Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

My ADL > chapter 13 seated mobility adl exam 3 > Flashcards

chapter 13 seated mobility adl exam 3 Flashcards

1
Q

Orthosis

A

device applied to body to stabilize of immobilize or assist with function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

wheelchair

A

a type of orthosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

wheelchair fit

A

must be fit and selected by pro. 68% of patient’s wheelchairs are not right for them. seat, back UE LE supports wrong position for their condition.

condition and wheelchair needs can change over time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Besides measurement fits, what are some other concerns about selecting the right wheelchair?

A
  • goals and desires
  • frequency of use, longevity of use, durability needs environment
  • cognitive sensory and cardiopulmonary abilities
  • psychosocial concerns
  • environmental
  • financial
  • care partner availability
  • community and social resources
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Manual wheelchair

A

lighter more prtable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Battery powered wheelchair

A

Heavier and harder for portability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pushrim-activated power assist wheelchair

A

(PAPAW) - Smart Drive - can be much lighter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Two main types of wheelchair seats

A

flexible “sling” or ridged. - both often have padding.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

seat slope

A

“Dump” front of the seat is higher than the back. slope affects stability of pelvis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pressure map

A

pressure sensors placed on seat and back of wheelchair to guage comfort and when patients lack sensory cues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

wheelchair back support

A

standard 90 degree

Some (tilt in space) recline without changing the angle to the seat re relieve pressure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Armrests

A

decrease weight on butt 5% for tetra 9% for para.

for menuverablility, may be omitted.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Front rigging

A

foot and calf supports

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

swing away foot and calf supports

A

facilitate transfers and allows manuverability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

elevating legrests

A

keep knee flexion over 90 degrees. Must have calf pad.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

legrest and edema

A

tilt body back 30 degree or legs 30cm above heart can manage edema.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

footrests for athletes

A

may be at slight inward angle for meneuverability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

wheelchair frame old

A

tubular steel (hospital wheelchairs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

New types of wheelchair frames

A

aluminum, titanium, airplane steel, carbon fiber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Fixed box frame

A

sturdier - top fold over seat. less energy to propel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

cross brace frame

A

can fold up for storage better shock absorption - more energy to propel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

frame of battery power wheelchair

A

ridged 85 to 300 lbs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Pediatric wheelchair

A

often aluminum. expand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Integrated standing wheelchair

A

can move from sitting to standing while still supported by the chair.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Axel postion

A

Determines drive wheel position and stability and meneuverability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

axel postion back

A

more stable less meneuverable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

axel position forward

A

less stable more meneuverable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Power chair axel postion

A

front, mid or rear drive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Rear wheel drive chairs

A

move more rapidly - less effective at inclines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Front wheel drive chairs

A

good inclines and better at curbs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

mid wheel drive chairs

A

tight turning raidius. can get stuck over obstacles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Drive wheels

A

push wheels 22,24,26 inch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

spoked drive wheels

A

light weight, require meaintenance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Mag wheels

A

light weight but not as light as spoked. six to 8 strutts. magnesium.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Camber

A

top of wheel angled in. Improves stability and agility.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Pushrims

A

handrims. rings outside drive wheel.

can have projections

can be ergonomic.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

casters

A

small wheels for atability and direction change. turn and can extend BoS.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

large casters

A

more stable but harder to propel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

small casters

A

less stable but more menuverable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

electric wheelchair 3 wheel

A

power-operated vehicles - more menuverable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

electric wheelchair 4 wheel

A

less menuverable.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

tires

A

pneumatic, foam filled solid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

pneumatic tires

A

better shock absorption and better outside. harder to propel.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

solid rubber tires

A

easier to propel. better indoors.

46
Q

foam filled tires

A

extra weight not consideration for electric
puncture resistant
sometimes spring on rear.

47
Q

wheel lock breaks

A

most common is a lever that presses on tire of drivewheel. Most are push. One or two pushes.

48
Q

Power wheelchair breaking system

A

brakes are integrated into controls.

49
Q

power disengaged electric wheelcharir

A

The brakes also disengage allowing “free wheeling” for push.

50
Q

PAPAW brakes

A

tapping pushrims activates brakes.

51
Q

Wheelchair options

A

should be chosen based on advantages and disadvantages and patient’s needs/circumstances.

52
Q

Armrests

A

Advantages: support arm;therefore trunk.
Disadvantages: width; harder to propel
Need: lap tray

53
Q

Desk arms

A

advantages: arms fit under most desks/tables; help with floor to wheelchair transfers.
Disadvantages: more expensive; less forearm support
need: removable and reversable.

54
Q

Swing-away or removable legrests

A

Advantages: removable helps with trans; can use LE for propulsion
Disadvantages: may swing back against leg. May be lost.
Need: “different options combined meet needs”

55
Q

Elevating legrests

A

Advantages: Needed with long leg casts
Disadvantages: increase length/width
Need: different options combined can meet needs.

56
Q

Large Casters

A

Advantages increase stability and ability to go over large obstacles.
Disadvantages: less meneuverablility greater length width.
Need: outdoor

57
Q

Pneumatic tires/tread

A

Advantages: lighter/ increased propel on rough terrain; shock absorption; grip
Disadvantages: blowout; maintainence; more energy to propel
need: prefered by active and for outdoor.

58
Q

Pneumatic tires with solid inserts

A

Advantages: compromise between pneumatic and solid rubber; puncture-proof; maintain inflation
Disadvantages: somewhat heavier than air-filled pneumatic tires
Need: increasingly common for active; good for outdoor.

59
Q

Solid Rubber Tires

A

Advantages: Not subject to flats; sturdy; less energy to propel
Disadvantages: less shock absorption; may get stuck on terrain
Need: Longer life/cost efficient; selected for indoor use.

60
Q

Sling seat:

A

Advantages: Less expensive; light weight
Disadvantages: promotes hip internal rotation; increases pressure on focal areas
Notes: Change in sling seat position with the patient sitting on it must be considered when measuring fit.

61
Q

Manually powered wheelchair

A

advantages: portable; less expensive; can build strength; less subject to damage;
disadvantages: Can fatigue the patient and contribute to overuse injuries; occupies both hands for propulsion.
notes: Allows maneuverability for wheelchair athlete

62
Q

Electrically powered wheelchair

A

advantages: independent mobility; frees one hand; propulsion can be controlled by other body functions.
disadvantages: more expensive; difficult to transport; charging; no wet
notes: functional interaction inside and outside the home.

63
Q

Standard manual wheelchair

A

for users less than 300lbs. lift 45lbs or a caregiver who can.

Maneuverable with multiple methods of propulsion

overuse in shoulders. physically demanding.

64
Q

Lightweight manual

A

weighing less than 300lbs.
lift 34 lbs.

easier starting stopping. less to propel. easier trans.

Less durable.

65
Q

lightest wheelchair available

A

less than 25-30 lbs. ideal for active. better ergonomics.

may not provide enough support for less active.

66
Q

Power or electric

A

battery motors. stick controlled. Less demanding to operate.

Heavy outdoor use can damage.

67
Q

POV or scooter

A

three wheeled - tight turns. less expensive.

Heavy not portable
few attachments.

68
Q

Power-assist (PAPAW)

A

advance pushrims activates motor. Decrease in exertion and injury. increases function independence.

add weight and width. More difficult to trans.

69
Q

bariatric wheelchair

A

heavy duty - 300-1000lbs
overweight persons.
heavier to trans.
accessibility challenges.

70
Q

sport wheelchair

A

rigid frame
few additional options

used by many patients other than athletes.

light maneuverable

Not as durable and only for light fit people.

71
Q

Pediatric wheelchair

A

sized for child - adjustable for growth - manual or electric

customizable for child’s needs

child may need multiple chairs before adulthood.

72
Q

hemi wheelchair

A

unilateral use of uninvolved side - removable leg rest for LE propel.

hand or lever crank possible

difficult to guide in a straight line with one arm without crank.

73
Q

amputee wheelchair

A

person with LE amputation.

rear axel set further back to offset change in CoM.

decreased maneuverability.

74
Q

Reclining wheelchair

A

back reclines
legs may or may not elevate
additional wheel locks.
pressure relief. respiration assist.

may be difficult to return upright.

75
Q

tilt in space wheelchair

A

back rest reclines
constant back/seat angle
assists with pressure relief

heavier- less stable - less maneuverable.

76
Q

Integrated standing

A

Seated to standing with power

Improves ADL - pressure relief - ROM -Bone density

Improves bowl/bladder

reduces spasticity/tone and contractures.

Expensive and need LE weight bearing.

77
Q

Tricycle

A

less stress - different terrains.

increased turning radius. harder to purchase and repair.

78
Q

ASIS and PSIS

A

should be level with each other

79
Q

Anterior and posterior pelvic tilt

A
80
Q

pelvic rotation

A

one ASIS is more anterior than the other.

81
Q

postural screeen

A

determines fit of wheelchair.

82
Q

Mechanical Assessment Tool

A

The MAT is a musculoskeletal examination of the client’s:

  • Range of motion
  • Joint flexibility
  • Muscle length, and
  • Skeletal alignment.`
83
Q

seat depth measurements taken

A

supine. knee 90 to 100 degree. Hip 90 degree.

Upper leg popliteal fold to back of hips.

sacral siitting extends needed length.

84
Q

seat width

A

measure distance between outer edges of patient’s hips. Use books. measuere between inner edges of books. add 1 to 2 in.

85
Q

Seat to flooor height for manual wheelchairs

A

measurement of patient’s lower leg. For greatest accuracy, patient should sit on a cushion. Measurements should be taken on sling seat if sling seat used.

back of knee to sole of usual footwear. If not using foot to propel, add 2 in for clearence.

86
Q

seat back height

A

determines level of postural support. measure from seat to inferior angle of shoulder blade or from seat to axilla -4 inches.

87
Q

armrest measure`

A

90 degree flexion of arm - olecranon to seat + cushion under arm.

88
Q

90 90 90

A

good degree fit body/hips/knees

89
Q

Assisting through doors that open away from clent

A

Back into doorway.
use foot and shoulder to keep door open
once completely clear/ let door close and turn in desired direction

90
Q

Assisting through doors that open toward the client

A

approach door and go past handle.
One hand opens door, while other supports wheelchair
use foot to hold open door.
Use hands to maneuver chair through door
release door once through.

91
Q

Running slope of ramp

A

1:12 max. if the rise is greater than 6 inches or run is longer than 72 inches. Must have handrails

92
Q

tips and falls

A

65% to 85% of injuries in wheelchair.

93
Q

incline rule

A

never pull the wheel chair up a slope backward with all four wheels in contact with ground. ->patient fall out go boom.

94
Q

Ascending curb forward.

A

face curb and tip back.
roll forward until casters are above curb
lower casters to sidewalk
roll forward until drive wheels are against curb
roll forward by lifting up on push handles. lift with legs.

95
Q

descending curb backward

A

step off curb
wide stance control drive wheel down curb.
tips char back into wheelie position
once footplates clear curb, slowly lower wheelchair using anti-tip bar for extra control.

96
Q

Ascending curb backward

A

rolls back until drive wheels are in contact with curb
tilts chair back
shift weight to back leg and pull chair up curb
maintain position until chair clears curb and then tip back to normal.

97
Q

descending curb forward

A

Deep tilt of wheelchair
rolls drive wheels to edge of curb
allows drive wheels to slowly roll down curb. control motion
use anti-tip bars to lower casters to the ground.

98
Q

Ascending stairs backward (three person job)

A

two assistants on either side of char and one behind. Use fixed frame handholds not removable parts.
patient in tucked position
wheelchair tipped back and on count of three lifted up first step.
continue up each step on count of three.
At landing wheelchair is secured
patient can come out of tucked position.

99
Q

Descending stairs forward (three person job

A

patient in tucked position - assistants -fixed hand holds either side of chair.
wheelchair tipped back.
On count of three - lead allows chair to descend one step at a time.
ensure smooth descent.

100
Q

forward propulsion

A

from 10 o’clock to 2 or 3 o’clock and straight back. shorter and more strain.

101
Q

Shoulder anterior to axis

A

improves locomotion efficiency.

102
Q

propulsion using feet

A

wear good shoes. place foot forward and pull chair toward foot bending the knee. backward. extend knee pushing chair away from foot.

103
Q

using both UE and LE for propulsion

A

Normally supplements UE with some LE involvement

104
Q

Independent must learn wheelie

A

necessary for some terrain. Must balance CoM over drive wheels. - up and down curbs.

105
Q

Independent open door away from chair

A

patient unlatches door and pushes open
one hand holds door while other hand maneuvers through door.

106
Q

Independent open door toward chair.

A

as door is pulled open - angle chair ready to pivot
pivot and move chair through door.
use door frame and door to propel forward and hold door further open
quickly propel forward through door.

107
Q

In case of fall backward

A

tuck chin toward chest and cross arms with hands on knees.

108
Q

fall forward

A

turn head to the side. extend trunk and arms. prevent body from landing on legs.

109
Q

Falling to side

A

tucks arms close to chest. rounds shoulders. flexes head away from ground.

110
Q

maintainence

A

check for loose bolts
Wash
wax.
tire pressure
lubricate

My ADL (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions