Deck 33: The Prescriptive Wheelchair

Question 1

Under what conditions should a team prescribe a motorized scooter or wheelchair if the person is capable of ambulation?

Answer 1

When daily life includes long distances beyond ambulation ability.

Question 2

An individual with low central tone may need a firm surface for a back insert but may have all but which of the following consequences?

A)Posterior pelvic tilt
B)Loss of lateral stability
C)Discomfort at bony protuberances
D)Need for lateral supports

Answer 2

A

Question 3

A posterior pelvic tilt,kyphotic posturing,and maintenance of lower extremity (LE)alignment are problems indicating what measurement of the wheelchair may be inaccurate?

Answer 3

The depth of the seat

Question 4

The mobility goal for wheelchair prescription is

A)efficient ease of movement.
B)user comfort.
C)pressure relief.
D)efficient transfer ease.

Question 5

The wheelchair team first makes decisions about the chair's postural support system which includes all except which of the following?

A)Head support
B)Armrests
C)Seat
D)Back

Question 6

Disadvantages of the sling seat surface are which of these resultant use postural deviations?

A)Anterior pelvic tilt
B)Thighs typically abducted and internally rotated
C)Sitting asymmetrically
D)All of the above

Question 7

A wellplanned seating system may be able to accomplish all EXCEPT which of the following?

A)Improve postural symmetry.
B)Decrease tone.
C)Increase comfort and sitting tolerance.
D)Decrease fatigue.

Question 8

The highest goal priority for wheelchair prescription is

A)anticipated goals of professionals and wheelchair user.
B)expected outcomes of the professional team.
C)the patient's actual environment.
D)orientation in space and access to the environment.

Question 9

You need to decide on a pelvic positioner for a small young child with strong extensor spasms.Which of the following would be the safest choice?

A)1-in.cinching-style belt with Velcro closure attached to frame rail
B)2-in.cinching-style belt for pelvic positioning
C)1.5-in.cinching-style belt with side-release buckle
D)1-in.cinching-style belt with side-release buckle attached to frame rail

Question 10

You may need to replace the wheelchair back to a higher level because of your patient's

A)fatigue.
B)poor trunk control.
C)back pain.
D)all of the above.

Question 11

Optimal propulsion positioning is

A)hands parallel with shoulder girdle and elbows at 90º.
B)hands slightly anterior to shoulder girdle and elbows >120º.
C)hands posterior to shoulder girdle and elbows 100º to 120º.
D)hands posterior to shoulder girdle and elbows >120º.

Question 12

A wheelchair will be harder to propel if

A)the seat is too wide rather than too narrow.
B)the wheels are spokeless rather than spoked.
C)the wheels are small rather than large.
D)all of the above.

Question 13

Why are elevating legrests not recommended for individuals with increased hamstring tone?

Question 14

The postural goal of wheelchair prescription is______________________.

Question 15

An entire team is making decisions concerning a prescriptive wheelchair for a high school student.Name one member to add to the following team: a therapist,a nurse,a physician,an educator,a vocational counselor,and a qualified rehabilitation technology supplier.
______________________________

Question 16

A significantly weak individual with wheelchair armrests too low for upper extremity support will likely experience

A)decreased pull on the shoulders and trunk.
B)less stable head positioning.
C)decreased postural assistance.
D)all of the above.

Question 17

The wheelchair teams makes decisions about the mobility base that may include all EXCEPT

A)user's functional level.
B)tubular frame and wheels.
C)caregiver needs.
D)armrests and foot supports.