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8531 Bringman > 9.17 Seating > Flashcards

9.17 Seating Flashcards

1
Q

Should you do a prolonged stretch in a WC?

A

NO

do NOT use a seating system for a prolonged stretch

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2
Q

Why should you not do a prolonged stretch in a seating system?

A

can’t sense

  • discomfort
  • skin breakdown
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3
Q

How would you create a prolonged stretch?

A
  • manual approach

- orthotic

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4
Q

What are the two types of deformities

A
  • fixed

- flexible

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5
Q

Types of fixed deformities

A
  • heterotopic ossification

- hypertonia

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6
Q

What are seating goals for SCI pts?

A
  • functional independence
  • reduce risk of secondary complications
  • enhance posture, respiration, etc.
  • address skeletal deformities
  • comfort/balance
  • promote skin care
  • reduce mobility related injuries
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7
Q

Proper WC fit helps keep a SCI pt

A

more mobile

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8
Q

What can be done with seating for skeletal deformities?

A
  • correct

- accommodate

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9
Q

What is essential to promoting symmetrical and stable sitting posture?

A
  • pelvic positioning

- proximal stability » distal mobility

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10
Q

How should the pelvis be positioned?

A
  • neutral to slight anterior tilt
  • level
  • NOT rotated
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11
Q

How can poor posture impact function?

A
  • breathing
  • swallowing
  • digestion
  • circulation
  • balance
  • functional UE ROM
  • ability to move outside BOS
  • skin integrity
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12
Q

Flexible deformities are usually _______

A

corrected

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13
Q

Nonflexible deformities are usually _____

A

accomodated

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14
Q

What are some posture goals for the SCI pt?

A
  • address deformities
  • maximize comfort
  • minimize effects of excessive tone
  • provide support for hypotonia
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15
Q

LOMN is written by ____ to _____ for ______

A

PT to insurance company for DME

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16
Q

What are some important aspects to a LMN?

A
  • very specific (movable parts, cushion type, surface, weight, etc.)
  • include disease progression
  • prognosis
  • any other info that is pertinent to justify a need for DME
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17
Q

Can a PT order DME?

A

Can’t write an order for a DME, but can request the MD to write one

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18
Q

Pros of rigid chairs

A
  • durability
  • efficient
  • lighter
  • more adjustable
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19
Q

Cons of rigid chairs

A
  • more rigid ride

- transport considerations

20
Q

Pros of folding chairs

A
  • shock absorbing
  • easier transport
  • smoother ride
  • can propel with legs
21
Q

Cons of folding chairs

A
  • less durable
  • less efficient
  • weighs more
  • less adjustable
  • transport considerations
22
Q

Pros of smaller casters

A
  • easier tot urn
  • more foot clearance
  • smaller turning radius
  • less shimmy
23
Q

Cons of smaller casters

A

harder to maneuver over small obstacles

24
Q

Pros of larger casters

A
  • less rolling resistance

- easier to negotiate over rough terrain

25
Cons of larger casters
- less foot clearance | - harder to turn
26
What does increased camber do?
gives larger base of support
27
Larger camber is commonly seen in these types of chairs
sports
28
What does larger camber hinder?
ability to get out of doors
29
Dump: bucket improves
upright posture
30
An axle that is further backward is more
stable
31
An axle that is further forward is more ______, but easier to ______
- unstable | - push
32
Slowest option for drive mechanism
FWD
33
Problems with FWD chair
- slowest | - fishtailing at higher speeds
34
Pros of a FWD chair
- good downhill traction - best climbing ability - smoothest on rough terrain
35
Which chair drive has the smallest turning radius?
mid wheel drive
36
mid-wheel drive: traction
equal up and downhill
37
mid-wheel drive: issues
- need need additional casters for stability | - more rocking over obstacles
38
largest turning radius
RWD
39
Where is the pivot point for a RWD chair?
behind the user
40
RWD: traction and hills
- good traction uphill | - poor traction downhill
41
A RWD chair is the ____ option
fastest
42
Recline occurs here
at the hip
43
Why is recline needed for SCI pts?
need to be able to get them flatter early on
44
Problems with recline and SCI pts
could get shear on skin of back
45
Tilt is good for this
pressure relief
46
What is a flap surgery performed for?
non-healing wound on greater trochanter or sacrum
47
flap surgery
chunk of flesh moved to a new position (typically along with muscle) prolonged immobility in prone

8531 Bringman (43 decks)

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