Term
| ultimate purpose of a wheelchair? |
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Definition
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Term
| alignment + support = ??? |
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Definition
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Term
| 2 main components of a wheelchair? |
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Definition
| seating system and frame (mobility system) |
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Term
| are standard wheelchairs meant for neuro patients? |
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Definition
| no, they are for temporary use |
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Term
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Definition
| are the small wheels in front |
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Term
| what is needed for the use of a manual wheelchair? |
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Definition
Rom (not full Rom)
strength in UE
endurance |
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Term
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Definition
| there is only and endurance problem and positioning is not a priority |
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Term
| tilt in space or reclining chair gives pressure relief? |
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Definition
tilt in space give pressure relief.
reclining chair redistributes pressure |
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Term
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Definition
| have an off set axle to redistribute weight. |
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Term
| joystick, sip-n-puff, latched micro switch control system.... differences? |
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Definition
joystick- need full hand function
sip n puff: breathing control needed
latched micro switch: 4 separate switches for 4 different directions on different parts of the body. |
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Term
| what must a patient possess for a powered wheelchair? |
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Definition
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Term
| when placing extra stuff on a wheel chair u must prove? |
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Definition
| prove that the pt needs it, and document why. |
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Term
pts goals
pts functional ability
pts age and size
pts use?
temporary vs permanent
mental and physical capacity |
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Definition
| all things to think about when considering a wheel chair. |
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Term
| for posture examination with wheelchairs. what is the key? |
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Definition
the Pelvis is the key.
it controls everything |
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Term
| used to break up extension tone with wheelchairs? |
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Definition
anterior build up on edge of seat to place in flexion at the hip...
AKA antithrust cushion |
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Term
| use a head rest on a wheelchair if? |
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Definition
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Term
| ______ position is used when taking measurements to a wheelchair? |
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Definition
| hard surface in supine and a 90/90 |
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Term
| add X to leg length for footplate clearance of the floor? |
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Definition
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Term
| X fingers between the popliteal fossa and the start of the seat? |
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Definition
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Term
| seat width is X wider than the pts hips? |
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Definition
| hand between each hip and armrest |
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Term
| X fingers vertical from axillary to top of back rest? |
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Definition
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Term
| arm rest height should be where? |
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Definition
| to get elbows at 90 degrees |
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Term
| same the seating systems? |
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Definition
sling
linear / planar
generic (foam, gel, air)
custom molded contour |
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Term
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Definition
| the type in a standard wheelchair. no support |
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Term
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Definition
| solid seat, harder surface |
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Term
differences between
foam, gel, and air (roho) seats? |
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Definition
foam give most support, least pressure releif.
gel give middle of support and pressure relief
air- give most pressure relief, but least support |
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Term
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Definition
get in sacral for pressure relief.
with foam to support the femurs |
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Term
| Z breaks vs regular breaks? |
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Definition
| Z breaks are under the seat and out of the way. |
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Term
| if pressure is a problem. what is performed in wheel chair exams? |
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Definition
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Term
| acute poliomyelitis comes in X forms? what are they? |
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Definition
2
non-paralytic poliomyelitis:::: virus in bloodstream, flue like
paralytic poliomyelitis::: virus crosses the blood-brain barrier. destruction of motor nerve cells (anterior horn cells). with atrophy of dennervated muscle fibers. |
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Term
| symptoms of acute poliomyelitis? |
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Definition
| 2 weeks of fever, headache, sore throat, muscle pain and muscle paresis or paralysis |
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Term
| outcomes of acute poliomyelitis? |
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Definition
motor neuron and muscle fibers innervated ether are unaffected or recover. or are totally destroyed.
resulting in partially dennervated muscle |
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Term
| recovering from poliomyelitis? |
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Definition
50% of strength with in 3m, 75% in 6Months...
the recovery can be compromised with over taxing the patient
1. terminal axon sprouting (giant motor unit). 2. muscle fibers hypertrophied by intensive exercise and activity - dennervation hypertrphy.3. motor learning (compensation: overuse/substitution)
4. increased recruitment of the giant motor unit |
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Term
| does everyone with acute polio get postpolio syndrome? |
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Definition
| NO, but you do have to get acute polio go get post polio |
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Term
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Definition
| unknown, loss of neuron due to normal aging, premature aging? |
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Term
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Definition
increased metabolic demands (overuse) on the motor unit... pruning of the axon sprouts... decreased number of muscle fibers innervated... loss of motor units= muscle weakness
failure of transmission of the nerve impulse at the axon terminal (fatigue and decreased endurance |
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Term
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Definition
history of polio as child, with recovery . 15 years stability. then an onset of 2 or more new health problems (fatigue, weakness and or atrophy , muscle and joint pain, cold intolerance)
with no other medial condition to explain symptoms... |
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