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what is the purpose of a wheelchair?
goals for wheelchair prescriptions
- postural support
- mobility base
functions of seating system
- normalize tone
- decrease pathological reflex activity
- improve postural symmetry
- enhance ROM
- maintain or improve skin condition
- increase comfort and sitting tolerance
- decrease fatigue
- improve function of ANS
questions to be asked when prescribing a wheelchair
- what functional level?
- where will it be used?
- how much adjustability?
- ability of patient or family to use and care for wheelchair
impairments for being in wheelchair
- access to environment
- daily goals
- sitting tolerance
- function of autonomic system
what are general goals for wheelchair prescription?
what are dangers of ordering a too big wheelchair
- cant fit thru doors
- cant reach wheels for propulsion
- overuse injuries
- allows hip to slide
what are dangers of ordering too narrow wheelchair
- patient gains weight and cant fit in chair
- rubbing leads to skin breakdown
you have a patient that lives alone in retirement community , his days consist of traveling on a flat sidewalk to dinner visity family/friends bingo
would you prescribe a standard or lightweight chair?
folding or rigid?
lightweight, and folding
why? patient is active so you want a light weight chair
spoked wheels are ______lighter/heavier than mag wheels but require more/less _______
spoked wheels are lighter
spoked wheels require more maintenance
what are polyurethane wheels good for?
good for flat surface and are much less work to maintain
polyurethane caster wheels offer benefits of?
pneumatic casters offer benefits of...?
- cushioned ride
- good on rugged/soft terrain
other accessories you can put on wheelchairs?
- pelvic strap
- amputee board
- arm rests
what are characteristics of cushions?
- skin protection
- adjustable skin protection
POC wheelchair prescription
- fit to patient and adjust
- training, education, safety
- follow up
key points of wheelchair prescription
properly fitted wheelchair effects function of patient
optimum pushing position relies on 4 main adjustments
what all should be included in wheelchair training?
- proper use
- falling out
- curbs. ramps etc
- body mechanics
- weight shifts
how often do you need to do weight shifts in a wheelchair?
every 15 mins!
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