Neuro_SCI_WC

  1. WC - Measurements - Back rest
    Axilla -4
  2. WC - Measurements - Depth of seat
    Popliteal to IT -2
  3. WC - Measurements - With of chair
    (+) 2
  4. WC - Measurements - Height of seat
    Heel to popliteal (+)2
  5. WC - door - inside door & exterior door
    • Inside door - 2'8 X 6'8
    • Exterior door - 3 X 6'8
  6. WC - small casters - size; better for what? (3)
    • 3”
    • Speed
    • Turning
    • Less resistance
  7. WC - large casters - size; better for what? (2)
    • 8”
    • Uneven terrain
    • Bumpy roads
  8. WC - Rear wheel — larger - resistance; better for what terrain?
    • Less resistance
    • Better for uneven terrain
  9. WC - Rear wheel — smaller - maneuverability
    Better maneuverability
  10. PF contracture - do what w/WC?
    INC angle of footplate
  11. To DEC hip flex do what w/WC?
    INC back angle
  12. WC - kyphosis & balance issues - do what w/WC?
    Rearward shift in system tilt of WC
  13. WC - kyphosis & good balance - what is needed? support what?
    • Slouch needed for stability
    • Support @ PSIS
  14. WC - Mobile Arm Support - what mms are needed? @ what strength?
    • Shoulder flexors, ER
    • Elbow flexors
    • ALL between trace (1/5) & fair plus (3+/5)
    • Image Upload 1
  15. WC - head or mouth stick - lesion at what level?
    C3, C4, sometimes C5
  16. WC - high cervical lesion (C1-4) - what type of WC? - 3
    • Electric WC w/tilt-in space seating or reclining seat back
    • Microswitch or puff-and-sip controls
    • Portable respirator may be attached
  17. WC - C5 - shoulder function + elbow flexion
    • Manual WC w/propulsion aids
    • Ex: projections
  18. WC - C5 - IND w/WC when?
    Short distances on smooth flat surfaces
  19. WC - C6 - radial wrist extensors
    Manual WC w/friction surface hand rims - IND
  20. WC - C7 - same as C6 w/+ what?
    • Manual WC w/friction surface hand rims - IND
    • (+) INC propulsion
  21. WC - C8-T1 - hand function
    • Manual WC
    • Standard hand rims
  22. Manual WC w/propulsion aids - @ what level?
    C5
  23. IND Manual WC w/friction surface hand rims - @ what level?
    C6
  24. IND Manual WC w/friction surface hand rims + INC propulsion - @ what level?
    C7
  25. Manual WC w/standard hand rims - @ what level?
    C8-T1
  26. WC - what is needed for power WC? - 2
    • Good head control - to use head rest control system
    • Good fine motor skills - to use joy stick
  27. WC - standard seat height; hemi or low-seat seat height; used by who & why
    • Standard - 20”
    • Hemi/low-seat - 17.5”
    • Used by hemiparetics to use sound LE to help propel WC
  28. WC - Bathroom - toilet seat height; horizontal bars
    • Toilet seat height - 17-19”
    • Horizontal bars - 34"
  29. WC - Clearance for doorway - min and ideal
    • Min - 32
    • Ideal - 36
  30. WC - Low or high density gel or foam cushions - to relieve ischial P?
    High
  31. Ascending Ramps in WC - 3
    • Forward lean of head & trunk
    • Use shorter strokes
    • Move hands quickly for propulsion
  32. Descending ramps in WC - 2
    • Grip hand rims loosely, control chair's descent
    • Descend in wheelie position (steep ramp)
  33. WC wheelie position - hot to get there (3); balancing - wheels pushed forward vs. pulled back
    • Pt places hands well back on hand rims
    • Then pulls (moves) them forward abruptly & forcefully
    • Head & trunk are moved forward to keep from going over backward

    • Wheels are pushed forward - chair tips further back
    • Wheels are pulled back - chair tips toward upright
  34. WC curb descent - backward vs. forward
    • Descending backward w/forward head & trunk lean
    • Descending forward in wheelie position
  35. WC - Kitchen -  Height of countertops; counter depth
    • Height - no higher than 31"
    • Depth - at least 24"
  36. WC Ramps - Recommended ratio of slope to rise; width; handrails
    Slope - 1:12 (for 1 in of vertical rise, 12 in of ramp is required)

    Width - 36"

    • Handrails:
    • Waist high for ambulators (34-38 in)
    • Should extend 12 in beyond top/bottom of runs
  37. WC - Elevating leg rests - indicated for what? (2); CONTRA (1)
    • LE edema control
    • Postural support

    • CONTRA:
    • Pts w/knee flexor (hamstring) hypertonicity or tightness
  38. WC Sling seat - standard; what happens to hips & thighs? Reinforces what?
    • Hips tend to slide forward, thighs tend to ADD & IR
    • Reinforces poor pelvic position (posterior pelvic tilt)
  39. WC Insert/contour seat - creates what?
    • Stable, firm sitting surface
    • Improves pelvic position (neutral pelvic position)
    • Reduces tendency for pt to slide forward or sit w/posterior pelvic tilt (sacral sitting)
  40. WC  - Pressure-relieving cushions - fluid/gel or combination cushion (fluid/gel plus foam) & air cushion
    • Accommodates moderate to severe postural deformity
    • P relief push-ups are required, typically every 15-20 minutes
  41. WC Insert or contour backs - does what?
    Improve trunk extension & overall upright alignment
  42. WC - Tilt-in-space - indicated for what pts?
    Extensor spasms that may throw pt out of chair
  43. WC environmental access - Width; height; 90 deg turning space; 180 deg turning space; high forward reach; low forward reach; side reach
    • Width - 24-26" from rim to rim
    • Length - 42-43"

    • 90 deg turning space - min 36"
    • 180 deg turning space - 60" x 60"

    • High forward reach - max 48" from floor
    • Low forward reach - min 15" from floor
    • Side reach - max 24"
Author
Tanuisha
ID
325969
Card Set
Neuro_SCI_WC
Description
Neuro_SCI_WC
Updated