Unit 2: Wheelchairs Flashcards
What are the prime functions of wheelchairs
To compensate for locomotor disability
To enable person to move from place to place
What are the methods of wheelchair propulsion
Occupant propelled
Attendant propelled
Powered wheelchairs
What are the 4 main styles of occupant propulsion
Bilateral arm
One arm
Bilateral legs
One arm one leg
Benefits of handrim propulsion
Simple, lightweight, easy to manoeuvre
Disadvantage of handrim propulsion
Depends on good hand grip and strong pushing force
How can handrim propulsion be made easier
Use larger cross-section handrim tubing
Use indentations/capstan fittings
Use non-slip finish plastic
Problems with handrim modifications
Indentations: friction burns
Non-slip finish: splintering
Why is handrim diameter usually matched to wheel diameter
Allows user to grip both at same time to aid propulsion
Minimises forces required to propel the chair
Benefits and disadvantages of smaller diameter handrims
Increases the max speed
Requires higher force for propulsion
Benefits and disadvantages of larger diameter handrims
Less force required to turn wheels
Lower maximum speeds
What is the optimum position of the handrim/wheels
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
What term is used to describe angling of the wheels to bring them closer to the occupant
Cambering
What mechanisms provide the most efficient use of bilateral arm propulsion
Level or crank mechanisms
How do you propel a wheelchair with one arm
Grip both handrims to move forwards and backwards
Push one handrim to change direction
What are disadvantages of one arm control
Limited speed, range and manoeuvrability
Requires good hand grip, arm strength and control
How should a leg-propelled wheelchair design differ
Seat should be lower to allow feet to contact the ground
Ensure max clearance behind the legs to avoid impeding movement
How are attendant propulsion wheelchairs usually operated
Push handles at the rest of the backrest
What measure is used to give the capacity of a battery
The amp-hour rating
Note: normal ratings are 20-amp hours
What are the limitations of powered wheelchairs
Battery operated: heavy, need recharging, finite life
What are the 2 types of battery
Lead acid batteries
Gel batteries
What are the benefits and disadvantages of lead acid batteries
Benefits: greatest capacity, last longer, cheaper
Disadvantages: heavy, bulky, require regular topping up
What are the benefits and disadvantages of gel batteries
Benefits: unspillable, smaller, lighter, more easily transported
Disadvantages: dont have as much capacity as lead batteries
What are motors used for
To drive the rear (or front) wheels via belts or gearboxes
Describe a beneficial function of motors
Can be disengaged from the wheels to allow the wheelchair to move when the battery is flat
How is steering controlled
By feeding differential power to the motors
Note: the wheelchair moves away from the side which is fed more power