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What factors are associated with the selection of wheelchair type and components? ***
- patient’s disability and functional ability- mental and physical condition or capacity of the patient- potential or prognosis for change in the patient’s condition, especially as it affects mobility- patient’s age, size, stature, and weight- temporary vs. permanent use- expected use or patient needs of the wheelchair (e.g., indoors, outdoors, recreation, transfer needs, ability to transport the chair)
- sling – tends to adduct and IR hips (potential cause of contractures)- firm – eliminates adduction/IR- cushion – on a sling seat, eliminates adduction/IR- abduction/adduction supports
(should be below scapulae!)- sling vs. firm (sling encourages slouching)- stationary, reclining (postural hypertension, hip replacement), semi-reclining, tilt in space. Pg. 148- height- head rest if needed- trunk – lateral supports
(permission required for restraint!)- lap belt (seat belt) usually at 45˚- chest- various closures
- 20 – 26 inches, 24 inch standard- tires: hard rubber, pneumatic or semi-pneumatic- drive wheel camber, especially if in chair long-term- casters – usually on front of wheelchair
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