Questions and Answers
What are the two primary types of wheelchairs?
Power wheelchair and manual wheelchair
Which type of wheelchair is generally prescribed for individuals with cervical spine injuries at the C4 level or above?
Match the following wheelchair types with their descriptions:
Reclining wheelchair = Indicated for individuals unable to maintain an upright position Tilt-in-space wheelchair = Used for pressure relief and severe extensor spasms Sports wheelchair = Designed for competitive sports activities Amputee chair = Modified for patients with bilateral lower-extremity amputations
What is a PAPAW wheelchair?
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The measure for seat width in a wheelchair is the patient's hip width at the widest part plus ___ inches.
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A bariatric wheelchair is designed for individuals with standard body sizes.
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What are some primary goals of respiratory management for patients in wheelchairs after an injury?
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Study Notes
Wheelchair Types and Uses
- Prescriptive Wheelchairs: Decision between power and manual; manual for those with intact triceps function; C5-C6 injuries may use manual with limitations; higher cervical injuries typically require power wheelchairs.
- Power Wheelchairs: Recommended for C4 and higher lesions; C5 potential candidates for community mobility; C1-C4 users may access sip-n-puff, head array, or tongue touch keypads for mobility assistance.
- C6 Users: Can use manual wheelchairs on flat surfaces but may struggle due to lack of grip and triceps function; power mobility often used for community access.
- C7 Users: Partial triceps innervation facilitates manual wheelchair propulsion, though still challenging; power chair may be used for community mobility.
- C8 Users: Generally use manual wheelchairs with finger flexors providing functional grip for more advanced mobility skills and community use.
- T1 Users: Rely on manual wheelchair for movement; respiratory management crucial post-injury focusing on ventilation and effective cough.
Specialized Wheelchairs
- Reclining Wheelchair: For individuals who can't maintain upright position independently.
- Tilt-in-Space Wheelchair: Provides pressure relief and stability for users with severe muscle spasms; tilts to maintain proper seat-to-back angle.
- Recreational Wheelchair: Equipped for all-terrain use; features large, thick tires and robust front casters.
- Sports Wheelchair: Lightweight, designed for competitive activities; offers a low seat, back leg straps, and small push rims for maneuverability.
- Stander Wheelchair: Facilitates independent height adjustment and standing capabilities.
- Stair-Climbing Wheelchair: Balances on two wheels, utilizing sensors and gyroscopes; FDA-approved with specific training.
- Hemiplegic Chair: Low ground design allows for propulsion using non-involved limbs.
- Amputee Chair: Modified design for stability; improves propulsion for users with bilateral lower-extremity amputations by adjusting wheel placement.
- Powered Wheelchair: For individuals unable to self-propel or with low endurance; supports mobility needs.
- Bariatric Wheelchair: Heavy-duty, wider seating for larger users; engineered for efficient arm push with a modified center of gravity.
Wheelchair Measurements
- Seat Width Measurement: Measure the patient's hip width at the widest point; add 2 inches for optimal fit.
- Excessive Width: Can hinder the ability to reach drive wheels and propel the chair effectively.
- Narrow Width: Risks pressure and discomfort for the user.
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Description
Explore the various types of wheelchairs, their specific uses, and relevant measurements. This quiz includes essential definitions and key features of both manual and power wheelchairs, focusing on selections based on individual needs and capabilities.
