Exam Preview

Wheelchair Selection and Training Considerations for the Client with Spinal Cord Injury

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1.  During a client’s mat assessment, it is revealed that the left ischial tuberosity is lower than the right ischial tuberosity. How would this postural abnormality be documented? Right pelvic obliquity Left pelvic obliquity Posterior pelvic tilt Anterior pelvic tilt

2.  What wheelchair configuration could contribute to the client sitting with a posterior pelvic tilt? Seat depth too short only Leg rests too short Seat depth too long and leg rests too long None of the above

3.  When performing a mat assessment, what part of the body should be considered first? Pelvis Trunk Lower extremities Upper extremities

4.  What drive control should be considered for a client with a C4 complete spinal cord injury for independence with mobility and positioning? Standard joystick on a power wheelchair No need for drive control as clients with a C4 complete spinal cord injury are able to maneuver a chair manually Clients with a C4 complete spinal cord injury are unable to be independent with mobility Chin control joystick, head array

5.  Which of these is an example of a proportional drive control? Sip-n-puff drive control Head array drive control Head array/sip-n-puff combination drive control Chin control joystick

6.  Your 55-year-old client with C6 complete SCI presents to the seating clinic for evaluation for a new wheelchair. The client is able to propel an ultralight weight wheelchair short distances of 50 feet indoors with significant fatigue. He is unable to perform pressure relief or position his hips in the manual chair. You discuss with the client what type of wheelchair recommendation? Power wheelchair with power seat functions to perform pressure relief/positioning Ultralight weight manual wheelchair Scooter Light weight manual wheelchair

7.  The "PVA’s Consortium for Spinal Cord Medicine: Preservation of upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals” recommends that manual wheelchair users incorporate which into their propulsion technique? Recovery phase below hand rim Long push strokes Smooth push strokes All of the above

8.  What is the minimal frequency recommended for pressure relief while seated in a wheelchair? Every 15-30 minutes Every 35-45 minutes Every 50-60 minutes Every 75 minutes

9.  A client with incomplete T6 SCI presents to the seating clinic for assessment of need of a wheelchair. The client is able to perform short distance gait at home with an assistive device and AFO braces but experiences frequent falls. What outcome measure(s) could assist you in determining the need and justifying a custom wheelchair? 10 meter walk test 6 minute walk test Timed Up and Go assessment All of the above

10.  What outcomes measure(s) could be utilized to assess wheelchair skills and propulsion? Wheelchair Skills Test Wheelchair Propulsion Test Wheelchair Outcomes Measure All of the Above