W/C Types Flashcards
standard w/c types
standard folding
lightweight
reclining
what is the w/c that medicare will cover
standard lightweight
pro/con of standard w/c
low cost
minimal adjustability
heavy due to stainless steel
how to tell if w/c folds?
crossbar under seat
types of custom manual w/c
under the umbrella of ultra lightweight
– rigid or folding frame
when would a ultra lightweight manual w/c be indicated
high activity level / needing best mobility possible
what is the purpose of an adjustable axle plate? which movements of it do what?
rear wheels fwd/bkwd = center of gravity
up/down = seat slope
characteristic unique to sports chairs? purpose?
cambered wheels
- more lateral stabilty
what can a power assist device be added to? what does it do? why?
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
tilt in space w/c recommendation
patients who are unable to self-propel
and/or
unable to independently perform pressure relief
unique characteristic of tilt-in-space w/c and associated populations
fixed hip/ankle
pediatric and older adults
types of power w/c
scooters/power operated vehicles
group 2 and group 3
what are requirements for scooter/power operated vehicles
good postural control
sufficient UE strength / endurance
decreased tolerance to walking (think COPD)
who are scooters/power operated vehicles not suitable for
someone with a complex neuro condition
cons of scooters/power operated vehicles
less accessible in the home due to larger turn radius
must pull alongside desired surface and rotate seat (table or counter)
compare group 2 w/c to scooters and power operated vehicles
captain style seat (same)
2:
Faster
more stable (6 wheels)
better turn radius
joystick to drive
common populations for group 2 w/c
arthritis
peripheral neuropathy
COPD
CHF
common populations for group 3 power w/c
complex neuro patients
- SCI, TBI, CVA, MS, PD, ALS, CP, MD
characteristics of group 3 w/c
advanced electronics
power seat functions
alternative drive controls
custom seating/positioning
types of power w/c wheel configurations
rear
mid-wheel
front-wheel
pro/con of rear drive power w/c
can see feet and navigate env
chair is longer (less common)
pros of mid wheel drive power w/c
COM closest to chair COM
- smallest turning raidus
pro of front wheel drive power w/c
increased stability for incline transitions, obstacles
closer access to elevated surfaces
what is the issue with sling seat w/c
can lead to hammock seat
- posterior tilt, hip ADD/IR
common mediums that seat cushions are made of
foam
gel
air filled
– combinations of all
rank cushion materials in order of most to least pressure distribution
air
gel
foam
explain seat cushion materials and associated maintenance
air = checking proper inflation
gel = settles over time, will need to redistribute
what w/c types is sling upholstery seen in? good or bad?
standard manual w/c
bad - kyphosis/PPT
what does back control height depend upon
trunk control
functional abilities
comfort
what would an abductor pommel be for?
adductor spasticity
- prevention of that for bathing, bathroom and comfort
required documentation associated with w/c eval
physician order for power/manual w/c
PT / OT seating eval
Letter of Medical Necessity (done by PT or OT)
