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Keyboard used for ind. with limited ROM, smaller keys, have functional motor (arthritis)
Contracted keyboard
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Keyboard for ind. with low vision; allow for customized overlays (enlarged letters U numbers
Keyboard for ind. with cog. impairments that have graphics, symbols
Programmable Keyboards
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Keyboard that provide large keys for ind. with limited motor accuracy & control (ataxia)
Expanded Keyboard
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Keyboard for decreased strength and/or mobility (MS)
light-touch keybaord
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keyboard for ind. with poor motor control (athetoid movements)
Delayed touch keyboard activation system
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Keyboard consisting of few keys which generate standard characters by pressing various combinations for ind. with one-handed use (hemiplegia)
chorded keyboard
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What are the minimum accessibility standards for door width
32 inches
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What is the preferred door width
36 inches
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T/F A lapboard isn't considered a restraint even when the person is unable to self-direct it's use in a SNF
F-lapboard may only be used is the person gives informed consent & he can direct staff on it's removal & desired use. A lap board can enhance fun. perf. when an ind. can self-direct.
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Adult standard W/C
- 18" wide
- 16" deep
- 20" heigh
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Junior W/C
- 16" wide
- 16' deep
- 18.5" high
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Child W/C
- 14" wide
- 11.5" deep
- 18.75" high
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Tiny tot
- 12" wide
- 11.5 deep
- 19.5" high
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How to measure seat width
- 1. Measure widest point across hips & thighs
- 2. Add two inches
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How to measure seat depth
- 1. Measure posterior portion of buttocks to popliteal fossa (take greatest lenght after measureing B LE)
- 2. Subtract 2 inches
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How to measure back height to W/C
Depends on need for postural stability, UE movements, & potential for I propulsion.
- 1. Mid-back under scapula
- 2. mid-scapula or axialla
- 3. top of shoulder
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Seat height
- 1. Knees & ankles should be at 90 degrees from distal thigh to heel
- 2. Footrests-2" clearance from floor
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Recommended seat angles for W/C
80-110
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What types of seat are contraindicated for ulcers in W/C
Soft seats-firm seats provide stability, prevent ulcers & contractures, & increase sitting tolerance.
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T/F A one-arm drive W/C is contraindicated for ind. with cognitive & perceptual deficits.
T-confusing to learn, both drive mechanisms located on one wheel
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T/F A hemiplegic chair has a higher seat
F-lower seat (17.5) where the pt. can use both the unaffected leg & hand to use the W/C.
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A 360 degree turning radius requires a minimum clerance of at least
5X5 feet
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_______ inches is needed beside door for door swing
26"
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Max height when reaching forward or to side
With obstruction
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long ramps require _________ landing ro for those with limited UE strength or poor cardiopulmonary
4X4
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90 degree turn ramp requires
4x4
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180 degree turn ramp requires
4X8
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Ramp leading to door requires _______ platform and extended ________ for door swing
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Min height when reaching down
15"
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Hallways and ramps should be _______ wide
36"
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Max height countertop
31"
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Steps to encourage used/acceptance of change
- 1. Identify options & consequences of each option
- 2. allow time for reflection & consideration of options
- 3. practice with demo device
- 4. reassess the decision
- 5. If acceptable, order the equipment.
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T/F Progression of meal prep
prepare cold meal
prepare hot beverage, soup, or prepared dish
prepare hot one dish meal
prepare hot multi-dish meal
- T-cold meal, like fruit salad is less challenging-no cooking involved
- prepare toast
- prepare canned soup
- baking brownies-progression from stove top to over & several ingredients
- make apple pie
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curved utencils help what population
- ind, who can bring utensils to mouth but cant orient into mouth/properly
- can also help ind. who cant supinate
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auto repeat defeat mechanism
stops repetition of letters/numbers caused by overusing or involuntary depression of keys
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one finger access software
allows ind. to lock certain keys such as shift or enter
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1. spinner knob
2. palmar cuff helps what population
- 1. those that need to steer with one hand
- and
- 2. need constant contact with wheel
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Tactile Aspects of driving
1. What do you need to be able to respond to &
2. What skill needs to be intact
- 1. ability to respond to changes in road conditions, & traffic & driving risks.
- 2. cognitive skills
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Operational aspects of driving include ability to ________, _________, & _________
2. What skills are assessed for this
- 1. ability to steer, brake, & turn
- 2. Physical abilities & ergonomic aspects of driving
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Where do you place W/C seatbelt.
Extend across hips and onto lap at 45 degree angle.
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