SCI WC Considerations Pt 3

Question 1

Advantage of sling seat

Answer 1

Allows chair to fold

Question 2

Disadvantage of sling seat

Answer 2

Asymmetrical sitting
Sacral sitting
Thoracic kyphosis
Adducted and IR hips
Forward head

Question 3

Why was the rigid seat created?

Answer 3

To improve posture

Question 4

Advantage of rigid seat

Answer 4

Firm support surface aids ideal posture

Question 5

Disadvantage of rigid seat

Answer 5

Does not collapse

Cost

Question 6

2 types of back surfaces

Answer 6

Rigid back

Custom molded

Question 7

Advantage of rigid back

Answer 7

Supports better posture

Question 8

Disadvantage of rigid back

Answer 8

Usually doesnt fold

Costly

Question 9

Objective of rigid back

Answer 9

Decrease lateral trunk lean
Accommodates asymmetry in posture
Contoured for increase contact

Question 10

Advantage of custom molded seating

Answer 10

Affords total support regardless of deformity

Question 11

Disadvantage of custom molded seating

Answer 11

Requires professional expertise

Costly

Question 12

What are seat cushions indicated for?

Answer 12

Accomodate impaired sensation
Presence of decubitus ulcers
Stabilize and or accommodate pelvic malalignment
Increase pressure distribution

Question 13

What must you consider when choosing a seat cushion?

Answer 13

Sensation and mobility (ability to independently reposition

Question 14

4 different types of cushions

Answer 14

Foam
Gel
Air
Honeycomb (cellular structure)

Question 15

Advantage of foam

Answer 15

Inexpensive

Light weight

Question 16

Disadvantage of foam

Answer 16

Decreased pressure relief
Decreased durability
Not washable

Question 17

Advantage of gel cushion

Answer 17

Low maintenance
Good pressure relif
Washable

Question 18

Disadvantage of gel cushion

Answer 18

Weight of cushion (car transfer)

Question 19

Advantage of air cushion (roho)

Answer 19

Superb pressure relief

Washable

Question 20

Disadvantage of air cushion

Answer 20

High maintenance
Decreased stability
Susceptible to changes in altitude

Question 21

Advantage of honeycomb (cellular structure)

Answer 21

Pressure relief plus positioning
Provides uniform load
Perforated for air circulation and moisture evaporation
Shear force reduction
Washable

Question 22

Advantage of tilt-in space

Answer 22

Recline and rest
Pressure relief (full relief for dependent and independent

Question 23

Disadvantage of tilt-in space

Answer 23

More complex components and requires head rest

Increased cost

Question 24

Advantage of reclining back and elevating leg rests

Answer 24

Recline and rest

Provides change in pressure distribution

Question 25

Disadvantage of reclining back and elevating leg rests

Answer 25

Recline and rest
Pressure relief (full relief for dependent and independent

Question 26

Recline vs tilt-in-space (advantage)

Answer 26

Recline has repositioning for clothing/catheter and head positioning

Question 27

Disadvantage of Recline vs tilt-in-space

Answer 27

Shear force of recline leads to skin breakdown

Lose posture when turned from reclined position

Question 28

Why would you use a front strap for tibia on the foot rest?

Answer 28

To help control spasticity

Question 29

Important to note for foot rest

Answer 29

Feet should not hang off

Question 30

Types of armrests

Answer 30

Fixed

Detachable