and budget, you can select the best solution to ensure a safe and comfortable bathing experience for years to come. For an in-depth look at universal design principles, which apply to both options, you can consult resources like the Center for Universal Design at North Carolina State University.

Keypoints

  • Entry Differences: Accessible tubs have a watertight side door, while accessible showers feature a low or zero-threshold entry for easy access.
  • Mobility Accommodations: Roll-in showers are ideal for wheelchair users, whereas walk-in tubs suit those who can manage a small step and prefer seated bathing.
  • Therapeutic Value: Walk-in tubs often include hydrotherapy jets and heated seats for a relaxing, therapeutic soak, a feature not available in standard accessible showers.
  • Time and Convenience: Showers offer a quicker, more efficient bathing process, while tubs require waiting for filling and draining while inside.
  • Cost and Installation: Accessible tubs are typically more expensive to purchase and install due to complexity, while accessible showers can be a more budget-friendly conversion.
  • Cleaning and Maintenance: Showers are generally easier to clean with fewer surfaces, whereas tubs have more components like door seals and jets that require maintenance.

Frequently Asked Questions

A roll-in shower is often considered safer for seniors, especially those with severe mobility issues or who use a wheelchair, due to its zero-threshold entry that eliminates tripping hazards.

Yes, many companies offer tub-to-shower conversion kits, and there are retrofit kits that can modify an existing tub into a walk-in model, though replacing the entire unit is often a more comprehensive solution.

Accessible tubs are typically more expensive upfront due to the cost of the unit and more complex installation. Accessible showers can be a more budget-friendly option, especially for tub-to-shower conversions.

An accessible shower can be a great option for smaller bathrooms and offers flexibility in layout. While many accessible tubs can fit into a standard tub space, roll-in showers for wheelchairs require specific floor clearances.

Walk-in tubs can take a longer time to fill and drain compared to a regular bath, which can be a significant inconvenience for users waiting inside.

Key safety features include non-slip flooring, built-in or strategically placed grab bars, built-in seating, and a handheld showerhead.

An accessible shower is generally easier to clean than a walk-in tub, which has more surfaces to maintain, such as door seals and hydrotherapy jets.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.