SCI Treatment Considerations: Part 3 WC Considerations Flashcards
When considering what WC to prescribe to your patient, think “more ___, more problems”.
parts
The primary goal of wheelchair prescription is finding the combination of parts that produces the ____ wheelchair.
lightest
What material does a K5 Ultra-Lightweight Manual WC use for its frame?
titanium or carbon fiber
The 3 types of frames that can be used for a manual WC
box, cantilever, and folding
Considerations for an air cushion
HIGHEST LEVEL OF PROTECTION FOR SKIN,
MOST UNSTABLE (disruptive to posture)
-comes in low, mid, & high grade
-HIGH MAINTANENCE
Considerations for an gel cushion
-LESS PROTECTIVE OF SKIN, more protective than foam
-LESS MAINTANENCE
Considerations for an hybrid cushion
-Combo of air OR gel + foam
-MORE STABILITY FOR POSTERIOR THIGHS
-Good Option For: patients who NEED air but STRUGGLE w/ POSTURAL implications
If patient has skin breakdown or any PMHx of skin breakdown, which cushion would you choose?
air
T/F: Back support should be at level of SCI.
true
___ support allows for more freedom of trunk movements and is an option for backrest depth.
lateral
__ support offers much more lateral support and is an option for backrest depth, but it’s much more restrictive w/ respect to trunk movements.
deep.
___ extends just below inf. angle of scapula. It may restrict scapular movements.
Mid back
___ allows for full upper trunk movement and won’t get in way of propulsion. However, it’s the least supportive backrest.
Low back
___ backrests restrict scapular and shoulder motion, but is the most supportive.
High back
Which arm rest is the easiest to operate, but cannot have trough or table att.?
swing-away
flip-back needs fine motor use, but can have trough/table att. to it
This type of foot/leg rest is the pts who will walk/stand again.
swing-away
rigid for non-ambulatory
T/F: Casters are good options for patients who will frequently navigate outdoors through rough terrain.
True
Type of wheel that are lighter w/ a smoother ride, but they can pop & require more maintanence
air wheels
Wheels that are heavier but require less maintenance
rubber
What allows for easier propulsion, even for a weaker grip, but can make the chair wider & hard to navigate tight spaces.
push-rims
What can aid pts in standing up but insurance usually will not pay for them
power stand-up MWCs
What is the primary consideration for choosing a PWC drive system?
Maneuverability: 360-degr. turning circumference and turning radius
Driving system w/ a larger turning radius than mid-wheel but excellent at navigating tight corners. They are esp. helpful with navigating rough terrain.
Front wheel drive
Driving system w/ largest turning circumference and turning radius, however this is the fastest & most stable chair.
Rear wheel drive
Driving system that is most maneuverable that is excellent indoors esp. on slopes, but not so excellent outdoors.
Mid wheel drive
T/F: Chin and Tongue control can be very fatiguing and make speech difficult. Pts also require some type of neck ctrl to use these.
True
What kind of ctrl is a good option for patients with no neck control (upper C-level SCI)?
Hint: patients cannot have any resp. issues to use this.
Sip and Puff
maybe head array
Patients w/ an SCI at this level(s) use a PWC w/ head array, chin, tongue, or sip/puff control. They may have a portable resp. machine attached as well.
High cervical (C1-C4)
Patients w/ an SCI at this level(s) can use a MWC w/ propulsion aids, but likely need a PWC for distance & energy conservation. They also will use a sip/puff, chin, tongue, or football post control.
C5
Patients w/ an SCI at this level(s) may need a PWC for longer distances, but consider a MWC w/ friction surface hand rims. They can progress to independent navigation on smooth surfaces.
C6
Patients w/ an SCI at this level(s) use a MWC w/ friction surface hand rims, but increased propulsion ability.
C7
Patients w/ an SCI at this level(s) use a MWC w/ standard hand rims.
C8 and below
