Mobility Flashcards

1
Q

Mobility

A

The act of moving from one place to another
- functional
- community

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2
Q

How does mobility affect development?

A

Opportunity for interaction, exploration, and learning.

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3
Q

Haptic

A

Knowing what something feels like without touching it

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4
Q

Development and mobility

A

Before 6 months: stroller, carried
6 months: scoot on back, belly, or butt; crawling
8 months: creeping; what you normally think of as crawling
9-10 months: cruising
12-14: walking

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5
Q

Impaired mobility leads to

A

Mobility becomes a passive process
Missed learning opportunities
Loss of interest
Restricted environment
- cognitive
- emotional
- social
- physical
Learned helplessness
- motor disabilities
- expectations of others

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6
Q

Types of ambulation

A

Non-functional
Functional
Kitchen
Bathroom
Household

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7
Q

What can OTs do regarding mobility?

A

Provide opportunities for the child to explore their environment
- adaptive equipment
- rehabilitation
- change the environment
- mobility devices
Determine what the client can do
What are the client’s development needs
Consider cost and care
Teach them how to use it
Periodic checks and refits

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8
Q

Ways to improve mobility

A

Prone scooter
Support walker
Caster cart
Tricycle
Hand held walker
- 3-4 wheels
- anterior/posterior
Wheelchairs
- manual and power
Mobile standers
Crutches
Electric scooter
Barbie jeep

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9
Q

Problems with some mobility devices

A

Undesirable position
Cost
Cognitive understanding
Belief it will held development
- recommend early
- augmentative or transitional mobility

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10
Q

Classification of mobility skills

A

Those who will never ambulate
Inefficient or marginal ambulators
Those who have lost independent mobility
Temporary mobility issues

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11
Q

Johns Hopkins ADL Guide

A
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12
Q

Selecting the right device

A
  1. Purpose of device
  2. What environment will it be used in
  3. Effort needed to use it
  4. Appropriate features
  5. Caregiver; school needs
  6. Cost; maintenance
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13
Q

Manual wheelchair

A

Manual
Self propelled
Transport chair
- foot propelled
One arm unit
Big front or back tire
Sports chairs
Manual assist chair

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14
Q

Parts of manual wheelchair

A
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15
Q

Electric/Power chair

A

Expensive, heavy, don’t fold
3-15mph for 25 miles
Covered by insurance for indoor use only
Front drive
Mid wheel drive (0 turning radius)
- may temp
Rear wheel
- no 0 turn
How to operate
- joy stick
* proportional: harder you push, faster it goes
* nonproportional: set speed
> used with Parkinson’s

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16
Q

Things you must consider when picking a chair

A

Growth
Cushion
Does the chair need to tilt? recline?
Does it need to fold?
Head height
Foot rests
- fixed
- elevated
- swing away
- removable
- adjustable
Arm rests
- fixed
- removable
- flip
- 1/2 arm
- whole arm
Back rest height
Floor to seat height
Height of push bar for caregiver
Tipper or not
Style and position of breaks
- break extenders
Type and size of tire
- pneumatic and gel filled: uneven surfaces
- solid

17
Q

Fitting a client for a wheelchair

A

Consider anterior and posterior pelvic tilt
Asymmetric seating
90º rule
- most patients can’t do this
Goal is always stable seating
Allows for more AROM
Spine and pelvis should be stable
Accommodate for structural and postural problems

18
Q

Seating guidelines for wheelchair

A

Stability is achieved from 3 points
- under the pelvis
- sides of pelvis
- above the pelvis
* gravity
* lap trays
* foot rests
* increasing seat depth

19
Q

Mobility evaluation

A

Observe the client in their current equipment
Observe client on mat
Simulators are available
Know what triggers problems
What does the client/parent need/want?
Talk to experts

20
Q

What determines successful use of a mobility device?

A

Fit
Readiness/cognition
Proper training
How other stuff fits
- augmented devices
- IV poles

21
Q

How to fit a wheelchair

A
  1. Distribute the weight over the widest possible surface
  2. Keep the chair as narrow as possible
  3. Width
    - measure the widest parts (hips or thighs) and add 2 inches
  4. Seat depth
    - base of back/butt to inside of bent knee, minus 1-2 inches for clearance
  5. Floor to seat
    - thigh to bottom of heal
    - foot plates need to clear by 2 inches
  6. Back height
    - lumbar for sport
    - inferior scapula for free arm movement
    - top of hear for recline/tilt
22
Q

Standard seat size for wheelchairs

A

16, 18, 20, 22, 24in
Bariatric: up to 700# and 30in seat
Door width in US 24-36
Pediatric chairs start at 10in and are often adjustable