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Neuro Rehab > W/C Types > Flashcards

W/C Types Flashcards

1
Q

standard w/c types

A

standard folding
lightweight
reclining

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2
Q

what is the w/c that medicare will cover

A

standard lightweight

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3
Q

pro/con of standard w/c

A

low cost

minimal adjustability
heavy due to stainless steel

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4
Q

how to tell if w/c folds?

A

crossbar under seat

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5
Q

types of custom manual w/c

A

under the umbrella of ultra lightweight

– rigid or folding frame

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6
Q

when would a ultra lightweight manual w/c be indicated

A

high activity level / needing best mobility possible

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7
Q

what is the purpose of an adjustable axle plate? which movements of it do what?

A

rear wheels fwd/bkwd = center of gravity

up/down = seat slope

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8
Q

characteristic unique to sports chairs? purpose?

A

cambered wheels
- more lateral stabilty

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9
Q

what can a power assist device be added to? what does it do? why?

A

manual w/c

make transportation / ambulation in device easier to hopefully make it easier on person in wheel chair

avoid overuse injuries at the shoulder

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10
Q

tilt in space w/c recommendation

A

patients who are unable to self-propel
and/or
unable to independently perform pressure relief

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11
Q

unique characteristic of tilt-in-space w/c and associated populations

A

fixed hip/ankle

pediatric and older adults

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12
Q

types of power w/c

A

scooters/power operated vehicles
group 2 and group 3

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13
Q

what are requirements for scooter/power operated vehicles

A

good postural control
sufficient UE strength / endurance
decreased tolerance to walking (think COPD)

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14
Q

who are scooters/power operated vehicles not suitable for

A

someone with a complex neuro condition

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15
Q

cons of scooters/power operated vehicles

A

less accessible in the home due to larger turn radius
must pull alongside desired surface and rotate seat (table or counter)

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16
Q

compare group 2 w/c to scooters and power operated vehicles

A

captain style seat (same)
2:
Faster
more stable (6 wheels)
better turn radius
joystick to drive

17
Q

common populations for group 2 w/c

A

arthritis
peripheral neuropathy
COPD
CHF

18
Q

common populations for group 3 power w/c

A

complex neuro patients
- SCI, TBI, CVA, MS, PD, ALS, CP, MD

19
Q

characteristics of group 3 w/c

A

advanced electronics
power seat functions
alternative drive controls
custom seating/positioning

20
Q

types of power w/c wheel configurations

A

rear
mid-wheel
front-wheel

21
Q

pro/con of rear drive power w/c

A

can see feet and navigate env

chair is longer (less common)

22
Q

pros of mid wheel drive power w/c

A

COM closest to chair COM
- smallest turning raidus

23
Q

pro of front wheel drive power w/c

A

increased stability for incline transitions, obstacles
closer access to elevated surfaces

24
Q

what is the issue with sling seat w/c

A

can lead to hammock seat
- posterior tilt, hip ADD/IR

25
Q

common mediums that seat cushions are made of

A

foam
gel
air filled
– combinations of all

26
Q

rank cushion materials in order of most to least pressure distribution

A

air
gel
foam

27
Q

explain seat cushion materials and associated maintenance

A

air = checking proper inflation
gel = settles over time, will need to redistribute

28
Q

what w/c types is sling upholstery seen in? good or bad?

A

standard manual w/c

bad - kyphosis/PPT

29
Q

what does back control height depend upon

A

trunk control
functional abilities
comfort

30
Q

what would an abductor pommel be for?

A

adductor spasticity
- prevention of that for bathing, bathroom and comfort

31
Q

required documentation associated with w/c eval

A

physician order for power/manual w/c

PT / OT seating eval

Letter of Medical Necessity (done by PT or OT)

Neuro Rehab (9 decks)

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