IAP part II > WC/seating > Flashcards

WC/seating Flashcards

(66 cards)

Study These Flashcards
1
Q

Purpose of WC prescription (6

A
  1. maximal efficient, independent mobility
  2. prevent/minimize deformity or injury
  3. maximal independent function
  4. congruent with “body image”
  5. short-term/long-term cost effective
  6. transportability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In evaluation process for WC, diagnosis includes what three aspects

A
  1. rate of neurological change
  2. prognosis
  3. precautions - what is the patient’s judgement level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In history portion of evaluation process for WC, what are 4 important issues to discuss?

A
  1. environmental issues
  2. transportation
  3. seating and mobility hx
  4. insurance coverage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in exam portion of eval process for WC, must perform which 4 portions of exam?

A
  1. general PE
  2. mat exam - simulate ROM and trunk control.
  3. seated exam - use cushion that is going to be used.
  4. measurements
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the correct mobility device and seating system will make all the difference between ____

A

independence and dependence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Seating system is comprised of ___ and ____

A

seat and seat back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the two types of cushions?

Broken down into 5 types

A
  1. Custom - planar/linear; contoured
  2. Commercial

a. Simple foam
b. Contour
c. Closed cell foam (swedish foam)
d. comb-foam base and foam/gel
3. air “roho/star”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Goals of seating system:

  1. Control ____
  2. Correct/accomodate ___
  3. Enhance ____
  4. Improved ____
  5. Provide ____
  6. Facilitate ____.
A
  1. abnormal tone/reflexes
  2. deformities
  3. function/improve control
  4. comfort/seating tolerance
  5. pressure relief and skin protection
  6. facilitate care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Wheel chair types:

(7

A
  1. Age: adult vs peds
  2. Power: manual/manual assist/power
  3. Weight: heavy/standard/lightweight/ultralight
  4. Mobility: folding rigid/stand up frame
  5. reclining/non-reclining
  6. tilting/non-tilting
  7. metal/composite
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Indications for manual WC:

A
  1. Physical limitations not compatible with ambulation
    - cardiopulmonary
    - neurological
    - MSK
  2. need for increased independence or transport
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

name the 9 manual WC parts

A
  1. frame
  2. wheels/tires
  3. handrims
  4. casters
  5. seat/back
  6. front-rigging
  7. arm rests
  8. brakes
  9. accessories
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the three types of manual WC frames

A
  1. folding - will have cross bars!
  2. rigid
  3. semi-rigid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Benefit of a folding frame?
Con of folding frame?
Weight is: _____

A

Easy to transport
Limited width (max 20-22”)
heavier than rigid (28lbs prior to parts (~40-45lbs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Benefit of rigid frame?
Con of rigid frame?
Difficult for ____ patients.

A

Lighter weight (11lbs); more durable
Not as easy to transport
ambulatory patients - due to sit to stand transfers being difficult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

benefit of semi-rigid frame?

WEight?

A

Easy to transport, easier for ambulatory patients
Not as heavy/light (16lbs)

Has one-piece foot plate which folds. This is the “compromise chair”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Manual WC weights: (without addition of pieces and parts)

  1. Standard:
  2. Lightweight:
  3. Ultra lightweight
A
  1. 40-65lbs
  2. 28-35lbs
  3. 11-20lbs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

4 types of manual wheel chair wheels

A
  1. mag wheels
  2. spoke wheels
  3. spinergy - high tension composite rim has less flexibility creating propulsion efficiency
  4. X core - carbon graphite - propulsion efficiency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Advantage of weight/adjustabilityof manual WCs

  1. Overall decreased ____
  2. Allows patients with ecreased UE strength to:
  3. Adjustability improves pushrim mechanics due to (3)
A
  1. repetitive strain injuries with prolonged use
  2. propel and break down/fold wheelchair for vehicle loading
  3. Better hand contact, lower stroke frequency, improved propulsion efficiency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

3 characteristics of mag wheels:

A
  1. slightly heavier
  2. less shock absorption
  3. requires no maintenance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

3 characteristics of X core wheels

A
  1. light weight
  2. no maintenance
  3. expensive

Carbon graphite creates propulsion efficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

4 characteristics of spoke wheels

A
  1. lighter
  2. easier to propel
  3. improved shock absorption
  4. requires maintenance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Manual WC tire types (3)

A
  1. hard rubber
  2. pneumatic
  3. pneumatic with flat free inserts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

5 characteristics of hard rubber (solid) mWC tires

A
  1. durable
  2. low rolling resistance
  3. heavy
  4. harsh ride
  5. no risk of flat tire
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

4 characteristics of pneumatic mWC tire

A
  1. air inner tube
  2. light weight
  3. smoothest ride
  4. can get flats
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
3 characteristics of pneumatic with airless insert mWC tire:
1. rubber inner tube 2. heavier than pneumatic -not as heavy as solid 3. flat-free
26
Things to consider when choosing mWC handrim/pushrim
1. diameter - large vs small (small loses propulsion efficiency) 2. thickness 3. projection knobs ("quad knobs" for impaired hand function) 4. plastic coating 5. natural fit? has thumb trough and oblong rim instead of round. great for carpal tunnelsyndrome
27
mWC projection knobs can be what two types? which portion of hand controls it?
1. oblique - project with hypothenar eminence | 2. vertical - between thumb and 1st digit
28
Manual wheel chair casters come in 3 sizes:
1. Micro - 2" 2. Small - 3-6" 3. large - 8"
29
5 characteristics for larger (8') casters
1. heavier 2. more durable 3. better for rough terrain 4. increase rolling resistance 5. increase chair length
30
3 characteristics for micro casters (2')
1. lightest 2. most maneuverable 3. most likely to get stuck
31
4 characteristics for smaller casters (3-6")
1. lighter 2. more maneuverable 3. shorten turning radius 4. function poorly on uneven terrain and sidewalk cracks
32
four types of wheelchair seat
1. sling 2. solid 3. custom 4. tension adjustable
33
5 characteristics for sling (mWC seat)
1. vinyl or Nylon 2. easy to fold 3. light weight 4. cleans easily 5. promotes poor poster - like sitting in a hammock, need trunk control
34
4 characteristics for custom mWC seat
1. variable firmness 2. optimal postural support 3. heavy 4. positionally unforgiving
35
4 characteristics for solid mWC seat
1. firm 2. provides better postural support 3. heavier 4. harder to transport - wont fold
36
2 characteristics of tension adjustable mWC seat
1. contour to fit back needs | 2. folds easily.
37
Types of manual wheelchair back rest: (4)
1. sling 2. solid 3. tension adjustable - straps/velcro in back of chair. allows for change incontour folds still so dont have to remove. 4. variable height - low back allows patient to use back/trunk/scapular movement to propel.
38
Rules for mwC back rest: the higher the back rest, the ____and ___
more support and less freedom
39
Three types of footrest with or without leg rests
swingaway elevating fixed
40
Name the four most common angles of mWC front rigging
1. 60 - better for ROM issues or some compromise 2. 70 3 80 4 90 - shortest front to back length determined by size of castor
41
Foot rigging = ____ + _____
hanger and foot plate
42
Elevating foot rigging only appropriate for ___ or ____
new BKA or knee immobilization
43
5 types of manual WC armrests
1. fixed/removable 2. full length/desk length 3. adjustable/fixed height 4. wrap around 5. flip up
44
4 pro's to mWC armrest
1. maintains good posture 2. assists with trunk balance 3. assists with transfers and pressure relief 4. comfort
45
6 types of mWC brakes
1. push-to-lock 2. pull-to-lock 3. high/low mount scissor - more for mobile folks 4. disc- can have varying degrees of slowing down, better for stopping at a higher speed. only on one side. 5. attendant 6. caster locks - stabilized front f chair for xfers
46
mWC accessories: 2
1. anti-tippers | 2. grade aides - helps with inclines. so patient doesn't roll back while readjusting grip
47
Manual wheelchair seat/back abilities: 2
1. recline back - opens hip to seat or back to hip angle | 2. tilt n space back
48
with reclining, increase in _______ or _____ as patient will slide forward and out of chiar
sacral pressure ulcer extensor spasms tilt first then recline for pressure relief (keeps hips locked in)
49
three types of specialty manual WCs
1. one arm drive - two hand rims one for each wheel 2. Standing WC (stand-up WC) 3. hemi-height - standing frame with wheels - basically a wheeled parapodium for kids.
50
Power mobility indications - 4
1. Physical limitations not compatible with manual WC mobility 2. Need for increased independence 3. increased efficiency of mobility 4. spare UE from secondary msk dysfunction
51
SCI patient's may last ~ ______ in manual WC until joint salvage is needed "relative rest
15 years
52
Unique Power mobility considerations (8)
1. physical ability 2. intelligence level 3. age (beginning around ag e4-5 4. judgement 5. visual/perceptual skills 6. transportability of powered mobility 7. reimbursement 8. patient/family goals
53
9 components to power WC
1. Drive 2. control system 3. wheels/tires 4. casters 5. seats/backs 6. front-rigging 7. armrests 8. brakes 9. accessories
54
three types of drive
1. rear 2. mid/center drive - most like walking - most common first chair 3. front - can turn sooner
55
Types of power WC control systems (2)
1. proportional (joystick) - most common | 2. non-proportional (switch, sip-n-puff, tongue touch keypad (TTK), head array)
56
power wc casters types (2)
large small size of caster determines turn radius. Where Wheel is determines radius. Rear wheeel increases turn radius.
57
power wheelchair seat/back
sling solid - captain seating custom - "rehab seating"
58
Types of tilt in PWC
power tilt-n-space seat | power recline back - tilts, reclines, then elevates leg rests
59
Power wheelchair front rigging (3)
1. footplate 2. swingaway - 70 degrees of angle 3. manual/power elevating
60
three types of power WC armrests
1. fixed/removable 2. full length/desk length 3. flip-up
61
accessories for PWC or MWC (6)
1. anti-tippers 2. laptrays - acrylic 3. headrest 4. thoracic support 5. hip/thigh guides 6. abductor pommels - helps to maintain solid pelvic base
62
push assist wheelchairs (two types)
1. smart drive - has natural fit rims (indoor and outdoor mode) 2. power assisted propel - heavy, stage between MWC and PWC
63
_____ is technology that measures the interface pressure between two surfaces - indicates the distribution of pressures over the surface or identifies areas of localized pressure increase
pressure mapping
64
Xsensor pressure mapping system: 4 pros
1. accurate 2. real time data 3. ultra flexible, thin sensing element 4. pad conforms to surface
65
4 display formats of xsensor pressure mapping system
1. 2D image 2. 3D image 3. histogram 4. frame comparison
66
Pressure mapping works through ____ sensors. Red ______ mmHG Blue _____ mmHG
copper 200mmHg 35mmHg or less ------CAP REFILL PRESSURE
IAP part II
flashcards
Decks in class (11)
# Cards
Brainscape helps you reach your goals faster, through stronger study habits.
© 2026 Bold Learning Solutions. Terms and Conditions