More Adaptive Equipment Flashcards by Robyn Cassel

Primary/secondary controls

Wipers
Turn signal
Horn
Flashers
Gearshift
Ignition

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Types of steering devices

Spinner knob
Single post or single pin
Bi-pin or V grip
Tri pin
Palm grip
Amputee ring

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Types of Adaptive equipment

Hand controls
Pedal guard
Primary/secondary controls
Steering devices
Mirrors
Left foot accelerator
Driver and passenger solutions for transporting wheelchairs scooters etc.
Mobility gadgets

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Spinner knob

-Requires Palmer and finger grip, wrist supination, internal/external shoulder rotation, shoulder flexion/extension, and elbow flexion/extension
-Requires good hand function

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Single pin

-Requires active grasp and release
-Good for someone who likes pronation or needs more area to grasp

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Bi-pen or V grip

-Requires good wrist extensors and no wrist pain
-Compensates for poor grasp

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Tri-Pin or tri-post

-Minimal or no hand/wrist function
-Requires elbow and shoulder strength

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Mobility gadgets

Wedge cushions
Transfer bars
Leg lifters
Gas cap wrenches
Blindspot mirrors
Etc.

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Types of adapted vehicles

Full-size van
Minivan
SUV
Pick up truck
Automobile

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Considerations for vehicle selection

Patient transfer ability
Patient ability to load/unload wheelchair/scooter
Will patient drive from wheelchair
Interior space
Driving systems and operational equipment
Lifestyle needs

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Definition of lift

Moves patient and wheelchair

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Definition of lifter

Only stores wheelchair/scooter

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Possible modifications on full-size van

Raised roof
Eyebrow kit(extended doors/raised doorway)
Lower the floor
Wheelchair lifts
Side entry/rear entry
Wheelchair/Scooter lifter

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Possible modifications for minivan

Lowered floor(11-15”)
Ramp with Kneel system
Side/Rear entry
Personal entry transfer seat
Wheelchair/scooter lifter

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Types of wheelchair /scooter lifters

Interior mounted hoist lifter
Interior mounted platform lifter
Exterior rear trailer hitch mounted hoist lifter
Exterior real trailer hitch mounted platform lifter

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Types of modifications on SUV

Lowered floor
Ramp passenger side
Personal entry transfer seat
Wheelchair/scooter lifter

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Modifications on pick up trucks

Lowered floor
Eyebrow kit
Platform lift
Personal entry transfer seat
Wheelchair/scooter lifter

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Modifications on automobiles

Personal entry transfer seat
Wheelchair/scooter lifter

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Extension, grip/leverage devices

Turn signal extension/crossover
Gearshift extension
Quad key
Parking brake extension
Remote
Hi tech touch pad/tone control

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Push/down right angle hand controls

Pros: Gas and brake at same time
Con: Gas and brake at same time, decreased legroom

Push/twist hand controls

Pro: Gas and brake at same time, extra legroom
Con: Fatiguing, gas and brake at the same time

Push/pull hand control

Pros: Cannot gas break at the same time, simple, extra legroom
Cons: cannot gas break at same time

Push/rock hand controls

Pros: Gas/break at same time, extra legroom, physically easy to use
Cons: Gas/break at the same time

Hand control handle styles

Knob end
Bicycle grip
Bicycle grips with wrist support
Quad yoke (push/rock)
Tri-pin (push/rock, push/right angle)

What factors to consider for lifters

Patient’s functional abilities Wheelchair/scooter size and weight Vehicle type, available space, capabilities and condition, if used Type of lifter

Equipment for dynamic balance support

Chest strap Lateral supports

Types of brake/accelerator systems

Pedal extensions and heel shelf Mechanical hand controls Left foot accelerator Pedal block Reduced effort breaking with emergency backup system Servo controls Higher tech systems(Digital ring, menox, electronic gas/brake) Hi tech(EMC, DSI, I DS, a CE,)

Which secondary controls are operated with the vehicle in motion

High beams selector Turn signals Horn Windshield washer/wipers Cruise Set

Which secondary controls are managed when the vehicle break is applied

Ignition/starter Gear selector

Secondary controls used while the vehicle is stationary

HVAC Cruise on/off Hazard flasher Mirrors Power seat Door locks Parking brake Rear accessories Light controls Window regulator

Four-way power seat

Forward/Backward Up/down

Six way power seat

Forward/Backward Swivel Up/down

Eight Way power seat

Forward/backward Up/down Swivel Tilt forward/ recline

Elbow switches

Secondary controls Used for people who can’t remove hands from brake/accelerator or steering

Servo control

Vacuum assisted Reduced effort hand control For ppl without rom/strength for mechanical hand controls Push/pull or side to side motion

Emergency back up brake

Should be included with servo or reduced effort braking

Steering column extension

Extends 2-6” to allow person driving from w/c more room under the steering wheel

Horizontal steering

For ppl with inadequate strength and/ or ROM for steering Can. Change size of wheel and steering ratios

Foot control steering

Severe UE impairments, but good BLE Should include emergency back up steering

Who is steering knob good for

Full use of steering arm and hand

Who is single post good for

Full use of steering hand Needs forearm in neutral for efficient steering

Who is tri-pin good for

Quadreplegics with no tensor hand muscle function

Who is vcuff good for

Quad with partial functional use of wrist and some extensors of hand

Who is c cuff good for

Functional wrist and slightly functional grip

Who is amputation ring good for

Functional prosthesis on steering arm

Who is joystick driving system good for

Only 1 UE and lacks functional use of BLE Severe BUE limitations and lacking functional use of BLE

Who is DSI (Scott) system good for

Severe weakness and/or very limited ROM

Who is electronic gas/brake (AEVIT, IDS, etc) good for

Severe functional limitations with some use of BUE

Digital ring accelerator

Smaller ring on steering wheel controls gas, hand control lever controls brake