Ppt Flashcards
Postural support system
Postural support system + mobility base = dynamic seated environment
Ideal alignment
Hips to the back of the chair, pelvis even
Hip/ knee at 90 degrees or more
Feet supported
Trunk aligned over hip, head supported as needed
Shoulder in neutral position
UE’s supported and or available for function
Type of frames
1 Folding versus rigid
2.Hemi height = _< 17.5 inches free at to floor (standard:19.5 in). For people who use 1 or 2 LE’s to propel
3 weight capacity: standard, bariatric, pediatric
Types of manual wheelchair
Transport
Standard
Tilt In space
Light weight
Ultra lightweight
Reclining
Standard
•Heavy! More than 16 kg = Risk of a repetitive shoulder injury
•Durable
•Inexpensive
•Often for temporary/short term use (rental)
Who use standard wheelchair
•People waiting for a permanent w/c
•Occasionally: people needing the durability
Lightweight
•16 kgs or less
•Longer term use
•More options for custom seating
•Some axle adjustability = more efficient for self propulsion
Who use lightweight wheelchair
•Part- to “most”-time users
•Variable propulsion techniques
•Bilat UE’s
•Bilat LE’s (hemi-height)
•Hemi-propulsion (hemi-height)
Ultra lightweight
•Under 14 kgs
•Decreases risk of shoulder injury from repetitive use
•Most axle adjustability = optimal efficiency and maneuverability
Who use ultra lightweight wheelchair
•Full time users
•Bilat UE propulsion technique
•Sports players
Reclining wheelchair
•Positional changes
•Skin integrity
•Catheterization
•Orthostatic hypotension
•Usually has elevating leg rests
•Heavy
•Risk of shear forces
Who use reclining wheelchair
•People with poor trunk/head control
•Some ability to propel
•Need for positional changes (as above)
Tilt in space wheelchair
•Positional changes
•Skin integrity
•Orthostatic hypotension
•Maintains body angle
•Fewer shear forces
Who use tilt in space wheelchair
Similar to reclining, but no ability to self-propel
What are the other wheelchairs
Shower wheelchairs
Geri wheelchair
Broda wheelchair