Wheeled Mobility seating mobility Flashcards
(8 cards)
WHEELCHAIR AS ASSISTIVE TECH
Focus is on enabling function, not fixing the impairment.
Goal: Allow participation in ADLs (not remediation).
THE TEAM
Client + caregiver
OT/PT (main assessors)
DME vendor (equipment selection, insurance)
Rehab engineer (custom solutions)
MD, Physiatrist, SLP
Role of OT/PT in wheeled mobility and seating evaluation
Functional Assessment: ADLs, transfers, propulsion, positioning
Task Analysis: What tasks are hard and why?
Physical Assessment: Posture, ROM, tone, strength, vision, skin
Propulsion Method: How will they move?
Training: Teach safe & efficient use
Documentation: LMN + collaborate with team
Durable Medical Vendor
assist with:
- Equipment trials, component selection, insurance (paperwork)
- Education on care/maintenance
- modify parts/ put system together when parts arrive
Works with the therapist to determine the best piece of
equipment to meet the functional needs determined during
the evaluation
4 steps Role of OT/PT
Determine best activation of the mobility device
(propulsion method).
Determine the corrected seating position.
Provide training in the correct, efficient and safe operation of the device.
Consult with other providers and supplier to complete the prescription and letter of medical necessity.
Rehab engineers:
Step in for non-standard needs
Design/build custom devices
Consult with the team when there is no commercially available
solution
HAAT MODEL (Human Activity Assistive Tech)
Human: physical, cognitive, sensory capabilities
Activity: functional goals (e.g., hygiene, school, work)
Assistive Technology: mobility base, seating system
Context: personal & environmental factors, social, cultural, and physical context
🧠 Tip: Start with “What task is difficult and why?” → then match AT to the problem.
Manual vs Power Wheelchairs
Manual: Folding (easier transport) or rigid (better performance).
Power: Recline vs tilt, joystick controls, more independence but more maintenance.
