Unit 2: Wheelchairs Flashcards

1
Q

What are the prime functions of wheelchairs

A

To compensate for locomotor disability

To enable person to move from place to place

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2
Q

What are the methods of wheelchair propulsion

A

Occupant propelled
Attendant propelled
Powered wheelchairs

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3
Q

What are the 4 main styles of occupant propulsion

A

Bilateral arm
One arm
Bilateral legs
One arm one leg

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4
Q

Benefits of handrim propulsion

A

Simple, lightweight, easy to manoeuvre

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5
Q

Disadvantage of handrim propulsion

A

Depends on good hand grip and strong pushing force

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6
Q

How can handrim propulsion be made easier

A

Use larger cross-section handrim tubing
Use indentations/capstan fittings
Use non-slip finish plastic

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7
Q

Problems with handrim modifications

A

Indentations: friction burns

Non-slip finish: splintering

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8
Q

Why is handrim diameter usually matched to wheel diameter

A

Allows user to grip both at same time to aid propulsion

Minimises forces required to propel the chair

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9
Q

Benefits and disadvantages of smaller diameter handrims

A

Increases the max speed

Requires higher force for propulsion

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10
Q

Benefits and disadvantages of larger diameter handrims

A

Less force required to turn wheels

Lower maximum speeds

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11
Q

What is the optimum position of the handrim/wheels

A

As close to the body as possible

Allows arm movement to commence slightly posterior to the trunk and travel to just short of full elbow extension

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12
Q

What term is used to describe angling of the wheels to bring them closer to the occupant

A

Cambering

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13
Q

What mechanisms provide the most efficient use of bilateral arm propulsion

A

Level or crank mechanisms

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14
Q

How do you propel a wheelchair with one arm

A

Grip both handrims to move forwards and backwards

Push one handrim to change direction

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15
Q

What are disadvantages of one arm control

A

Limited speed, range and manoeuvrability

Requires good hand grip, arm strength and control

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16
Q

How should a leg-propelled wheelchair design differ

A

Seat should be lower to allow feet to contact the ground

Ensure max clearance behind the legs to avoid impeding movement

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17
Q

How are attendant propulsion wheelchairs usually operated

A

Push handles at the rest of the backrest

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18
Q

What measure is used to give the capacity of a battery

A

The amp-hour rating

Note: normal ratings are 20-amp hours

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19
Q

What are the limitations of powered wheelchairs

A

Battery operated: heavy, need recharging, finite life

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20
Q

What are the 2 types of battery

A

Lead acid batteries

Gel batteries

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21
Q

What are the benefits and disadvantages of lead acid batteries

A

Benefits: greatest capacity, last longer, cheaper
Disadvantages: heavy, bulky, require regular topping up

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22
Q

What are the benefits and disadvantages of gel batteries

A

Benefits: unspillable, smaller, lighter, more easily transported
Disadvantages: dont have as much capacity as lead batteries

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23
Q

What are motors used for

A

To drive the rear (or front) wheels via belts or gearboxes

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24
Q

Describe a beneficial function of motors

A

Can be disengaged from the wheels to allow the wheelchair to move when the battery is flat

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25
Q

How is steering controlled

A

By feeding differential power to the motors

Note: the wheelchair moves away from the side which is fed more power

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26
Q

How are sharp turns achieved

A

Turn one motor forwards and one in reverse

27
Q

What are the 2 main types of braking

A

Parking brake
Regenerative braking
Note: can also brake manually by slowing down the handrims

28
Q

What is regenerative braking

A

Slowing down the speed of the motors in order to slow down motion of the wheelchair

29
Q

When is parking braking used

A

When the wheelchair is at a standstill

30
Q

What is the function of the control system

A

Detects actions of the occupant and translates this into the appropriate operation of the motors

31
Q

What is the ‘bang-bang’ controller. Give a benefit and a disadvantage

A

A control system that operates the motors at full power only
Benefit: good if no fine control of hand position
Disadvantage: creates very fast accelerations that are difficult to control

32
Q

What are the 7 main performance characteristics of the wheelchair

A
Range
Max speed
Acceleration
Stability
Obstacle climbing
Manoeuvrability
Environment protection
33
Q

What are the typical max speeds of an indoor and an outdoor wheelchair

A

Indoor: 2mph
Outdoor: 4-8mph

34
Q

What is used as a good indication of the manoeuvrability of a wheelchair

A

The minimum width of corridor in which a wheelchair can turn to face the opposite direction

35
Q

How is the stability of a wheelchair measured

A

The steepness of the angle to which a wheelchair can be tipped before it falls over

36
Q

What 2 factors govern the wheelchair stability

A

The size of its wheelbase and the position of the centre of gravity
If the centre of gravity is within the wheelbase then the object remains stable

37
Q

What gives a larger wheelbase: castors in trail or in leading position

A

In trail

38
Q

Where should the centre of gravity be to ensure max manoeuvrability

A

As near to the main wheels as possible

39
Q

What adaption may need to be made for a bilateral lower limb amputee

A

Set the main wheels back a few centimetres to maintain rearwards stability

40
Q

What are anti-tipping levers

A

Extension to tipping levers that contact the ground before the wheelchair becomes unstable in a rearwards direction

41
Q

What kind of tyres are most prone to instability/slipping when parked on a slope

A

Smooth hard tyres

42
Q

What do pneumatic-type brakes depend on

A

Sufficient inflation of the tyres

43
Q

What is an advantage of progressive action running brakes

A

Work independently of tyre inflation

44
Q

How to ratchet brakes work

A

Prevent rolling backwards when propelling uphill

45
Q

What factors influence manoeuvrability

A

The propulsion system

The castors

46
Q

What design characteristics of a castor affect its manoeuvrability

A

Resilience (hardness of the tyre)
Radius of swivel
Castor wheel diameter

47
Q

What happens to manoeuvrability as the occupant moves closer to the castors

A

Manoeuvrability decreases

48
Q

What is castor flutter/shimmy

A

Impairment of direction control due to castors vibrating widely on their swivels when moving at speed

49
Q

What 5 factors influence rolling resistance

A
Wheel diameter
Tyre resilience
Bearing friction
Wheel alignment
Weight
50
Q

What happens to rolling resistance as wheel diameter increases

A

Rolling resistance decreases

51
Q

What happens to rolling resistance as tyre resilience decreases

A

Rolling resistance increases

52
Q

What is a benefit and a disadvantage of solid tyres

A

Benefit: less energy required for propulsion
Disadvantage: less comfortable when going over uneven ground, cannot climb obstacles

53
Q

What dimension of a wheelchair governs the height of the obstacle that can be climbed

A

The front wheel diameter

+/- assistance from anti-tipping levers and kerb climbers

54
Q

What are kerb climbers

A

A pivot structure that hits obstacles and swings down to lift up the front of a wheelchair

55
Q

What environment is the use of solid tyres restricted to

A

Indoor use on solid surfaces with no obstacles

56
Q

Benefits and disadvantages of foam-filled tyres

A

Benefit: cannot be punctured
Disadvantage: increased rolling resistance and weight

57
Q

What is the most common style of seating used

A

Sling-type

58
Q

How wide are most wheelchairs

A

Required seat width +5cm for wheels and frame

59
Q

What are the 3 main types of strength

A

Static
Impact
Fatigue

60
Q

Describe static strength

A

The ability to withstand a constant force e.g. weight of a person in the chair

61
Q

Describe impact strength

A

The ability to withstand transient loads e.g. blows to the chair when dropped/hitting a kerb

62
Q

What components of the wheelchair are vulnerable to impact strength loads

A

Castor forks, mountings and frameworks

63
Q

Describe fatigue strength

A

The ability to withstand variation in load over prolonged period of time (wear and tear)