wheelchair wheeee Flashcards
discuss sling seat
on standard w/c
not for pts who will sit for prolonged period - hip tends to slide forward
discuss insert or contour seats
stable firm surface
for prolonged sitting - reduces tendency to slide forward and improves pelvic pos
discuss use of seat cushions
distributes WB pressures
exp the use of relief push-ups
required for PT that sits prolonged sa w/c
every 15-20 mins
exp pressure relieving foam
most common and good durability - memory foam
mod to severe postural deformities
exp pressure-relieving gel
heaviest; efficient but high maintenance - cool gel and gets flat overtime
mod to severe postural deformities
exp pressure relieving air cushion
light but expensive; vv good distib of WB
mod to severe postural deformities
exp mid backrest
midcapular region - on standar w/c
mod trunk stab
exp high backrest
for poor trunk stab
exp low backrest
good to normal trunk stab - usually in sports w/c
exp insert or contour backs
for spastic pt - improves trunk ext and alignment
exp lateral trunk supp
improves alignment for scolio
compare full length and desk length arm rest
full - entire forearm
desk - 1/2 of forearm or shorter para napapasok sa desk
compare adjustable and fixed arm rest
adjustable - for sit to stand transfers and diff activities
fixed - in standard w/c or for pt who dont need to remove for transfers
compare removable and wrap around arm rest
removable - accomodates bed to w/c transfer
wrap around - for more comfort
what is UE support surface arm rest
provides additional anterior psotural assist
for pt c poor trunk stab - cerebral palsy
discuss fixed leg rests
on standard w/c
has leg straps to avoid silppage of legs
discuss swing-away or removable leg rests
accomodates bed to w/c transfer and vice versa
discuss elevating leg rests
pts unable to fully flex their knees or when knee flexion must be avoided
extensor spasticity or edema bawal mag flex
discuss foot plates
resting base for feet; elevated before standing transfers
discuss heel loops
prevents post sliding - severe flexor spasticity
discuss straps in foot rests
stabs feet - severe extensor spasticity
purpose of foot rest extenders
if pt cant maintain foot lateral - adductor spasticity
discuss folding types of w/c frame
for mob and ease of transport and storage
comfy glide but stroke efficiency is bad
discuss rigid types of w/c frame
more stable and easier turn
good stroke efficiency and reduced force required to move
good for active w/c users
discuss lightweight or ultralight w/c frame
titanium - vv light usually for sports
discuss heavy duty types of w/c frame
needs good UE strength - for active w/c users
what are drive wheels
large rear wheels used for propulsion
what are projection rims
to faci propulsion in pt w poor hand grips - C6 SCI
what are friction rims or use of leather gloves
to inc hand grip in propulsion - C7 SCI
what are caster wheels
small front wheels - 8 in diameter
directs the movement
compare spoke and spokeless w/c
spoke - standard
spoke less - usually sports w/c
discuss standard hard rubber tires
most cmmon - durable and low maintenance
discuss pneumatic tires
smoother ride and inc shock absoprtion
for lightweight w/c and less durable
for active w/c user or competitions
discuss use of brakes in w/c
usually present lng pag w/c care giver propelled
BUT NOT ON ACTIVE W/C USER
discuss use of seatbelts
grasps pelvis at 45-60° - severe extensor spasticity
pelvic positioner
discuss use of chest belts
inc trunk stab
discuss use of seat postiioners
maintains alignement and good WB distrib - inc trunk stab
adductor pommel - if may adductor spasticity
discuss seat back positioner
for lateral trunk support
discuss anti tipping device
posterior extensions to pevent w/c tipping backwards
during ascending curve or ramp
discuss hill-holder device
mechanical brake that allows forward but not revers
for pts who are not able to ascend long ramps or hills
discuss use for reclining w/c
if unable to maintain upright posture - poor trunk stab
semi reclining - up to 30° ext
fully recling - horizontal
discuss tilt in space w/c
seat and back tipped backward - pt c severe extensor spasticity
discuss one arm drive w/c
drive mechanism on one wheel - not for pts c spatial deficits
heavier and more diff than standard since one arm use lng
discuss hemiplegic chair w/c
low to the ground of hemiplegia
easier navigation for them
discuss amputee w/c
drive wheels are more post to the back supp mga 2 in - to inc BOS
discuss bariatric w/c
heavy duty and extra wide - for obese
rear axle is displaced foward - more efficient arm push
adjustable backrest - for post bulk
reclining - for ant buln
discuss sports w.c
has oblique wheels to inc stroke efficnency and low back height
vv easy to move and steer
discuss how seat width is measured
widest part of hip + 2 in
discuss how seat depth is measured
posterior buttock to popliteal fossa - 2-3 in
para di tatama
discuss how leg length or seat to foot plate is measured
bottom of shoe to popliteal fossa
discuss how seat height is measured
floor to lowest point of foot plate + 2 in
discuss how arm rest height is measured
elbow flexed at 90° c shoulder in neutral + 1 in
discuss how back height is measured
depende na sa needs ng pt
standard - mid scap
low - below inf angle
high - above sup angle
measure from cushion if may cushion
