WC & AT & Driving Flashcards

1
Q

WC seat width measure

A

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

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2
Q

WC seat depth measure

A

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

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3
Q

WC back height measure

A
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
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4
Q

Lower back height can increase

A

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

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5
Q

WC seat height measure

A

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

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6
Q

WC arm rest measure

A

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

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7
Q

Reclining Back WC

A

For pt unable to independently maintain and upright sitting position

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8
Q

Tilt-in-Space WC

A

Pressure relief

Or pt with severe extensor spasm

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9
Q

Recreational WC

A

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

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10
Q

Sport WC

A

Racing, cycling, basketball

Typically ultra light weight

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11
Q

Stander WC

A

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

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12
Q

Stair Climbing WC

A

Navigates stairs while balancing on 2 wheels using sensors and gyroscopes

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13
Q

Bariatric WC

A

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

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14
Q

WC mobility training

A

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

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15
Q

Assessment considerations for seating and positioning

A

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

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16
Q

Linear seating

A

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

17
Q

Contoured/Custom Contoured seating

A

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

18
Q

Bed mobility consists of

A

Bridging, sidelying, supine and sitting

19
Q

Mobility/Positioning s/p THR

A

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

20
Q

Mobility/Positioning s/p CVA

A

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

21
Q

Mobility/Positioning s/p amp of LE

A

May req edu on use of pillows for edema prevention

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

22
Q

Tips for safe transfers

A
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
23
Q

Pop-over or seated sitting transfer

A

full stand position not req

used for those with decreased endurance and/or WBP

24
Q

Sliding board transfer

A

for pts not able to stand (SCI/amps)

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

25
ATDs
Assistive Tech Devices | Any piece of equ/product used to increase, maintain and improve functional abilities of pts with disabilities
26
High Tech vs Low Tech ADTs
costly devices that may req custom ordering | inexpensive household/catalog items that are readily available for use
27
EADLs
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
28
EADLs uses
Turn on/off lights, control appliances, open/close doors/drapes/windows Allow use of phones/office machinery Summon assistance
29
Consideration in AD selection
Input method, output method, portability, safety, reliability, durability, assembly ease, operation ease, maintenance sched, current/future affordability
30
When choosing AAC
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
31
AT Intervention Principles
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
32
Funding for ATDs/EADLs
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*
33
Community Mobility
Ability to move around ones community to engage in desired occ/meaningful activities Includes driving, walking, bicycling and pub transportation
34
OT role in driver rehab
Must know state regs and statutes related to ppl w disabilities Must become state licensed driving instructor *Should become certified driving rehab specialist
35
Driving eval
Operation: ability to steer, break, turn Tactical: ability to respond to road changes
36
Driving Rehab Funding
VESID, OVRs, DVRs | Private, medicare, medicaid, WC