WC Prescription

Parts of a WC: Seating

• _______- standard on w/c

  • Disadvantage: hips tend to slide forward

Sling seat

Parts of a WC: Seating

• ______ : Creates stable, firm surface

  • Improves pelvic position

  • Reduce tendency of pt sliding forward

Insert or Contour Seats

Parts of a WC: Seating

• _______: Distributes WB pressures

  • Pressure - relief push ups are required every ______ mins

Seat Cushions

• 15-20 mins

Parts of a WC: Seat Cushions

• ______: most common

• _________: Heaviest, efficient but high maintenance

• _________: Light, expensive, high maintenance

• Pressure-relieving foam

• Pressure-relieving gel

• Pressure-Relieving Air Cushion

Parts of a WC: Back

• ________: caters the midscapular region, Standard W/C

Mid-back rest

Parts of a WC: Back

• ________: poor trunk stability

High Back Rest

Parts of a WC: Back

• ________: Good to normal trunk stability

Low-Back Rest

Parts of a WC: Back

• ________: improves trunk extension and improves over-all alignment

Insert or Contour Backs

Parts of a WC: Back

• ________: Improve trunk alignment for patients with scoliosis

Lateral Trunk Support

Parts of a WC: Arm Rest

• ________ : covers the whole length of the wheelchair

  • used for transfers in and out of wc

Full Length

Parts of a WC: Arm Rest

• _________ : good for patient who goes to office

  • perfect for working on normal tables

Desk-Length

Parts of a WC: Arm Rest

• ______: fixed

Fixed-Height

Parts of a WC: Arm Rest

• ________: can accommodate STS transfers & better for UE

Adjustable- Height

Parts of a WC: Arm Rest

• __________: To accommodate bed to w/c transfers

Removable

Parts of a WC: Arm Rest

• ________: used if pt needs a bigger arm rest or more cushion

Wrap Around (Space Saver)

Parts of a WC: Arm Rest

• ________: provides additional postural assistance

UE Support Surface

Parts of a WC: Leg Rest

• ______: Standard leg strap

• ______: Used for transfers

• fixed

• swing away

Parts of a WC: Leg Rest

• ________

  • Edema

  • CI: severe extensor spasticity

Elevating

Parts of a WC: Leg Rest

• _______

  • Provides a resting base for feet

Foot Plates

Parts of a WC: Leg Rest

• ______: Prevents posterior sliding of the foot

• ______: To stabilize feet on foot plates

• Heel loops

• Straps

Other Types of Leg Rest

Parts of a WC: WC Frames

• _______: Promotes mobility, easy transport and storage

Folding Type

Parts of a WC: WC Frames

• ______: Promotes stability, increases stroke efficiency, inc distance per stroke, independent w.c users

Rigid Type

Parts of a WC: WC Frames

• ________ : greater ease of use, sports, titanium made

Light Weight

Parts of a WC: WC Frames

• _______: Active w/c user, good UE strength

Heavy Duty

Parts of a WC: Drive Wheels

T/F: Medium rear wheels used for propulsion

False → Large

Parts of a WC: Drive Wheels

• _______: to facilitate propulsion in patients with poor hand grips

Projection Rims

Parts of a WC: Drive Wheels

• _______: inc hand grip

Friction rim/Leather Gloves

Parts of a WC: Drive Wheels

• ________: Small front wheels, 8 in diameter

Caster Wheels

Parts of a WC: Drive Wheels

• ________: Spoke or spokeless

Wheel Construction

Parts of a WC: Tires

• _______: Durable, low-maintenance

Standard Hard Rubber Tires

Parts of a WC: Tires

• ______

  • Provide smoother ride, inc shock absorption

  • Light-weight w/c, less durable

Pneumatic

Parts of a WC: Brakes

W/C Caregiver Propelled

Parts of a WC: Additional Attachments

• _______

  • should grasp the pelvis at a 45° angle to the seat

Seat Belts (Pelvic Positioner)

Parts of a WC: Additional Attachments

• _______

  • maintain alignment; adductor pommel, prevents adductor spasticIty

Seat Positioners

Parts of a WC: Additional Attachments

• _______

  • add lateral trunk support

• _____

  • posterior extensions attached to lower horizontal support

• Seat Back Positioners

• Anti-Tipping Device

Parts of a WC: Additional Attachments

• _______

  • a mechanical brake that allows the chair to move forward, but automatically brakes when the chair goes in reverse.

  • Useful for patients who are not able to ascend a long ramp or hill

Hill-Holder Device

Specialized WC

• _______

  • indicated for patients who are unable to independently maintain an upright posture

Reclining w/c

Specialized WC

• ________

  • Entire seat and back tipped backwards

  • Indicated for pt with extensor spasticity

Tilt in Space

Specialized WC

• _______

  • drive mechanism is located on one wheel usually with two outer rims

  • is not recommended for patients with spatial deficits

One Arm Drive

Specialized WC

• ______

  • Designed to be low to the ground

Hemiplegic Chair

Specialized WC

• _______

  • modified by placing the drive wheels posterior to the vertical back supports (~2 in backwards)

Amputee Chair

Specialized WC

• ________

  • heavy-duty, extra wide wheelchair designed for obese

  • Rear axle is displaced forward – allows more efficient arm push

  • Hard tires

  • Adjustable backrest accommodate excessive posterior bulk

  • Reclining wheelchair – accommodate excessive anterior bulk

Bariatric w/c

Specialized WC

• ________

  • Oblique wheels to inc stroke efficiency low back height for mobility rigid frame

Sports Wheel Chair

WC TYPES (Pierson & Fairchild)

• _________

  • Designed for persons who weigh less than 200 lb and for limited use on rough surfaces; not designed for vigorous functional activities

Standard Adult

WC TYPES (Pierson & Fairchild)

• _________

  • Constructed for persons who weigh more than 200 lb or for those who perform vigorous functional activities

Heavy Duty Adult

WC TYPES (Pierson & Fairchild)

• _________

  • Designed to be lightweight, may have a rigid or folding frame, and can be made with titanium in a rigid or folding frame;

  • weighs from 12 to 30 lb

  • benefit is efficiency in propulsion and reduction in cumulative trauma in the UE; weight capacity to 300 lb

Ultralight wheelchair

WC TYPES (Pierson & Fairchild)

• _________

  • Designed for persons with a body build smaller than that of an adult but larger than that of a child

Intermediate or junior

WC TYPES (Pierson & Fairchild)

• _________

  • Designed to permit adjustments in the frame to accommodate the growth of the user

Growing

WC TYPES (Pierson & Fairchild)

• _________

  • Designed for persons up to the approximate age of 6 y/o

Child or youth

WC TYPES (Pierson & Fairchild)

• _________

  • Constructed for use indoors, with the larger drive wheels placed at the front of the chair and the caster wheels at the rear;

  • Functions better in confined areas

  • more difficult to propel and perform many functional activities

Indoor

WC TYPES (Pierson & Fairchild)

• _________

  • The seat is lowered ~ 2 inches to allow better use of the user’s lower extremities to propel the chair

  • However, the lower seat may make it more difficult for the user to perform a standing transfer

Hemiplegic

WC TYPES (Pierson & Fairchild)

• _________

  • The rear wheel axles are positioned ~ 2 inches posterior to their normal position to widen the base of support of the chair

  • Compensate for the loss of the weight of the user’s lower extremities

Amputee

WC TYPES (Pierson & Fairchild)

• _______

  • Two hand rims are fabricated on one drive wheel, and the two drive wheels are connected by a linkage bar;

    • smaller hand rim propels the near drive wheel

    • large hand rim propels the far drive wheel

      • when both rims are moved simultaneously, both wheels are propelled

One Hand Drive

WC TYPES (Pierson & Fairchild)

• _________

  • The chair is propelled by a deep-cycle battery system, and various types of controls are used to operate the chair (e.g., a joystick, a chin piece, or a mouth stick)

Externally powered

WC TYPES (Pierson & Fairchild)

• _______

  • A low-profile, fixed frame, lightweight (15-24 lb) chair with features such as a low back, canted rear wheels, fixed or adjustable axles, and fixed or adjustable seat and backrest

  • can be bought or customized for various sports activities

Sports

WC TYPES (Pierson & Fairchild)

• _________

  • Used for persons who need to partially or fully recline at some time when they are in the chair;

    • chair may be a semi-reclining or fully reclining chair

  • Semi-reclining chairs recline to ~ _____ ° from ____

  • Fully reclining chairs can recline to a ______ position

    • elevating leg rests and headrest extensions are necessary components for these chairs

Reclining Chairs

• ~30° from vertical

• horizontal position

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PART 2 :000