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Neuro 1 > Wheelchair > Flashcards

Wheelchair Flashcards

1
Q

What is the most important thing to consider when planning the system?

a. age
b. funding
c. living environment
d. individual needs and use

A

individual needs and use

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2
Q

A fixed asymmetry with malalignment that does not correct with minimal manual force will need what kind of intervention?

a. correct
b. accommodate

A

accommodate

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3
Q

What are the considerations for accommodation?

A

prevent worsening of symptoms
postural supports should match the fixed spinal curve
respect the ROM limitations
do not correct position to point of resistance or compensation at the pelvis

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4
Q

A flexible asymmetry that reverses with minimal manual force will need what kind of intervention?

a. accommodate
b. correct

A

correct

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5
Q

What is the primary goal of posture and positioning?

A

function

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6
Q

What needs to be considered with evaluation in short sitting?

A

what support does the pt need to maintain optimal posture?

is manual support by PT needed? and how much force is required, points of contact needed?

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7
Q

What needs to be considered with evaluation in supine?

A 
ROM limitations 
causes of "imbalanced" pelvis 
spinal alignment/malalignment 
quality of muscle tone 
fixed verse flexible deviations
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8
Q

How should the pelvis be positioned in a wheelchair?

A

the hips as far back as possible

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9
Q

Positioning the hips as far back as possible will influence

A

puts axle position more forward - decrease rolling resistance - increase propulsion efficiency

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10
Q

What is important to consider for the front-end angle?

a. hamstring flexibility and tone
b. quad flexibility and tone
c. back flexibility
d. LE flexibility

A

hamstring flexibility and tone

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11
Q

If the footrest height is too low the patient will have

A

posterior pelvic tilt
anterior slide
feet not supported by foot rest

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12
Q

If the footrest height is too high the patient will have

A

increased ischial pressure

“splaying” of knees into abduction

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13
Q

The rear seat height should be (higher/lower) than the front

A

lower

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14
Q

An appropriate seat dump will
improve _ efficiency in elderly
improve propulsion biomechanics in _ subjects and _ the risk of injury
_ stabilizing muscle activity in SCI during reach tasks with tilt/reclined seat position

A

propulsion
SCI
decrease
decreased

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15
Q

If seat dump is too little, you will see
_ trunk balance
_ pelvic tilt for stability
_ slide

A

decreased
posterior
anterior

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16
Q

If seat dump is too much, you will see

A

decreased ability to transfer “tippy”

posterior pelvic tilt

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17
Q

The elbow should be flexed _ degrees with the palm at 12:00 handrim

a. 80-100 degrees
b. 90-100 degrees
c. 100-120 degrees
d. 110-120 degrees

A

100-120 degrees

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18
Q

If the seat height is too low, you will see
_ shoulder and wrist _
difficulty _

A

increased shoulder and wrist extension

difficulty transferring to other surfaces

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19
Q

If the seat height is too high, you will see

A

short push stroke
increased stroke frequency
fatigue

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20
Q

The goal with the backrest is to

A

optimize manual propulsion

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21
Q

Height for the backrest should be _ as possible and at least _ inch below the _

A

low

1 inch below the inferior angle of the scapula

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22
Q

if the patient is unable to balance in an upright back position

A

open the back angle

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23
Q

If the patients backrest is too reclined, you will see an

A

increased forward head
ceiling gazy
tippy

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24
Q

if the patients backrest is too upright, you will see
the trunk _ _
_ function without _ support

A

the trunk fall forward

unable to function without UE support

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25
Q

The lumbar support should support

a. the pelvis in a posterior tilt
b. the pelvis slightly anterior tilted
c. the pelvis in a neutral position
d. the pelvis in a natural position

A

the pelvis in a neutral position

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26
Q

seat tilt + posterior pelvic support =

A

stability

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27
Q

if the lumbar support is too high, you will see the patient

A

pushes upper back forward

28
Q

if the lumbar support is too low, you will see the patient

A

push sacrum forward and encourage a posterior pelvic tilt

29
Q

be cautious with _ for lumbar support

A

skin

30
Q

in a manual wheelchair, after positioning the lumbar support, revisit _ position

A

axle

31
Q

the axle should be as far (forward/backward) as possible

A

forward

32
Q

how many inches should the front casters be off the floor in a balanced position for wheelies?

a. 2-4 inches
b. 3 inches
c. 1-2 inches
d. 1-3 inches

A

1-3 inches

33
Q

If the headrest is too high the patient

A

probably needs to be pulled back into wheelchair

34
Q

What 3 things need to be identified for the frontal view?

A

pelvis
lower extremities
trunk

35
Q

What are 3 types of pelvic asymmetries?

A

obliquity
tilt: anterior, posterior
rotation

36
Q

Pelvic asymmetries can be caused by

A

ROM limitations caused by HO, orthopedic restrictions, contractures
spasticity
muscle imbalance
ischial shaving for previous pressure sores

37
Q

Trunk and neck asymmetries can be caused by

A

compensatory or pre-existing

righting responses

38
Q

It is important to correlate asymmetries with mat evaluation (True/false)

A

true

39
Q

If correction requires excessive force, possible skin compromise and discomfort, should you accommodate or correct?

A

accommodate

40
Q

What are two ways to accommodate and support?

A

custom orthoses

bracing

41
Q

Postural supports (should/shouldnt) match the fixed spinal curve

A

should

42
Q

Correct position to point of resistance or compensation at the pelvis (true/false)

A

false

43
Q

with obliquity and scoliosis, should you accommodate or correct?

A

correct

44
Q

What tone needs to be considered with front end angle?

A

hamstring tone

45
Q

symmetry is the primary goal (true/false)

A

false

FUNCTION

46
Q

What measurements are mostly taken and relevant?

A

depth and width

47
Q

What is considered the foundation for the wheelchair?

A

pelvis position
front end angle
footrest

48
Q

What is considered for posture, balance, and function?

A 
seat squeeze 
seat height
backrest balance
positioning the lumbar
headrest
49
Q

For the backrest - if they are unable to balance upright

A

open the back angle

50
Q

What is used to support and align?

a. straps
b. blocks
c. back
d. cushion

A

straps

51
Q

What is used to prevent motion in a direction?

a. straps
b. blocks
c. back
d. cushion

A

blocks

52
Q

Transport manual wheelchairs have adjustability (true/false)

A

false

53
Q

Standard manual wheelchairs can be used for

a. short term use
b. long term use

A

short term use

54
Q

Which wheelchair has a lower sear to floor for foot propulsion?

a. standard manual
b. hemi height manual
c. high strength lightweight
d. ultra lightweight

A

hemi height manual

55
Q

What patients are suitable for a hemi height manual wheelchair?

A

foot propellers
CVA
TBI
CP

56
Q

What wheelchair can be used for in home use and limited community?

a. standard manual
b. hemi height manual
c. high strength lightweight
d. ultra lightweight

A

hemi height lightweight

57
Q

What wheelchair can be used for in home and full community use?

a. standard manual
b. hemi height manual
c. high strength lightweight
d. ultra lightweight

A

ultra lightweight

58
Q

What patients are suitable for a high strength lightweight manual?

A

CVA
CP
TBI

59
Q

What patients use a ultra lightweight manual?

A

SCI

CP

60
Q

A tilt in space manual should be used if the patient lacks

A

cognitive function to drive functional chair

61
Q

What patients use a tilt in space wheelchair?

A

TBI

CP

62
Q

What type of lock needs more trunk flexion to reach it?

A

scissor

63
Q

Group 2 PWC are used for patients that are able to

A

transfer independently

64
Q

Group 3 PWC are used for patients with

A

neurological deficits

65
Q

Positioning cushions are used for patients with

A

malalignment

Neuro 1 (7 decks)

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