Breathing and WC mobility Flashcards
what is the first structure that engaged in breathing control
glottis
how do you facilitate improved respiration through the vocal folds
voicing and pushing
how do you facilitate improved respiration through the chest wall?
positioning, manual including rib mob, STM, CKC activity
how do you facilitate improved respiration through the diaphragm
manual and positioning
how do you facilitate improved respiration through the abdomen
STM, NMR, and external supports
how do you facilitate improved respiration through the spine
thoracic mobility and STM
what are the two systems of the wheelchair
mobility system (WC) and seating system (cushion and back)
what are four methods of manual propulsion
BUE, BLE, one arm drive, and hemi technique
What are the STF heights of manual wheelchairs
standard 19.5, hemi 17.5, and super hemi 15.5
how does seat depth change depending on propulsion method
if propelling with LE/BLE, need to take 1-2” off of seat depth to allow for LE excursion
standard WC weight capacity
250#
what are the 7 major manual wheelchair types
standard weight light weight ultra light weight bariatric one arm drive recliner tilt in space
when would you recommend a standard weight WC
general population or part time users such as orthopedic patients or patients who cannot self propel
T/F: standard weight WC are acceptable for full time users who self-propel
false - consider lightweight WC instead
when would you recommend a lightweight WC
general population of self-propellers as a result of SCI, TBI, CVA, and GBS - a common rental chair
when would you recommend an ultra lightweight WC
active users with SCI or congenital issues as well as WC athletes
weight capacity of a bariatric WC
700-1000#
Usually on ultralight chairs, an adjustable axle can alter what four conditions of the chair
wheel position, seat slope (dump), seat squeeze, and camber
what is the difference between seat slope and seat squeeze
slope (dump) is reclining, squeeze is the acuity
what does camber do
increases stability and responsiveness, but it also widens the wheelchair
what is the advantage of natural fit hand rims
decreases fatigue and grip effort by 16%
Name the four different wheelchair weight classes
standard, light, ultra light, bariatric
what are the three drive systems of power wheelchairs and their advantage
- rear wheel - speed
- mid wheel - preferred - maneuverability
- front wheel - terrain
what are the types of cushions
foam, gel, air, gel/air, honeycomb simulite
three of the following cause APT, the rest cause PPT. name them:
long seat depth STF too high ant slope of seat footplates wont allow foot loading sling seatback back too vertical arm rests too low excessive lumbar contour inadequate femoral loading back doesnt support pelvis
ant slope of seat, back too vertical, excessive lumbar contour
what are four technical reasons for pelvic obliquity/rotation (4)
no solid BOS, WC too wide, arm rest incorrect height, seat doesn’t support trochanters
LMN needed for what level of K code and above?
K0005 (ultralight) and above
