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What is the purpose of adjusting patient position?
- prevent contracture
- prevent pressure
- improve independence
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Who are standard wheelchairs used for?
pts <200lbs, not going to be very active in it
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What does a reclining w/c do?
- back of it partially/fully reclines
- for pts who are in the w/c most of the time and need med. treatment that requires reclining
- has elevating leg rests
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What type of w/c reclines back, has many angles, and the whole chair is capable of moving back with the recline?
tilt-in-space
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What are the characteristics of an amputee w/c?
rear wheel axles are 2 inches posterior to normal to help widen BOS
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What type of w/c is best for a hemiplegic and why?
low seat - lower to ground for easier movement
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What are the characteristics of a sports w/c?
very light, angled wheels for sharper turns, lower seat back
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Power w/c's can be operated by what?
joystick, sip&puff
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What is our goal for patients in wheelchairs?
maximize residual function, make what they have left better and stronger
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What 5 things need to be measured to get proper measurements for a wheelchair?
- seat height/length
- seat depth
- seat width
- back height
- armrest
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What do you measure for w/c seat height?
from heel to popliteal fold +2"
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What do you measure for seat depth?
measure posterior buttocks to popliteal fold -2"
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What do you measure for seat width?
widest aspect of buttocks, hips, and thighs +2"
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What do you measure for back height?
from seat to axilla while shoulder are flexed at 90, then -4"
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What do you measure for the w/c armrest?
from seat to olecranon with elbows flexed at 90 then +1"
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What are the pressure points from sitting in a wheelchair?
- inferior angles scapulae (pointy tip of shoulderblade)
- ischial luberosities (buttocks)
- vertebral spinous processes (vertebrae poking out of back)
- greater trochanters (hip bones)
- lateral femoral condyles (outside knee area)
- sacrum (tailbone)
- medical humeral epicondyle (inside of arm by elbow)
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