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Wheelchair Seating: The Mat Assessment

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1.  A mat assessment includes which of the following: Available range of motion Postural tendencies Postural support needs All of the above

2.  Why is evaluation in supine so important? Gravity is eliminated to better assess range, tone and alignment Gravity is eliminated, so the assessor doesn't have to work so hard The client can relax during the assessment The neck is better aligned in supine

3.  Where should the evaluator's hands be when assessing hip flexion in supine? One hand on each leg One hand on the pelvis and one hand under the lower leg One hand on the trunk and one hand under the lower leg Ask the client to flex their hip and knee and observe

4.  Sitting on the edge of the mat table, allows the evaluator to start "simulating" which of the following? Angles Support surfaces Hand control Both A and B are correct

5.  What key findings determine seat to back angle? Available range Trunk control Head control/balance All of the above are correct

6.  During the Supine portion of the Mat Assessment for Taylor, how was the seat to back angle primarily determined? Available range of motion Angle to inhibit extension Available angle of wheelchair frame Head and trunk control

7.  During the Sitting portion of the Mat Exam for Taylor, he had adequate range of motion to be placed in a symmetrical alignment. He had a strong tendency for ________ of his left side, leading to lateral scoliosis, left lateral neck flexion and pelvic obliquity (high on left). Flexion Extension Abduction Adduction

8.  A molded system was recommended for Taylor for all of the following reasons EXCEPT: With adequate support anteriorly, Taylor could be positioned in a semi-neutral and reclined position He required hip flexion to be maintained, limiting his overall extension He required knee flexion to be maintained, limiting his overall extension He required well distributed and intimate contact to maintain this position

9.  Even though Riley can be placed in neutral lateral spine alignment, what finding indicates need for intervention? She is growing She has increased muscle tone She has hypermobility on one side of her spine and no lateral flexion on the other side of her spine She has neck rotation

10.  In order to maintain an upright trunk, Riley required force and counter-force at which locations? Posterior head and anterior trunk Anterior trunk and posterior head, posterior mid-thoracic, posterior pelvis Posterior trunk and pelvis Anterior trunk and pelvis