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15 Cards in this Set

  • Front
  • Back
Wheelchair purpose/considerations
Purpose
Provide Maximal Function
Provide Maximal Comfort
Provide Maximum Stability
Provide Maximum Safety
Provide Maximum protection of body structures
Access Environment
Increase pt’s Autonomy
Considerations
Sensory Awareness
Ability to alter positions
Decreased Subcutaneous Soft Tissue
Peripheral Circulation to the LE
Skin Integrity
Long-term vs Short-term use
Environment considerations – house, bathroom, kitchen etc…
Prescription
Disability
Functional Ability
Pt’s age, size, stature and weight
Pt’s needs and desires
Temporary vs. Permanent
Pt’s prognosis
Mental and Physical Condition
Brakes (toggle lock)
SAFETY FIRST
Locked
Pt moving
Suspect pt will move
Transfers
Brake Extensions
Also known as toggle lock extension
(Figure 7-11)
Seat/Lap/Chest Belts
Used to prevent falls
Positioning
Types
Velcro
Latching
Push button
Gait Belt (Chest Belt) – pg 143
Inadequate balance and trunk stability
Wheels
Drive Wheels (Fig. 7-16)
Used to propel
Types
Solid Rubber
Pneumatic or semipneumatic
Smoother ride and more comfortable ride
Wider than solid tires, more energy expenditure due to greater friction created
Standard or mags
Projections
Wheels (casters)
Front of the chair
Solid rubber, Pneumatic or Semi-pneumatic
5-8 inches in diameter
Armrests
Fixed
Permanently attached to the chair
Recommended for individuals who do not need to remove the armrest for transfers.
Removable or Reversible
Needed for sliding and pivot transfers
Locking apparatus varies
Long or desk length
Push to stand
Height adjustable
Footrests/leg rests
Fixed Footrests
Swing Away or Removable Leg Rests
(Fig. 7-21)
Elevating Leg Rests – (Fig. 7-22)
Footrest (Footplate)-(Fig. 7-23)
Accessories
Anti-tipping Devices
Prevents backward tipping
Measuring
Anti-tipping Devices
Prevents backward tipping

Seat Width
Widest aspects of hips and
thighs + 2 inches
- 18 inches
Measuring - leg length
Seat Height/Leg Length
From the heel to popliteal fold
Add 2 inches
19.5-20.5 inches
Measuring - back height
Back Height
Top of seat to floor or axilla with arm flexed to 90 degrees
or
Top of seat to inferior angle of the scapula with arm neutral
Include height of the cushion if one will be used
16-16.5 inches
Measuring - arm height
Arm Height
Arm against chest wall with elbow flxd 90 degrees
Distance from forearm to top of solid seat
Add height of cushion if needed
Measuring - footplate size
Footplate size
Based on the size of the pt’s foot
Calcaneus to the metatarsal hds