WC Measurements

Question 1

How to measure seat depth?

Answer 1

Posterior buttock to popliteal space (-2 inches)

Question 2

How to measure hip width?

Answer 2

Width across lap of patient (widest part) (+2 inches)

Question 3

How to measure chest width?

Answer 3

Distance between R and L axila

Question 4

How to measure shoulder width?

Answer 4

Widest part across both shoulders

Question 5

How to measure seat to elbow?

Answer 5

From bottom of patient in sitting, elbow 90 degrees of flexion

Question 6

How to measure seat to axilla?

Answer 6

Bottom of patient to axilla

Question 7

How to measure seat to shoulder?

Answer 7

Bottom of patient to acromion process

Question 8

How to measure seat to pt head?

Answer 8

Bottom of patient to patients head

Question 9

How to measure popliteal fossa to heel?

Answer 9

Measure length of lower leg

Question 10

How to get a proper fitting

Answer 10

Start at the pelvis and use the3 point method. The 3 point method is using the 3 points of trunk control

Ex: The pt leans R. So we will put 2 points of support to the R and 1point on the L

Question 11

How do we test for Posterior pelvic tilt in a WC?

Answer 11

Roll forward and backward.
-Lordotic curve: back extended and LE’s ABD

Question 12

If they have a flexible posterior pelvic tilt what do we do and use a WC?

Answer 12

FIX IT
-Pommel: an attachment used to separate the knee and lumbar support.
-Anterior/posterior trunk supports

Question 13

What do we do if they have a fixed Posterior pelvic tilt and use a WC?

Answer 13

ACCOMODATE.
-Open seat to back angle to match pelvic angle
-Decrease pressure tilt in space.
-Accommodate pelvis

Question 14

How do we test for windswept legs?

Answer 14

Hip ABD and ER, genu virus at knee and other knee/hip are ADD and IR- genu vagus

Question 15

What do we do if they have flexible windswept legs and use a WC?

Answer 15

Treat with proper width of the seat. Not too high and contoured seat pommel. Also add lateral thigh support and foot straps.

Question 16

What do we do if they have fixed windswept legs and use a WC?

Answer 16

Accomodate
-Foot plate that is fit to both feet.
-Contact of back and seat with custom cushion to hold position.
-Measure true point seat width

Question 17

How do we test for kyphosis?

Answer 17

Excessively posterior convex curve which is common in the thoracic. “Round back”

Question 18

What do we do if they have flexible kyphosis and use a WC?

Answer 18

Anterior chest/shoulder support to the mid thoracic- support tilt in space

Question 19

What do we do if they have fixed kyphosis and use a WC?

Answer 19

Open back seating, tilt frame, and a custom molded back

Question 20

How do we know if a pt has scoliosis?

Answer 20

Their back will be shaped like an S or a C

Question 21

How do we treat a flexible scoliosis on a WC?

Answer 21

Lateral trunk support
-3 point pad system…. 1 pad apex of convex, and 2 pads on top/bottom on concave aspect, with anterior trunk support

Question 22

How do we accomodate a fixed scoliosis with WC?

Answer 22

Custom back
Lateral tilt support under seat to fix head position