SCI treatment pt 3 Flashcards

1
Q

what is the primary goal of wheelchair prescription

A

finding the combination of parts that produces the LIGHTEST wheelchair

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2
Q

box frame WC

A

most rigid

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3
Q

rigid WC

A

less parts needed
less weight

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4
Q

folding WC

A

come together
heavier
easier transport

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5
Q

cantilever frame

A

most compact
lightest

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6
Q

K0005 WC

A

ultra-lightweight manual

titanium or carbon fiber frames

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7
Q

titanium frames

A

higher strength to weight ratio
light weight
high fatigue life
corosion resistant - outside
dampening affects - like curbs, uneven grounds

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8
Q

carbon fiber frames

A

stiff
expensive
can get corosion
good impact resistant

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9
Q

air pad

A

highest level of skin protection
more disruptive to posture
low, mid, high grade
high maintenance

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10
Q

gel pad

A

less protective of skin protection - still more superior than foam
less maintenance

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11
Q

hybrid pad

A

combo of air or gel and foam
good stability

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12
Q

which pad is good for pt’s who need skin protection but struggle with postural implications

A

hybrid - may lose some protection of skin

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13
Q

what do cushions provide

A

skin protection and stability

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14
Q

what do back rest provide

A

stability but least restrictive

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15
Q

low back rest

A

least support
full upper trunk movement
least likely to get in way of propulsion

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16
Q

mid back rest

A

inferior angle of scap
may get in way of scap movements

17
Q

high back rest

A

most support
restrictive to shoulder movement

18
Q

lateral depth

A

minimal lateral support to trunk
more freedom for trunk movements

19
Q

deep back rest

A

more lateral support
more restrictive

20
Q

arm rest & footrest/leg rests are what

A

pt preference

21
Q

swing away arm rest

A

easy to operate, do not need wrist/hand
unable to attach trough or table tho
**high cervical injury

22
Q

flip back arm rest

A

need adequate hand and finger use
more versatile - able to attach table or trough

23
Q

rigid foot rests

A

less maintenance
extra thing to move feet around during transfers

24
Q

swing away foot rests

A

ideal for individuals participating in gait trials
need hand/wrist fxn

25
Q

rubber wheels

A

heavy
less maintenance

26
Q

air wheels

A

lighter
smooth ride
more maintenance

27
Q

push rims

A

easy propulsion - can build to compensate for weak grip
make chair wide - more difficult to negotiate tight spaces

28
Q

small casters

A

more lightweight

29
Q

large casters

A

beneficial when frequently negotiating outdoors/rough terrain

30
Q

primary considerations for power wheelchairs

A

maneuverability
360 degree turning circumference
turning radius

31
Q

front wheel drive good for what

A

90 deg turns
outdoors

32
Q

front wheel drive turning radius

A

large turning radius but good at navigating tight corners
easy to hit something in 360 deg turns

33
Q

rear wheel drive

A

fastest chair
largest 360 deg turn radius and circumference
safety concern
not good for tight spaces

34
Q

mid wheel drive

A

most maneuverable
excellent indoor chair
good for hills
fair at outdoor surface

35
Q

generally what WC would a high cervical injury have

A

PWC
head array, chin, tongue, or sip & puff control
portable respiratory attached

36
Q

generally what WC would a C5 have

A

MWC with propulsion aides - likely PWC
sip & puff, chin, tongue, football post control

37
Q

generally what WC would a C6 have

A

PWC for lnog distance
MWC friction surface hand rims
independent on smooth surface
football post control

38
Q

generally what WC would a C7 have

A

MWC friction surface hand rims but increased propulsion ability