Client is a 40 year old woman who sustained a C6 spinal cord injury (SCI) in her late 20’s due to a motor vehicle accident. Prior to her injury she was very active and healthy, and worked as a graphic designer. Now she is a stay-at-home mom and spends most her time at indoors. She lives in a one-family home that needs modifications with her husband and two teenage children. Client has good muscle strength in the muscles up to C6 motor innervation and no sensation below C6 dermatomes, thus, she has limited movement of her shoulders, elbows, and wrists and no movement of her trunk and legs. With compensatory techniques, assistive devices, and increased time, she is independent with feeding, grooming, upper body dressing, bathing, toileting,
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This most likely associated to the repetitive propelling of her manual wheelchair, pop-over transfers, and repeated push-up. Providing her with a power wheelchair will decrease shoulder pain and increase her level of endurance as well as increase mobility and independence.
General category of wheelchair
The client will need a Mid-Wheel Drive (MWD) power wheelchair because she spends most of her time at home. A MWD power wheelchair is has best for indoor accessibility; it is highly maneuverable and has the smallest turning radius.
Mechanical seating system
Client will need power tilt and recline as well as elevating leg rest because she has poor trunk control and no sensation in her lower extremities. The tilt and recline function will help Lisa by altering her center of gravity to help gain trunk balance and stability (resna). The tilt and recline will provide the most pressure release and reduce the likelihood of edema and skin breakdown. The elevating leg rest will improve circulation in her lower extremities and reduce edema. These functions will help reduce her shoulder pain since she will no longer need to do push up pressure release (Dicianno et al.,
This most likely associated to the repetitive propelling of her manual wheelchair, pop-over transfers, and repeated push-up. Providing her with a power wheelchair will decrease shoulder pain and increase her level of endurance as well as increase mobility and independence.
General category of wheelchair
The client will need a Mid-Wheel Drive (MWD) power wheelchair because she spends most of her time at home. A MWD power wheelchair is has best for indoor accessibility; it is highly maneuverable and has the smallest turning radius.
Mechanical seating system
Client will need power tilt and recline as well as elevating leg rest because she has poor trunk control and no sensation in her lower extremities. The tilt and recline function will help Lisa by altering her center of gravity to help gain trunk balance and stability (resna). The tilt and recline will provide the most pressure release and reduce the likelihood of edema and skin breakdown. The elevating leg rest will improve circulation in her lower extremities and reduce edema. These functions will help reduce her shoulder pain since she will no longer need to do push up pressure release (Dicianno et al.,