quiz 2 (bed mobility & wheelchair)

Question 1

stability precedes . . .

Answer 1

mobility

Question 2

maintaining precedes . . .

Answer 2

attaining

Question 3

LARGE base of support (BoS) precedes . . .

Answer 3

small BoS

Question 4

LOW center of gravity (CoG) precedes . . .

Answer 4

high CoG

Question 5

considerations when working on bed mobility?

Answer 5

environment
equipment
clinical decision making

Question 6

in supine: hooklying

Answer 6

• hips and knees flexed
• a component of bridging & rolling

Question 7

why is rolling: supine to sidelying important?

Answer 7

important in prevention of pressure injuries

Question 8

when mobility is impaired motion is used done how?

Answer 8

segmentally through sidelying

Question 9

what are the special circumstances for bed mobility?

Answer 9

THA (posterior approach)
hemiplegia
back surgery (log roll)
spinal cord injury (SCI)

Question 10

what are the precautions for posterior THA?

Answer 10

no internal rotation
no adduction
no flexion passed 90 degrees

Question 11

what are the movements ALLOWED for a posterior THA?

Answer 11

60 - 90 degrees flexion
0 degree add
0 degree internal rotation

supine to sitting NOT through sidelying

Question 12

its typically easier for a hemiplegia patient to sit up from sidelying on the _________ side.

Answer 12

weaker

Question 13

what is important to avoid for a patient following back surgery?

Answer 13

AVOID segmental rotation of thoracolumbar spine

Question 14

what is the best way for a patient following back surgery to move?

Answer 14

log roll

Question 15

where is the transitional level between dependence and independence in bed mobility for SCI?

Answer 15

C6

Question 16

for SCI many self-care activities are performed in what position?

Answer 16

long-sitting

Question 17

what is a tilt table for?

Answer 17

controlled progression from supine to standing

Question 18

what does a tilt table involve?

Answer 18

weight-bearing on at least one LE

Question 19

the greater than incline then what?

Answer 19

the greater the WB force

Question 20

generally a patient who tolerates ________ at ______ can tolerate standing upright.

Answer 20

20 mins
70 degrees

Question 21

how many degrees would you typically tilt the table at a time?

Answer 21

~ 15 to 20 degrees at a time

Question 22

what is mobility orthosis:

Answer 22

postural support on a mobility base

Question 23

when selecting a WC what do you need to consider?

Answer 23

matching needs and resources

Question 24

what needs and resources do you need to consider?

Answer 24

• patient’s goals and desires
• anticipated use
• patient’s abilities & limitations
• patient’s size & weight
• caregiver needs
• financial, community & social resources
• projected changes over time

Question 25

postural support of a WC includes:

Answer 25

seat back armrest front rigging

Question 26

mobility base of a WC includes:

Answer 26

frame axel drive wheels, tires & locks casters

Question 27

what is the axel of a WC?

Answer 27

the base

Question 28

what do caster wheels help with?

Answer 28

directional movement & turns

Question 29

controls of WC typically are what?

Answer 29

joystick, drive stick or hand grip

Question 30

types of wheelchairs:

Answer 30

lightweight bariatric standard sport electric scooter pediatric integrated standing reclining tilt-in-space

Question 31

what is the optimal position for WC measurements?

Answer 31

90 - 90 - 90

Question 32

positioning the ______ well will help position the rest of the body well

Answer 32

pelvis

Question 33

what should you be aware of when measuring seat depth?

Answer 33

beware of sacral sitting (do NOT want that)

Question 34

how do you measure seat depth?

Answer 34

measure back of hips to popliteal fold subtract 2 inches to determine final seat depth

Question 35

how do you measure seat width?

Answer 35

measure distance between the outside edges of the hips add 1 to 2 inches to determine final seat width

Question 36

how do you measure seat-to-floor height?

Answer 36

measure from the sole of the shoe to the popliteal fold subtract the thickness of the compressed cushion (if there is one)

Question 37

how do you determine chair's front rigging length?

Answer 37

Add ~ 2 inches (footrest clearance)

Question 38

how do you measure the seat back height?

Answer 38

for standard WC, measure from the seating surface to the inferior angle of the scapula, or to axilla and subtract ~ 4 inches

Question 39

how do you measure the armrest?

Answer 39

- position upper arm close to trunk and flex elbow to 90 degrees - measure from olecranon process vertically to the seating surface - add 1 inch to determine height

Question 40

negative effects of ill-fitting chairs?

Answer 40

- chair too wide or narrow - seat too shallow or too deep - inadequate cushioning - seat too low or high - back too low or high

Question 41

why are wheelies necessary?

Answer 41

for independent propulsion in a variety of settings

Question 42

competency checklist of powered scooters include:

Answer 42

- speed control - effective breaking - maneuvering through doorways, bedrooms and bathrooms - smooth and safe parking at tables

Question 43

through doorways (dependent): door opens AWAY FROM patient

Answer 43

clinician moves backward

Question 44

through doorways (dependent): door opens TOWARD patient

Answer 44

clinician steers WC beyond door, opens door, then moves WC through door while preventing door from closing

Question 45

ramps have a maximum slop of . . .

Answer 45

1 degree to every 12 inches (1:12)

Question 46

ramps have a maximum overall rise of . . .

Answer 46

30 inches

Question 47

can _________ if slope is steep

Answer 47

zigzag

Question 48

what should someone do when falling BACKWARD in a WC

Answer 48

tuck chin to protect head

Question 49

what should someone do when falling FORWARD in a WC

Answer 49

extend arms and trunk, attempting to land forward of the chair; elbows slightly flexed as hands contact floor

Question 50

what should someone do when falling TO SIDE of a WC

Answer 50

tucks arms close to chest, round shoulders & laterally flex head away from ground