walking aids wheelchair (dokter muda)_.ppt

DEPARTEMENBAGIAN KEDOKTERAN FISIK DAN REHABILITASIFK UNLAM - RUMAH SAKIT UMUM DAERAH ULIN BANJARMASIN

GOAL WHEELCHAIR

Maximize functional independence with ADL

Minimize the risk of 2nd injuries Correct or accommodate skeletal

deformities Assure comfort Promote positive and unobtrusive

self-image

3

WHEEL CHAIR USER

children adults and the elderly men and women and girls and boys people with different

neuromusculoskeletal impairments lifestyles life roles and socioeconomic status

people living in different environments including rural semi-urban and urban

4

Appropriate Wheel Chair

1048692 meets the userrsquos needs amp environmental conditions

1048692 provides proper fit amp postural support1048692 is safe and durable1048692 is available in the country1048692 can be obtained maintained amp

services sustained in the country at an affordable cost

5

Penilaian Kursi Roda

Proses ini melibatkan informasi kritis tentang pengguna amp lingkungannya

Penting diagnosis hrs jelas yang membutuhkan wheelchair berpengaruh thd preskripsi kursi roda amp kesehatan px

Spesifikasi kursi roda yg proper mempertimbangkan aktivitas px (dibagi 3)1 ADL 2 Vokasional amp Edukasional3 Rekreasi

6


- ADL Akses ketinggian meraih obyek yg tinggi

- VokasionalEdukasional Kebutuhan spesifik untuk mobilisasi (laborat OK toko mesin dsb)

- Rekreasi pusat komunitas restoran bioskop amp lingk rekreasi

- Tipe asuransi alat transport kemampuan fisik

- Lingk permukaan jalan jenis jalan7

Pemeriksaan Fisik

Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas

Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)

8

Choosing a wheelchairWhich chair would best suit your needs according to

Level and type of injury Age Body Type Endurance

Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the

chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard

wheelchair or will I need an electric wheelchair 9

Type of Wheelchair Manual Wheelchair

- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs

Powered Wheelchair10

11

Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu

12

High Strength Lightweight amp Ultralight WC Dirancang utk

penggunaan jangka lama

Model yang adjustable (tu ultralights)

13

Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih

kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi

tumbuh kembang anak)

14

Tennis Sport WheelChair

Basic Wheelchair Dimension Seat height

high enough to accommodate leg length

longer leg need angled elevating leg rests

at least 27 inch high knee clearance under table amp surface

Seat depth provide support for thighs too shallow higher sitting

pressure too deep excess pressure

behind knee amp calf recommended 1 ndash 2 inch

gap between popliteal area amp front edge cushion

16

Seat width 1 inch wider than width

of the widest part of the buttocks

too narrow pressure sore

too wide difficult to push the chair

Back height below inferior angle

scapula various kinds of back

support Armrest height

distance between forearm amp buttock

17

Manual Wheelchair Set-up

Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle

18

Wheelchair Propulsion

19

Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier

durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires

sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)

Wheel lockfor safety and can be as brakes

Grade aidsdevices attach to frame prevent WC from rolling backward

20

Manual WC Components amp Accessories

Push rimsavailable in different size shapes amp surface

Lever drives Dual-lever drive common in Europe China amp Far

east countries Drawbacks-lever drive difficulties in tight

places transfers amp transportability Single-lever drive allow WC using one arm

Antitippersattach to rear adjustable length tubesprotect user from tipping backward

21

22

Power-Assisted Wheelchairs

23

Tujuan

Memperbaiki keseimbangan Distribusi berat tubuh

Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80

Mengurangi beban tubuh pada AGB

Sensory feedback

Canes Measure the tip of the

cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length

The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids

Walker

Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)

Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees

Visual Impairment Cane (White Canestick) A visual

impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red

Crutches Crutch length Measure the distance from

the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed

Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist

This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot

Crutches Precaution

Never prescribe single crutch

Cardiovascular and general condition Crutch Death

WALKER CANE CRUTCH

ENERGY EXPENDITUREENERGY EXPENDITURE

SPEED amp AGILITYSPEED amp AGILITY

BALANCE amp STABILITYBALANCE amp STABILITY

PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe

it it properlyproperlyOr not et Or not et

alal

AMBULATION aids amp wheelchair

Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik

Choosing a wheelchair

Type of Wheelchair

Slide 11

Standard Wheelchair

High Strength Lightweight amp Ultralight WC

Pediatric Wheelchair


Basic Wheelchair Dimension

Slide 17



Manual WC components amp accessories


Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker

Visual Impairment Cane (White Canestick)

Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38

GOAL WHEELCHAIR

Maximize functional independence with ADL

Minimize the risk of 2nd injuries Correct or accommodate skeletal

deformities Assure comfort Promote positive and unobtrusive

self-image

3

WHEEL CHAIR USER




4





5





6







Pemeriksaan Fisik



8









11


12




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38

WHEEL CHAIR USER




4





5





6







Pemeriksaan Fisik



8









11


12




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38





5





6







Pemeriksaan Fisik



8









11


12




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38





6







Pemeriksaan Fisik



8









11


12




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38







Pemeriksaan Fisik



8









11


12




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38









11


12




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38


12




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38




13




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38




14










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38










16









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38









17



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38



18


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38


19






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38






20







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38







21

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38

22


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38


23

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38

Tujuan




Sensory feedback




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38




Walker









Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38







Crutches Precaution



WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38

WALKER CANE CRUTCH






alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38



alal


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38


Slide 2

GOAL WHEELCHAIR

WHEEL CHAIR USER



Slide 7

Pemeriksaan Fisik


Type of Wheelchair

Slide 11

Standard Wheelchair





Slide 17





Slide 22


Slide 24

Slide 25

Tujuan

Slide 27

Slide 28

Canes

Walker


Crutches

Slide 33

Slide 34

Crutches Precaution

Slide 36

PRESCRIPTION

Slide 38

walking aids wheelchair (dokter muda)_.ppt

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