WC & AT & Driving

Question 1

WC seat width measure

Answer 1

Widest point across hip/thighs to allow for max seating space and comfort - then add 2in!
Allows for clearance to prevent rubbing

Question 2

WC seat depth measure

Answer 2

both LEs and take greatest length - measure from post portion of butt to popliteal fossa and then subtract 2in!
Prevents rubbing

Question 3

WC back height measure

Answer 3

Based on need for postural stability 
Take measurement from seat surface (inc. cushion) to one below dep on postural need
1. Mid back under scap: 1-2in below
2. Mid scap or axilla
3. Top of shoulder

Question 4

Lower back height can increase

Answer 4

Fx’al mobility in sport chairs but also can increase back strain d/t less support

Question 5

WC seat height measure

Answer 5

Knees and ankles at 90
Footrests need a 2” clearance from floor
Standard: 19.5” -Hemi: 17.5”- Superlow: 14.5”

Question 6

WC arm rest measure

Answer 6

shoulders in neutral, elbows at 90
Measure under elbow to cushion
*Too low will encourage leaning forward
*Too high will encourage shoulder elevation

Question 7

Reclining Back WC

Answer 7

For pt unable to independently maintain and upright sitting position

Question 8

Tilt-in-Space WC

Answer 8

Pressure relief

Or pt with severe extensor spasm

Question 9

Recreational WC

Answer 9

Deigned with large think inner tube type tires and large front casters for all terrain use

Question 10

Sport WC

Answer 10

Racing, cycling, basketball

Typically ultra light weight

Question 11

Stander WC

Answer 11

Enable pt to independently change seat height and/or elevate to standing position

Question 12

Stair Climbing WC

Answer 12

Navigates stairs while balancing on 2 wheels using sensors and gyroscopes

Question 13

Bariatric WC

Answer 13

Heavy-duty, extra-wide - designed for obese
Body mass positioned several in forward in comp to non-obese
Rear axel is displaced forward - allowing for a more effective arm push

Question 14

WC mobility training

Answer 14

Cog/phys capabilities; goals for community mobility; adjust fit; proper seating posture; pressure relief (push ups, lateral leans); additional devices; w/c propulsion (gloves/compensation); safety concerns; maneuverability; wc on various terrains; basic maintenance; developmental considerations

Question 15

Assessment considerations for seating and positioning

Answer 15

First the pelvis, then LEs, trunk, UEs, head, neck and feet

Question 16

Linear seating

Answer 16

Flat, non-contoured; custom/factory ordered; Firm/rigid seating
For active pts who perform own transfers & pts with min musculoskeletal involvment

Question 17

Contoured/Custom Contoured seating

Answer 17

Ergo supportive, excellent support, enhances postural alignment, decreases abnorm posture, provided pressure relief, may be difficult for I transfers if decreased UE strength
Good for individuals with mod-severe CNS dysfunction or neuro dx

Question 18

Bed mobility consists of

Answer 18

Bridging, sidelying, supine and sitting

Question 19

Mobility/Positioning s/p THR

Answer 19

May not be able to roll on non-op side d/t internal rot of op side
May req aBductor pillow to prevent aDduction of op-hip

Question 20

Mobility/Positioning s/p CVA

Answer 20

May req positioning edu to increase awareness, min pain, decrease swelling and promo tone normalization
May use pillows between legs while sidelying to increase comfort and promo proper positioning

Question 21

Mobility/Positioning s/p amp of LE

Answer 21

May req edu on use of pillows for edema prevention

May req training on passive stretch of residual limb to prevent contractures

Question 22

Tips for safe transfers

Answer 22

Clear areas of clutter
Ask for help or SBA if needed
Use gait belt if needed
Stabilize locks/brakes
Swing away legrest/flip up footplates
Remove armrests if necessary

Question 23

Pop-over or seated sitting transfer

Answer 23

full stand position not req

used for those with decreased endurance and/or WBP

Question 24

Sliding board transfer

Answer 24

for pts not able to stand (SCI/amps)

Can be used with tenoedesis grasp while WB on clenched fist with wrists extended

Question 25

ATDs

Answer 25

Assistive Tech Devices

Any piece of equ/product used to increase, maintain and improve functional abilities of pts with disabilities

Question 26

High Tech vs Low Tech ADTs

Answer 26

costly devices that may req custom ordering

inexpensive household/catalog items that are readily available for use

Question 27

EADLs

Answer 27

Electronic Aids to Daily Living - formerly ECUs
Means to purposefully manipulate/interact with environment by alternately accessing one or more electrical devices via switch, voice activation, remote control, comp interfaces, etc
Used to increase I, compensate for limitations, conserve energy

Question 28

EADLs uses

Answer 28

Turn on/off lights, control appliances, open/close doors/drapes/windows
Allow use of phones/office machinery
Summon assistance

Question 29

Consideration in AD selection

Answer 29

Input method, output method, portability, safety, reliability, durability, assembly ease, operation ease, maintenance sched, current/future affordability

Question 30

When choosing AAC

Answer 30

Augmentative Alternative Communication

1. Speed at which message is conveyed
2. Portability
3. Accessibility
4. Dependability: quality, durability
5. I of use
6. Vocab flexibility
7. Repairs/maintenance

Question 31

AT Intervention Principles

Answer 31

Select/use several diff devices on trial basis
Incorporate all team input
Keep devices as simple as possible
If stationary, ensure device is properly positioned
Provide multiple training sessions

Question 32

Funding for ATDs/EADLs

Answer 32

State Voc and Edu Services for Individuals with Disabilities (VESID); Office for Voc Rehab (OVRs); Divisions of Voc Rehab (DVRs) - if enable pt to go to work/school
Private co - ensure ADA compliance
Private, Medicare, Medicaid and Workers Comp*

Question 33

Community Mobility

Answer 33

Ability to move around ones community to engage in desired occ/meaningful activities
Includes driving, walking, bicycling and pub transportation

Question 34

OT role in driver rehab

Answer 34

Must know state regs and statutes related to ppl w disabilities
Must become state licensed driving instructor
*Should become certified driving rehab specialist

Question 35

Driving eval

Answer 35

Operation: ability to steer, break, turn
Tactical: ability to respond to road changes

Question 36

Driving Rehab Funding

Answer 36

VESID, OVRs, DVRs

Private, medicare, medicaid, WC