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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
Q

Cons of larger casters

A
  • less foot clearance

- harder to turn

26
Q

What does increased camber do?

A

gives larger base of support

27
Q

Larger camber is commonly seen in these types of chairs

A

sports

28
Q

What does larger camber hinder?

A

ability to get out of doors

29
Q

Dump: bucket improves

A

upright posture

30
Q

An axle that is further backward is more

A

stable

31
Q

An axle that is further forward is more ______, but easier to ______

A
  • unstable

- push

32
Q

Slowest option for drive mechanism

A

FWD

33
Q

Problems with FWD chair

A
  • slowest

- fishtailing at higher speeds

34
Q

Pros of a FWD chair

A
  • good downhill traction
  • best climbing ability
  • smoothest on rough terrain
35
Q

Which chair drive has the smallest turning radius?

A

mid wheel drive

36
Q

mid-wheel drive: traction

A

equal up and downhill

37
Q

mid-wheel drive: issues

A
  • need need additional casters for stability

- more rocking over obstacles

38
Q

largest turning radius

A

RWD

39
Q

Where is the pivot point for a RWD chair?

A

behind the user

40
Q

RWD: traction and hills

A
  • good traction uphill

- poor traction downhill

41
Q

A RWD chair is the ____ option

A

fastest

42
Q

Recline occurs here

A

at the hip

43
Q

Why is recline needed for SCI pts?

A

need to be able to get them flatter early on

44
Q

Problems with recline and SCI pts

A

could get shear on skin of back

45
Q

Tilt is good for this

A

pressure relief

46
Q

What is a flap surgery performed for?

A

non-healing wound on greater trochanter or sacrum

47
Q

flap surgery

A

chunk of flesh moved to a new position (typically along with muscle)

prolonged immobility in prone

8531 Bringman (43 decks)

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