Breathing and WC mobility

Question 1

what is the first structure that engaged in breathing control

Answer 1

glottis

Question 2

how do you facilitate improved respiration through the vocal folds

Answer 2

voicing and pushing

Question 3

how do you facilitate improved respiration through the chest wall?

Answer 3

positioning, manual including rib mob, STM, CKC activity

Question 4

how do you facilitate improved respiration through the diaphragm

Answer 4

manual and positioning

Question 5

how do you facilitate improved respiration through the abdomen

Answer 5

STM, NMR, and external supports

Question 6

how do you facilitate improved respiration through the spine

Answer 6

thoracic mobility and STM

Question 7

what are the two systems of the wheelchair

Answer 7

mobility system (WC) and seating system (cushion and back)

Question 8

what are four methods of manual propulsion

Answer 8

BUE, BLE, one arm drive, and hemi technique

Question 9

What are the STF heights of manual wheelchairs

Answer 9

standard 19.5, hemi 17.5, and super hemi 15.5

Question 10

how does seat depth change depending on propulsion method

Answer 10

if propelling with LE/BLE, need to take 1-2” off of seat depth to allow for LE excursion

Question 11

standard WC weight capacity

Answer 11

250#

Question 12

what are the 7 major manual wheelchair types

Answer 12

standard weight
light weight
ultra light weight
bariatric
one arm drive
recliner
tilt in space

Question 13

when would you recommend a standard weight WC

Answer 13

general population or part time users such as orthopedic patients or patients who cannot self propel

Question 14

T/F: standard weight WC are acceptable for full time users who self-propel

Answer 14

false - consider lightweight WC instead

Question 15

when would you recommend a lightweight WC

Answer 15

general population of self-propellers as a result of SCI, TBI, CVA, and GBS - a common rental chair

Question 16

when would you recommend an ultra lightweight WC

Answer 16

active users with SCI or congenital issues as well as WC athletes

Question 17

weight capacity of a bariatric WC

Answer 17

700-1000#

Question 18

Usually on ultralight chairs, an adjustable axle can alter what four conditions of the chair

Answer 18

wheel position, seat slope (dump), seat squeeze, and camber

Question 19

what is the difference between seat slope and seat squeeze

Answer 19

slope (dump) is reclining, squeeze is the acuity

Question 20

what does camber do

Answer 20

increases stability and responsiveness, but it also widens the wheelchair

Question 21

what is the advantage of natural fit hand rims

Answer 21

decreases fatigue and grip effort by 16%

Question 22

Name the four different wheelchair weight classes

Answer 22

standard, light, ultra light, bariatric

Question 23

what are the three drive systems of power wheelchairs and their advantage

Answer 23

1. rear wheel - speed
2. mid wheel - preferred - maneuverability
3. front wheel - terrain

Question 24

what are the types of cushions

Answer 24

foam, gel, air, gel/air, honeycomb simulite

Question 25

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

Answer 25

ant slope of seat, back too vertical, excessive lumbar contour

Question 26

what are four technical reasons for pelvic obliquity/rotation (4)

Answer 26

no solid BOS, WC too wide, arm rest incorrect height, seat doesn’t support trochanters

Question 27

LMN needed for what level of K code and above?

Answer 27

K0005 (ultralight) and above