Mobility

Question 1

What is functional mobility?

Answer 1

moving from one position or place to another

Question 2

What is community mobility?

Answer 2

moving oneself in the community and using public or private transportation

Question 3

What is the developmental theory of mobility?

Answer 3

6m: rolling, pivot in prone
8m: creep, sit to quadruped
9m: pull to stand, cruise on furniture
12m: walking

Question 4

What can cause impaired mobility?

Answer 4

Physical disabilities
Restricted experiences
Less self-initiated or self-produced mobility
Delays in development
Less exploration and curiosity
Spatial knowledge
Motivational effects: learned helplessness

Question 5

What interventions can help improve mobility?

Answer 5

Gait trainers
Scooters
Power and manual wheelchairs
Power assist
Emerging technologies

Question 6

What is augmentative mobility?

Answer 6

All types of mobility that supplement or augment ambulation

Question 7

What is the purpose of an augmentative mobility device?

Answer 7

Explore the environment
Experience success
Control environment
Reduce or avoid social and emotional handicaps
Transition to functional mobility

Question 8

What are the classifications of mobility skills?

Answer 8

Never ambulate
Inefficient mobility: ambulate but not at acceptable rate, speed, or endurance
Lost independent mobility
Temporarily require assisted mobility

Question 9

What is an AT professional?

Answer 9

Service provider who analyzes the needs of individuals with disabilities, assists in the selection of the appropriate equipment, and trains the consumer on how to properly use the equipment.

Question 10

Give examples of alternative mobility devices?

Answer 10

Tricycles
Prone scooters
GoBabyGo
Mobile stander
Walkers
Alternative powered mobility devices

Question 11

What are types of wheeled mobility systems?

Answer 11

Manual wheelchairs
Power assist
Power wheelchairs
Selection of wheelchair accessories

Question 12

What are features of a wheelchair?

Answer 12

Style of frame
Tilt-in space
Recline
Footrest style
Armrest style
Backrest height
Backrest adjustability
Height and adjustability features
Floor-to-seat height
Style and location of wheel locks or brakes
Type, size, and placement of wheels and casters
Additional features

Question 13

Describe the biomechanics of seating.

Answer 13

Alignment of pelvis, spine, and head
Neurophysiologic factors
- Reaction to tactile input
- Body reaction to orientation to space and movement

Question 14

What are seating guidelines for a wheelchair?

Answer 14

Optimal alignment for function
Stability to improve distal motor function
Minimizing undesirable tone and reflexes
Distribute seat pressures to maintain skin integrity
Improve physiologic function (breathing, swallowing, and digestion)
Increase ADL
Provide comfort

Question 15

Transportation of mobility systems

Answer 15

ANSI/ RESNA, WC-20, Wheelchairs Used as Seats in Motor Vehicles
- WC 20 Compliant: 4 accessible and identifiable points to secure chair to vehicle
Educate clients on safe methods of transporting wheelchair in vehicle

Question 16

What factors influence successful use of mobility devices?

Answer 16

Fit of child to device
Features of the device
Physical and social environments
Ability of the professional or caregiver to determine accurate means for the child to access the device
Changes the child may go through in the future
Where and how augmentative equipment will be mounted
Client education

Question 17

Explain powered mobility eval and intervention.

Answer 17

Define goals.
Determine how the child will access and drive the device.
Evaluate switch placement.
Input devices.
Factors that may interfere with driving ability.
Guidelines for teaching a child to use the powered device.