WheelChair
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| To qualify for a WC, the pt must meet the following | pt bed bound w/o it, pt is unable to ambulate safely in home indep.
🗑
|
||||
| Standard Wheelchair | K0001, Not intended for propulsion (transport only) weighs 45-50lbs. Ex. invacare, tracer, guardian GL 200.
🗑
|
||||
| Hemiheight wheelchair | K0002, must be short to qualify, 17.5" seat to floor. Ex. invacare, tracer DLX
🗑
|
||||
| Super hemiheight wheelchair | K0002, must be short to qualify, 15.5" seat to floor. Ex. invacare, tracer DLX
🗑
|
||||
| Lightweight/high strength lightweight WC | K0003, K0004, pt lacks LE/UE strength and endurance to qualify. 19.5" seat to floor Ex. invacare, tracer SX, invacare 9000XT series, Quickie Breezy 600, Quickie EX.
🗑
|
||||
| Ultra lightweight WC | K0005, pt to weak to propel lightweight wc, UE pain during propulsion, to prevent overuse strain, or pt requires axle plate/COG adjustment
🗑
|
||||
| Strength's of the ulta lightweight folding WC | 1. transport friendly 2. mild shock dampening 3. may be less expensive 4. easy to grow 5. swing away foot rests
🗑
|
||||
| Limitations of the ultra lightweight folding WC | 1. increased maintenance 2. less efficient to propel 3. heavier than rigid style
🗑
|
||||
| Strengths of the ultra lightweight rigid WC | 1. lighter than folding style 2. increased durability 3. more responsive
🗑
|
||||
| Limitations of the ultra lightweight rigid WC | 1. more difficult to transport 2. minimal shock absorption 3. no growth 4. can be expensive
🗑
|
||||
| Heavy Duty WC | K0006, pt must weigh at least 250lbs to qualify, Ex. quickie M6, invacare topaz
🗑
|
||||
| Extra heavy duty WC | K0007, pt must weigh at least 300lbs to qualify, Ex. quickie M6, invacare topaz
🗑
|
||||
| Manual tilt in space wc | E1161, pt who has abnormal tone, is at risk for falling out of wc, cannot indep. perform pressure relief. Ex. quickie IRIS, Invacare Solara
🗑
|
||||
| Power Wheelchairs | K010-K014, pt is unable to propel an ultra lightweight wc, must be indep in home environment, Ex. invacare TDX series, quickie S series, Quantum Q6 series
🗑
|
||||
| Cushions | Are used to provide comfort, aid in positioning, and reduce the effects of pressure.
🗑
|
||||
| Specialty backrests are used to: | Improve efficiency during propulsion, provide positional suppprt, provide lateral trunk stability.
🗑
|
||||
| Posterior pelvic tilt causes: | *trunk hypotonicity *LE extensor hypertonicity *decreased postural control *tight hamstrings *spinal deformities (kyphosis) *discomfort
🗑
|
||||
| Interventions for posterior pelvic tilt | *firm backrest/seat *open hip/back angle *provide lumbar support to shift COG + posterior BOS *lower foot plates *check seat depth *pre-ischial rise on cushion *positioning belt *tilted position
🗑
|
||||
| Pelvic asymmetries obliquities/rotation causes: | * decreased LE ROM * hypertonicity
🗑
|
||||
| Interventions for pelvic asymmetries obliquities/rotations | * Increase contact area of seating surface by: hip contours, wedges, hip guides, or molded seats
🗑
|
||||
| LE adD/IR or abD/ER causes" | *hypertonicity *heterotopic ossification *contractures *compensation for pelvic position *seat depth too short *footrest too high
🗑
|
||||
| Fixed obliquities | Wedge on opposite side
🗑
|
||||
| Pelvic asymmetries obliquities | named for lower side
🗑
|
||||
| Flexible obliquitie | Wedge on same side
🗑
|
||||
| Lateral trunk flexion causes: | *hypertonicity/spasticity *hypotonicity *poor pelvic postioning *seat too wide *incorrect armrest height
🗑
|
||||
| Interventions for lateral trunk flexion: | *decrease seat width *adjust armrest height *tilt seating *open back to seat angle *lateral supports
🗑
|
||||
| Forward trunk flexion causes: | *trunk hypotonicity *kyphosis *posteral pelvic tilt *decreased seat to back angle
🗑
|
||||
| Interventions for forward trunk flexion: | *firm backrest/seat *open hip/back angle *provide lumbar support to shift COG posterior to BOS *lower foot plates *check seat depth *pre-ischial rise on cushion *positioning belt *tilted position
🗑
|
||||
| Trunk rotation causes: | *asymmetrical tone *leg length discrepancy *spinal deformity
🗑
|
||||
| Interventions for trunk rotation: | *align pelvis *accommodate LE deformity *backrest adjustment or change *seat to back angle adjustment *lateral supports
🗑
|
||||
| Poor head control/positioning causes: | *hyper/hypotonicity *poor pelvic alignment *trunk alignment
🗑
|
||||
| Interventions for head control/positioning | *align pelvis *adjust seat to back angle *lateral support to correct trunk alignment *use tilt system if neccesary to keep head against headrest *use appropriate headrest
🗑
|
||||
| WC user statistics | *over 2 million use manual WC's *75% experience pain *65% have shoulder injuries *up to 70% have carpal tunnel syndrome (CTS) average person pushes a WC 2000-3000x a day
🗑
|
||||
| Factors to consider in manual WC propulsion | 1. velocity (must be functional) 2. push frequency (lower the better) 3. push force (lower the better) 4. push length (bigger the better, 10 and 2 principle) 5. push smoothness (the smoother the better) 6. push technique shape (should be elliptical
🗑
|
||||
| Smartwheel | "Gait analysis" for manual WC users Meaures: 1. WC selection 2. WC setup 3. propulsion training 4. exercise prescription 5. help justification to 3rd party payers
🗑
|
||||
| Advanced WC skills: | Important functionally 1. wheelies 2. curbs 3. inclines/side slopes 4. stairs 5. floor tranfers 6. car transfers
🗑
|
||||
| Switch Control: | all or nothing response-like "switching" the lights on or off
🗑
|
||||
| Proportional Control: | speed of response is dependent on strength of command given-gas pedel
🗑
|
||||
| Direct Control: | *user chooses which switch to activate and then does so *preferred choice when possible *joystick, sip n puff, head array
🗑
|
||||
| Indirect Control: | *intermediate steps are required in making a selection; only one switch is required *scanning is most common
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Jamierezek
Popular Physical Therapy sets