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15 Cards in this Set
- Front
- Back
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Wheelchair purpose/considerations
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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 |
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Considerations
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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… |
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Prescription
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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 |
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Brakes (toggle lock)
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SAFETY FIRST
Locked Pt moving Suspect pt will move Transfers Brake Extensions Also known as toggle lock extension (Figure 7-11) |
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Seat/Lap/Chest Belts
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Used to prevent falls
Positioning Types Velcro Latching Push button Gait Belt (Chest Belt) – pg 143 Inadequate balance and trunk stability |
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Wheels
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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 |
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Wheels (casters)
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Front of the chair
Solid rubber, Pneumatic or Semi-pneumatic 5-8 inches in diameter |
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Armrests
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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 |
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Footrests/leg rests
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Fixed Footrests
Swing Away or Removable Leg Rests (Fig. 7-21) Elevating Leg Rests – (Fig. 7-22) Footrest (Footplate)-(Fig. 7-23) |
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Accessories
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Anti-tipping Devices
Prevents backward tipping |
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Measuring
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Anti-tipping Devices
Prevents backward tipping Seat Width Widest aspects of hips and thighs + 2 inches - 18 inches |
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Measuring - leg length
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Seat Height/Leg Length
From the heel to popliteal fold Add 2 inches 19.5-20.5 inches |
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Measuring - back height
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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 |
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Measuring - arm height
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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 |
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Measuring - footplate size
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Footplate size
Based on the size of the pt’s foot Calcaneus to the metatarsal hds |
