Wheelchair SAM
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | 1. baseline in current system
2. Transfer to mat-- control of UE, head, neck
3. Seated on mat-- assess sitting balance
4. Pelvis and trunk deformities
5. UE and LE--strength, ROM, tone, reflexes
6. Supine-reassess pelvic and trunk
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| show | emphasize mobility, stable BOS, and comfort
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| show | pelvic and trunk support required
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| Propped sitter | show 🗑
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| Pelvic obliquity | show 🗑
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| Kyphosis | show 🗑
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| Scoliosis | show 🗑
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| Lordosis | show 🗑
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| show | pelvis rotates laterally, thighs moving to other side
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| show | trunk upright and midline
hips, knees, ankle flexed at 90 deg
pelvis neutral
head midposition
arms at side of trunk with elbows at 90 deg
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| show | Pelvic positioning
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| Cushion shapes | show 🗑
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| show | lightweight and low cost
heat and moisture can build up
custom contoured foam more expensive better postural control
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| gel filled material | show 🗑
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| show | lightweight, even pressure relief, reduce postural stability
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| honeycomb shaped plastic material | show 🗑
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| show | front of pelvis to limit pelvic tilt, rotation, obliquity
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| show | lateral to the trunk, below armpit to facilitate trunk stability and prevent scoliosis
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| show | lateral or medial to thighs to control ab/ad (windswept)
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| show | widest part of hips or thighs and add 1-2 inches
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| seat depth | show 🗑
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| seat height | show 🗑
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| show | seat surface including cushion to top of clients shoulder
higher back height needed if trunk control is poor
minimal trunk support: measure from seat to midback
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| seat angle | show 🗑
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| arm rest height | show 🗑
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| Marginal ambulatory user | show 🗑
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| marginal manual wheelchair user | show 🗑
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| total or severe mobility impaired user | show 🗑
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| show | pushed by attendant, short distances or temporary
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| show | self-propelled
standard: short term and temporary
lightweight vs ultra light vs heavy duty
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| show | walking ability limited, steered with a tiller, more difficult to steer than power chair
large turning radius, seat swivels and makes transfers easier
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| power wheelchair | show 🗑
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| show | seat to back angle changes to more than 90 deg
appropriate for lcients who are unable to sit upright or spend considerable time in chair and need to rest during the day, eases personal care activities
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| show | seat to back angle is fixed, can be tiled 0-45 deg, changing orientation but not position
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| show | rear axle set back to increase stability
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| hand rim projections | show 🗑
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| brake lever extender | show 🗑
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| adjustable tension backrest | show 🗑
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| show | front higher than back to aid in preventing forward sliding
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| documentation | show 🗑
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