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Neuro > Intro to Wheelchairs > Flashcards

Intro to Wheelchairs Flashcards

1
Q

definition: refers to aids that help people recover their functioning after injury or illness

A

Rehab technology

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2
Q

definition: may be as simple as a magnifying glass to improve vision or as complex as a digital communication system

A

assistive technologies

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3
Q

definition: one ASIS is FWD

A

pelvic obliquity

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4
Q

definition: scoliosis that goes to the right

A

dextroscoliosis

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5
Q

definition: scoliosis that curves to the left

A

levoscoliosis

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6
Q

What is the optimal seating position in a WC?

A
  • pelvis 90-100 degrees (ASIS even and Anterior pelvic tilt)
  • trunk support to natural curves
  • Neutral ROT, ABD, and 90 degrees of LEs
  • hips 90 degrees
  • knees 90-105 degrees
  • ankles 90 degrees
  • shoulder FLX 30 degrees
  • elbow FLX 60 degrees (slightly forward and forearms supported)
  • head at midline with eyes forward
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7
Q

What should you start with when customizing a WC?

A

optimal pelvic positioning and feet support

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8
Q

Why does a patient use posterior pelvic tilt?

A

compensation for hamstring relief

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9
Q

What is the K code for Standard WC?

A

K0001

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10
Q

What is the K code for a hemi height WC?

A

K0002

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11
Q

What is the K code for a lightweight WC?

A

K0003

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12
Q

What is the K code for a high strength lightweight WC?

A

K0004

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13
Q

What is the K code for an ultra lightweight multi-adjustable WC?

A

K0005

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14
Q

What is the K code for a heavy duty WC?

A

K0006

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15
Q

What is the K code for an extra heavy duty WC?

A

K0007

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16
Q

What is the K code for a custom manual wheelchair?

A

K0008

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17
Q

What is the K code for a manual tilt-in-space WC?

A

E1161

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18
Q

What type of WC is generally reserved for temporary use?

A

K0001

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19
Q

What is the normal weight of a K0001 and K0002 WC?

A

> 36 pounds

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20
Q

Hemi height/K0002 WC have a (lower/higher) seat height due to stature. Why?

A

lower seat height –> enables the patient to place feet on the ground for propulsion

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21
Q

What WC can be used if the patient has marginal propulsion skills?

A

K0003 (lightweight)

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22
Q

What is the weight of a lightweight/K0003 WC?

A

34-36 pounds

23
Q

When is a K0004 indicated?

A

–> When the patient’s medical condition and the weight of the wheelchair affects the patient’s ability to self-propel during MRADL’s

–> Patient requires a seat width, depth, or height that cannot be accommodated in a standard, lightweight, or hemi height w/c

24
Q

What WC is good for a patient who propels with their feet and/or unilaterally?

A

K004 high strength lightweight WC

25
Q

An Invacare 9000 XT is an example of what kind of WC?

A

K0004

26
Q

What are the measurement parameters of an Invacare 9000 XT WC (K0004)?

A

Dual axel positions (ability to adjust seat height)

width: 12-22 inches
Depth: 16-18 inches
Back height: 15-19 inches

27
Q

What is the weight of an Invacare 9000 XT WC (K0004)?

A

< 34 pounds

28
Q

What is the weight of a K0005 (ultra lightweight) WC?

A

< 30 pounds

titanium: 20 pounds

29
Q

What are the 2 types of frames for a K0005 WC?

A

folding and rigid

30
Q

What are indications for a Ultra lightweight (K0005) WC?

A

–> Same conditions as with lightweight but cannot do activities in lightweight

–> Medical condition and position of push rim is integral to the ability to self-propel

–> Sufficient cognitive and physical ability

–>Medical condition requires multi-adjustable features or dimensions that are not available in a less costly WC

31
Q

(Folding/Rigid) frames offer lighter weight and higher durability and performance

A

Rigid

32
Q

(true/false) Modifying the rear to seat floor height of a K0005 WC in relation to the front seat to floor height can assist with posture, balance, and positioning due to decreased trunk control.

A

true

33
Q

Rear wheel axels on a K0005 WC can be adjusted anteriorly to create what?

A

Increased ability to maneuver

34
Q

Rear wheel axels on a K0005 WC can be adjusted posteriorly to create what?

A

more stability

35
Q

What wheelchairs are made for those over 250 pounds?

A

K0006 and K0007

36
Q

When are Heavy duty (K0006) and Extra heavy duty (K0007) WC indicated?

A

When a patient’s body measurements cannot be accommodated by standard sized wheelchairs

37
Q

What is the weight of a heavy duty WC (K0006)?

A

50 pounds

38
Q

What is the weight of an extra heavy duty WC (K0007)?

A

52-54 pounds

39
Q

When are E1161 wheelchairs indicated?

A

–> When the patient is dependent for transfers AND has a plan of care that addresses the medical need for frequent positioning changes

–> patient needs a seating system in addition to the base of the WC

40
Q

What criteria does a patient need for a backup manual WC?

A
  • meets criteria for a powered mobility device
  • meets the criteria for the rented or purchased back up manual wheelchair
  • is unable to complete MRADL’s w/o a backup manual w/c
41
Q

What are heel loops used for?

A

Preventing the patient’s feet from sliding back under the chair

42
Q

What WC lock is preferable for clearing the buttocks?

A

Pull to lock

43
Q

What are the pros of foam cushions?

A
  • inexpensive
  • lightweight
  • range of densities
  • holds shape (memory)
  • provides even support
  • can be cut to relieve sores
  • nothing to leak
44
Q

What are the pros of gel cushions?

A
  • pressure distribution
  • comfortable
45
Q

What are the cons of gel cushions?

A
  • heavy
  • leakage
  • less impact absorption
46
Q

What are pros of air flotation cushions?

A
  • lightweight
  • even pressure distribution
  • will not bottom out if properly inflated
  • can be modified to relieve pressure sores
  • some models inflate to user’s specific needs,
  • waterproof
    Good for chronic users
47
Q

What are cons of air flotation seat cushions?

A
  • less stable
  • chance of leakage
  • high maintenance
  • proper training required
48
Q

What are the pros of a thermoplastic honeycomb cushion?

A
  • very lightweight
  • low profile in appearance
  • distributes weight evenly
  • good support
  • absorbs shock
  • keeps skin cooler
  • no risk of leakage
  • machine washable/dryable
49
Q

What are the pros of a combination-jay cushion?

A
  • low maintenance
  • adjustable
  • stable
  • assists with pelvic positioning
  • equal pressure distribution
  • can sit on without cover
  • washable
50
Q

What is a K-special back used for?

A

fixed thoracic kyphosis

51
Q

definition: support system with generic shaped curves that match general body shape.

A

contoured

52
Q

definition: generically contoured system with added components to provide more contact and pressure distribution. Pieces may include curved lateral pads, lateral hip guides.

A

aggressive contour

53
Q

definition: pieces that interface the seating system to the wheelchair

A

hardware

Neuro (45 decks)

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