wheel chairs

Question 1

3 principals wheel chairs

Answer 1

Adjunct to Treatment
Postural control v pressure distribution
dynamic vs static

Question 2

5 goals for seating / mobility

Answer 2

prevent contracture
reduce respiratory complication
reduce pain
promote mobility

Question 3

Adjunct to treatment

Answer 3

meet individuals needs
monitor problems/ effectiveness over time
in consultations with health care team

Question 4

Postural control vs pressure distribution

Answer 4

improve posture

optimize pressure over weight bearing surfaces

Question 5

define postural control

Answer 5

provide stability over BOS for optimal function

Question 6

define pressure

Answer 6

perpendicular to skin

Question 7

define friction

Answer 7

resistance to motion in parrall direction (skin and surface)

Question 8

define shear

Answer 8

stress causing skin to slide in opposite parrall lines

Question 9

how to reduce risk of pressure injury

Answer 9

pressure 
shear 
friction 
temperaute
moisture management

Question 10

what do stabilizers do

Answer 10

keep us up against gravity

Question 11

what do mobilizes do

Answer 11

help us move quickly.

Question 12

Risks related to skin health

Answer 12

health status
nutrition
skin integrity (Current/ history)
sensation
contineence

Question 13

Level of sitting Scale

Answer 13

1-8

Question 14

Order of observation

Answer 14

pelvis
hops
lower extremities
trunk
head neck
upper extremity

Question 15

how to evaluate sitting posture

Answer 15

in and out of seat
measure in gravity assisted/non
observe rest / act
observe diff times
observe diff positions
observe over days

Question 16

Components of wheel chair

Answer 16

firm base
firm back
ischial block

Question 17

how to select best mobility base

Answer 17

understand client (goals, transportation, medical)
Compare (real life info, realistic expectations)

Question 18

consequences of postural issues

Answer 18

tissue breakdown
deformity
discomfort
fatigue
infection
decrease quality of life
increase cost of care

Question 19

Posteior pelvic tilt
cause
solution

Answer 19

poor back/ seat support

firm back/seat
supportive belt

Question 20

anterior pelvic tilt
cause
solutions

Answer 20

footrest too far back
adjust footrests
firm back/seat

Question 21

pelvic obliquity
cause
solution

Answer 21

sling seat, depth too much, width too sale

solution: correct seat width / depth

Question 22

pelvic rotation
cause
solution

Answer 22

seat depth too long, too small
firm seat//back
ischial block

Question 23

hip adduction
cause
soltuion

Answer 23

sling, seat too narrow, short. foot too low / forward

correct seat, adjust foot

Question 24

hip abduction
cause
soltuion

Answer 24

high footrest

solution : adjust footrest

Question 25

hip extension
cuase
soltuion

Answer 25

sling seat/ backrest

first seat/ backrest

Question 26

trunk forward flexion
cause
soltuion

Answer 26

backrest to upright / forward

adjust seat to back angle

Question 27

trunk side flexion
cause
solution

Answer 27

width seat / back too small

correct back/ seat

Question 28

trunk rotation
problem
cause

Answer 28

asymoteiral mm

lateral support

Question 29

neck flexion
cause
solution

Answer 29

back rest too upright

adjust seat to back angle

Question 30

How to choose a seat cushion

Answer 30

amount of postural control?
how much support?
material?
counturing?
leg measure?
user?

Question 31

how to choose a back support

Answer 31

suport pelvis
support spine
seat depth

Question 32

high back

Answer 32

for poor trunk control

max: 3 inch below shoulder

Question 33

low back

Answer 33

good trunk control
mobility
1-2 inches lower than scap

Question 34

lateral back support

Answer 34

sense of midline

prevent lean