name 4 reasons why people should be cognitively assessed during a w/c eval.?
- navigation - problem solving, figure out the easiest pathway to get someplace, avoiding obstacles
- safety awareness
- taking care of the w/c - cleaning it, making sure wheels are working
- power chair - did they remember to charge it
why should we perform a social assessment during a w/c eval.?
- if they can’t safely operate chair who else can help them
- children
name 2 functional components of using a w/c.
- able to use equipment
- able to perform functional tasks with mobility/seating equipment
t/f - recommendations for w/c types are usually made far in advance (several weeks) before discharge.
true
make sure to address all the _____ that your client frequents.
environments
what is the goal for technology intervention regarding w/c selection?
matching the technology with the person and vice versa. requires thorough evaluation of the person, the task, and the device.
which FOR model should be considered during w/c selection particularly regarding technology intervention?
PEOP model
name 2 considerations when choosing powered vs manual mobility.
- consider function
- consider electricity options
typically, insurance companies will pay for a replacement chair every __ years.
5
heaviest, least maneuverable, least changeable, hardest to deal with, most inexpensive
industrial (depot) - (K0001) aka clunker
- a little more adjustable and a little easier to deal with, a lot lighter, arm rests only come to elbows, one of the w/cs we recommend the most
- semi lightweight, barely adjustable
low-end - K0003
- still have limited adjustability, wheels can come off, arm rest height is adjustable
- lightweight, limited adjustment
mid-range - K0004
- most adjustable, most expensive, back height is low, leaves room for entire upper body to function - ex: can reach back and pick something up off the floor
- lightweight or extremely lightweight, very adjustable
high-end - K0005
arm rests only come to elbows
desk length arms
describe when axis where wheel turns is more towards the front.
makes w/c more able to be tipped - good for wheelies
if w/c is unstable, bring axis more towards the ___.
back
describe propulsion when using a manual chair.
- want pt. to reach back and push forward when using a manual chair.
- want pt. to move their arms in a circle
name the 2 most efficient propulsion methods.
- semicircular
- double loop over
provides a wider base of support from left to right - more stability
camber
name 2 negatives of camber.
- too wide - may not be able to move through doors, aisles, etc.
- harder to manuever
describe soft wheels/tires.
gives more friction - better outdoors on rough surfaces
add width to w/c - usually you want them
push rims
who would benefit greatly from push rims with processes sticking out?
people who don’t have hand function to push wheels - use hypothenar and thenar eminences when supinated - ex: C5, C6 SCI
when pushing wheels of a w/c, most of the strength of individuals with a C5, C6 SCI will come from which movements?
shoulder depression and flexion
