1 Wheel Chair Exam

Question 1

What is the Mat Table Exam?

Answer 1

Major of exam is done on the mat table in Supine

• highlights flexibility vs rigid deformity
• looks at pelvic, spine and hip alignments

Start in supine then move to seated

Finish with simulated seating (hand pressure)

Question 2

How much is typical seat depth?

Answer 2

1-2 inches from popliteal space

Question 3

How much is typical floor to seat height?

Answer 3

Aim for 2 in of foot clearance

Question 4

Pelvic Obliquity

Answer 4

• named after the lower side of the pelvis (direction of obliquity)
• Often also has lateral flexion of spine
  
  • (limits mobility of arm)

Question 5

Pelvic Rotation

Answer 5

Named after the posterior half of the pelvis

Often also has a counter rotaiton of the spine

False leg length discrepancy

Question 6

Principle 1

Answer 6

Stabilize proximally to promote improved distal mobility and function

• central focus is the pelvis

Question 7

Principle 2

Answer 7

Maintain and achieve pelvic alignment

optimal positioning = slight anterior tilt w/o oblique positioning or rotation

WB on ischial tuberosities

Question 8

Principle 3

Answer 8

Facilitate Optimal postural alignment in all body segmnts

Enhances: Stability, comfort, function

Do they attain optimal alignment independantly?

Question 9

Principle 4

Answer 9

Limit abnormal movement and improve function

Question 10

Principle 5

Answer 10

Provide the minimum support necessary to achieve anticipated goals and expected outcomes

If you lower expectations, provide equipment, and support, then individials will RELY on them

Question 11

Principle 6

Answer 11

Provide comfort

can lead to afatigue, asymmetry, abnormal movement, AVOIDANCE