Test 4- Positioning

Question 1

What are the three w/c assessment categories?

Answer 1

Body Structure and functions
Activities and participation
Environment and current technology

Question 2

What is the assessment and intervention process with w/c positioning?

Answer 2

Patient interview
Postural observations
Patient’s mobility status
Sitting balance
Supine assessment
Skin integrity
Trial of positioning solutions (if available) 
Provision of devices
Training and follow up

Question 3

What are the three types of sitting balance?

Answer 3

Hands free
hands dependent
propped sitiing

Question 4

What does an anterior pelvic tilt result in?

Answer 4

the need for a lumbar support secondary to the increase lordosis it produces and causes increased pressure on the ischial tuberosities.

Question 5

What does a posterior tilt lead to?

Answer 5

coccyx and sacrum, leads to a forward head, kyphosis and forward and rounded shoulder. Limits UE ROM. The hammocking/sling cushion of a standard wheelchair does not provide a good surface support and results in sacral siting. If the seat were to be solid it would result in pressure on the ischial tuberosities and lack of stability

Question 6

What kind of a pelvic tilt does a sling promote?

Answer 6

Posterior

Question 7

What may lead to kyphosis, adaptive changes needed for kyphosis and what is affected?

Answer 7

Osteoporosis can lead to a fixed kyphosis or the posture could be caused by a posterior tilt in the pelvis. Providing a cushion that correct the position of the pelvis, supports the lumbar spine and a higher backed chair that tilts back will help correct this.

Difficult in seeing, socializing, adl’s, swallowing

Question 8

What does Medicare part A and B cover?

Answer 8

Medicare A- 100 days after an injury
after those 100 days you have to self-pay or have
Medicare B – only 80% of bill
need a secondary insurance to cover 20%

Question 9

1992: foam wedge

Answer 9

caused posterior tilt
bottomed out
pt. slid out of chair

Question 10

anti-hammocking cushion

Answer 10

bottomed out
didn’t position pelvis
no pressure reducing

Question 11

soho cushion

Answer 11

Does not correct the sling affect of the chair

Does not provide pelvic positioning

Can limit mobility and promote posterior pelvic tilt

Many people had neurological
Full of air
Push out of chair
No proprioceptor feedback

Question 12

ischial step

Answer 12

anti-hammocking with hard bootom

Question 13

What symptoms do forward head and tall people have?

Answer 13

Fatigue easily
Difficulty breathing
Sensory deprivation because of the head down position
Back and neck pain