benefits of a power chair
get out in the community,
energy conservation, appropriate pressure sore release, increased independence
limitations of a power chair
expensive, bulky/heavy, maintenance
3 base choices
(where the big wheel is)
front wheel
midwheel
rear wheel
drive wheel position affects
maneuverability - turning radius, obstacle climbing, tracking
turning radius
RWD: back is a pivot, big turning radius
MWD: small turning radius, turns where you are
*easiest
FWD: little wheels turn behind you (have a tail)
obstacle climbing
front wheel climbs over obstacles the easiest (powers through it)
tracking
directional stability
RWD has the best = speed!
seating systems
control - proportional
control - non-proportional
* Offers less control (requires less coordination)
control - momentary
• Moves only when rider delivers command and stops when released
control - latched
• Continues to go until told to stop
(like a cruise control)
for someone with low endurance
access devices
advantages/disadvantages of recline chairs
comfort, PROM of hips and knees, self catheterization, OH, edema
spasms, shearing
advantages/disadvantages of tilt n space
decreased pressure sores and shear, edema, OH
can restrict the bladder, transport, price
rigid vs folding frame
rigid - lighter, less maintenance, hard to transfer
folding - easy to transfer, heavier, use for short period of time
wheel type
MAG wheels - heavy but sturdier
spoke - light, ***given to heavy wheelchair users
spinergy - the best (durable, light, good shock absorption)
tire type
solid - heavy, no maintenance
pneumatic - light, better shock absorption, grab on surfaces
flat free - in between
when are projections on handrails appropriate
someone with good hand function/dexterity
seat slope/dump
the weaker the trunk, the more dump is necessary to provide support
degree of camber average for everyday use
2-4 degrees