WHEELCHAIR MANEUVERS

Question 1

what are the four typical methods of manual wheelchair self-propulsion?

Answer 1

1) bilateral UE
2) bilateral LE
3) hemi propulsion
4) all four extremities

Question 2

How do you instruct patient to elevate caster wheels?

Answer 2

1) inform patient of intent and describe procedure
2) elevate castor wheels using proper body mechanics

Question 3

How do you instruct patient to ascend a curb?

Answer 3

1) face forward at curb
2)occupant must have control of trunk musculature, balance, and fxnl use of UE
3) patient sits back in chair
4) tilt chair posteriorly
5) gently place front wheels on curb followed by rear wheels
6) bend at knees and hips maintaining neutral spine

Question 4

How do you instruct patient to descend a curb?

Answer 4

1) back at curb
2) drive wheels at edge
3) use hip to control descent with staggered legs
4) shift weight to back leg
5) pull wheels off curb, moving foot rest and castor wheels