wheelchairs
TRANSCRIPT
PRESENTED BY
GUNUKULA SAI SANGEETHAMPT 2ND YEARSRM COLLEGE OF PHYSIOTHERAPY SRM UNIVERSITY
Wheelchair is truly is mobility orthosisA properly prescribed wheelchair can be useful device in reintegrating a person with a disability into the community
Sufficient supportDeter the effect of deforming forcesAllow for maximum functional mobility
EXAMINATION PLAN OF CARE
PLAN OF CARE
SEATING SYSTEM
MOBILITY BASE
Those who need wheelchairs are those who either should not or cannot walk walking is either Inadvisable or Impossible
Inadvisability of ambulation may be because of
Contraindications to weight-bearing
Interference with wound healing
Prior to ambulation
Inadequate safety in walking or
Deficiency of the patientrsquos judgment
In all of these conditions the restriction against walking may be temporary
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Wheelchair is truly is mobility orthosisA properly prescribed wheelchair can be useful device in reintegrating a person with a disability into the community
Sufficient supportDeter the effect of deforming forcesAllow for maximum functional mobility
EXAMINATION PLAN OF CARE
PLAN OF CARE
SEATING SYSTEM
MOBILITY BASE
Those who need wheelchairs are those who either should not or cannot walk walking is either Inadvisable or Impossible
Inadvisability of ambulation may be because of
Contraindications to weight-bearing
Interference with wound healing
Prior to ambulation
Inadequate safety in walking or
Deficiency of the patientrsquos judgment
In all of these conditions the restriction against walking may be temporary
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Sufficient supportDeter the effect of deforming forcesAllow for maximum functional mobility
EXAMINATION PLAN OF CARE
PLAN OF CARE
SEATING SYSTEM
MOBILITY BASE
Those who need wheelchairs are those who either should not or cannot walk walking is either Inadvisable or Impossible
Inadvisability of ambulation may be because of
Contraindications to weight-bearing
Interference with wound healing
Prior to ambulation
Inadequate safety in walking or
Deficiency of the patientrsquos judgment
In all of these conditions the restriction against walking may be temporary
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
EXAMINATION PLAN OF CARE
PLAN OF CARE
SEATING SYSTEM
MOBILITY BASE
Those who need wheelchairs are those who either should not or cannot walk walking is either Inadvisable or Impossible
Inadvisability of ambulation may be because of
Contraindications to weight-bearing
Interference with wound healing
Prior to ambulation
Inadequate safety in walking or
Deficiency of the patientrsquos judgment
In all of these conditions the restriction against walking may be temporary
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
PLAN OF CARE
SEATING SYSTEM
MOBILITY BASE
Those who need wheelchairs are those who either should not or cannot walk walking is either Inadvisable or Impossible
Inadvisability of ambulation may be because of
Contraindications to weight-bearing
Interference with wound healing
Prior to ambulation
Inadequate safety in walking or
Deficiency of the patientrsquos judgment
In all of these conditions the restriction against walking may be temporary
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Those who need wheelchairs are those who either should not or cannot walk walking is either Inadvisable or Impossible
Inadvisability of ambulation may be because of
Contraindications to weight-bearing
Interference with wound healing
Prior to ambulation
Inadequate safety in walking or
Deficiency of the patientrsquos judgment
In all of these conditions the restriction against walking may be temporary
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Inadvisability of ambulation may be because of
Contraindications to weight-bearing
Interference with wound healing
Prior to ambulation
Inadequate safety in walking or
Deficiency of the patientrsquos judgment
In all of these conditions the restriction against walking may be temporary
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Deficiency in ambulation
results usually from the involvement of both lower limbs by one or more of such conditions as
Absence of an essential partParalysisDeformityPain on weight bearingIncoordinationIn all of these conditions the use of wheel chair may be permanent
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Fit correctly
Cosmetic to the user
Light weight
Yet strong as possible
Modified based on needs
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Age size amp weight
Disability amp prognosis
Functional skills
Indoor outdoor use
Portability accessibility
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Reliability durability
Cosmetic features
Options available
Service
Cost
Level of acceptance (Environment)
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
WHEELCHAIR USER
THERAPIST
FAMILY MENBERS
NURSES
PHYSICIANS
EDUCATORS
VOCATIONAL COUNSELORS
QUALIFIED REHABILITATIVE
TECHNOLOGY SUPPLIER
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Contacts the body directly
Seat
Back
Foot supports
Head support
Lateral supports for LE
Medial supports for knee
Straps or bands for UE
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Tubular frame
Arm rest
Foot supports
Wheels
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Examination of the patient
Evaluation of the data
Determining the
diagnosis
Prognosis
Anticipated goals and expected
outcomes
Planning the
intervention
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
History of the patientInterviewMedical and surgical historyTests and measuresNeurological statusPostural controlMusculoskeletal status
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Sensory statusFunctional skills levelCognitive perceptual behavioural statusCommunication level
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Patients work home environment should be consideredKITCHENBATHROOMSDOORS AND RAMPS
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
PHYSICAL EXAMINATION
EXAMINATION OF FUNCTION USING EXISTING EQUIPMENT
SUPINE EXAMINATION
SEATED EXAMINATION
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Examined in gravity minimized position (supine or side lying)
Gravity dependent position(sitting)
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Under thigh length
Leg length
Distance from seat to the lower scapula
Midscapula
Shoulder
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Distance from hanging elbow to seat surfaceWidth across the hipsOutside the knee to outside the opposite knee
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Good measurements has to be considered to avoid many problems
Too narrow seatUncomfortableDifficult accessDeveloping pressure sores
Too wide seatLeaning to one sidePromoting scoliosisDifficult propulsion
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Too shallow seatLess area of contactMore pressures over soft tissuesLess support to feet amp legsPoor balance
Too deep seatRestricted leg circulationsExtended leg forward slide in the chair Difficult propulsion
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
ROM for LE is determinedPelvic tilt should be neutralizedKnee flexed to 90 to 100 to eliminate effect of hamstrings
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Wheelchair frame stationary or foldable Seat and cushion Arm rests fixed or adjustable Stationary or
removable Leg rests adjustable or removable Foot rests Restraints chest belts
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
1 Push handle bracket tube
2 Backrest
3 Swing-away padded armrest
4 Pneumatic tire
5 Aluminum handrim
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
6 Aluminum wheel rim
7 Spokes
8 Rear wheel hub
9 Release axel
10 Axel plate
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
11 Frame12 High wheel lock13 Swing-away release14 Caster housing cover15 Caster plate16 Caster housing17 Seat cushion18 Seat sling
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
19 X-Hinge20 Swing-away foot rest21 Cross brace22 Caster fork23 Caster wheel24 Caster tire25 Flip-up foot rest26 Heel loop
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Wheelchair seat cushions should provide a high-level of comfort prevent bruising or sores that result from pressure points keep you cool and wick away moisture
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Foam cushionsGel cushionAir cushionHoney comb cushionHoneycomb cushions are made from thermoplastic urethane a material that provides excellent shock absorption and prevents users from bottoming out
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
v
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Caster locksCRUTHCH OR CANE HOLDERANTI-TIPPING DEVICESHILL HOLDER DEVICELock extensionsWheel rim coversRim projectionsDetachable footrest
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Elevating leg restRemovable arm restsAdductor cushion or pommelCustom moulded cushionPelvic positioners
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
1 Standard wheelchair2 Standard light weight wheelchair3 Ultra lightweight transport wheelchair4 Bathroom wheelchair5 Reclining back rigid frame sports chair 6 Tennis chair7 Rugby wheelchair8 Heavy duty pediatric wheelchair9 Power wheelchair
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
A chair that is designed to be low the ground allowing propulsion with the non involved upper and lower extremity Use low seat measurements Some therapists do not choose to use these chairs since they feel it reinforces abnormal reflexes The patient must have good perceptual motor skills
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
For patients who have bilateral lower extremity amputation the wheelchair has to be modified by placing the axis of the rear wheels back approximately 2 inches to increases the base of support in this direction Without the change the seated amputee has a high and posterior center of gravity compared to a non amputee and the chair could tip backwards more easily
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
SPORTS WHEELCHAIR
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
People active in recreational and competitive sportsSome people need more than one wheelchairStreet or everday wheelchairCompetitive chair
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
ArcherydiscusShot putPrecision javelinBasket ballTennisDancing the chair
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Because their bodies are growing and changing chairs for children and adolescents must be changed or replaced more often than an adult chair
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Add-on Power devices provide motorised power to the standard manual wheelchairRear wheel Mid wheel and Front wheel drive versionsIndoor and outdoorTypically controlled by a joystick but there are various other inputsTilt-in-space and reclining systems are available
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
POVscooterTransportable powerBasic power (non-adjustable)Power assistPower Base Off Road
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Tilt ReclineStandingSeat ElevationPower Elevating Leg Rest
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Increased functional abilityGreater social inclusionAccess to education and employmentReduced dependence on carersReduced fatigueBetter performance amp efficiency
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Access adaptations such as wheelchair spaces on public transport and wheelchair lifts are frequently designed around a typical manual wheelchairsBecause of the weight and size they typically cannot be self propelled by the user
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Require daily chargingGenerally non-foldable and requiring tie-downs in a van for transportationExpensive
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Modern power chairs now have the options to control a PC mobile phone or aspects of the environment
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
TONGUE OPERATED WHEELCHAIRVOICE OPERATED WHEELCHAIRHAND GESTURE BASED WHEELCHAIR MOVEMENT CONTROL FOR DISABLESmart wheel chair based on voice recognition for handicapped
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
directional stability (tracks in a straight line)Largest turning radiusPivot point behind the userExcellent traction up inclines poor down inclinesFastest speeds
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Slightly slower Good traction down hill Best climbing abilitySmoothest on rough terrain because of long wheel baseShorter turning radius than rear wheel drive
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Smallest turning radius Slower than rear wheel drive for safe control Traction about equal for up and down inclines Pivot point under the driver Additional casters for stability May experience a more significant rocking
motion over obstacles
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Wheelchair Tyres for Racing Activity and Day ChairsPneumatic Wheelchair TyresAirless Wheelchair Tyres
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Semi-pneumatic tires for wheelchairs ndash made of solid rubber or plastic with a ring of air running through the centreFoam tyres for wheelchairs ndash constructed from pneumatic tire inserts filled with polyurethane foam instead of airSolid tyres for wheelchairs ndash moulded from rubber or plastic these are the heaviest and most durable
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Using for first time requires trainingLearns how to propel in all directionsOperating the wheelchair assesoriesWheel locksFoot supportsArm rests
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Mechanisms safely without tippingTranferringBenefits from learning to do wheelies
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Driving skills and safetyHand control with joy stickHead control with individual switchesUser awarenessResponding in vareity of situation and obstacles
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Pushrim biomechanical changes with progressive increases in slope during motorized treadmill manual wheelchair propulsion in individuals with spinal cord injuryGagnon DH Babineau AC Champagne A Desroches G Aissaoui RJ Rehabil Res Dev 201451(5)789-802 doi 101682JRRD2013070168Feasibility of closed-loop controller for righting seated posture after spinal cord injuryMurphy JO BSE Audu ML Lombardo LM Foglyano KM BSE Triolo RJJ Rehabil Res Dev 201451(5)747-60 doi 101682JRRD2013090200
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Wheelchair Tilt-in-Space and Recline Does Not Reduce Sacral Skin Perfusion as Changing From the Upright to the Tilted and Reclined Position in People With Spinal Cord InjuryYih-Kuen Jan Barbara A Crane DOI httpdxdoiorg101016japmr201301004Archives of Physical Medicine and Rehabilitation Vol 94 Issue 6The manual wheelchair wheelie a review of our current understanding of an important motor skillKirby RL1 Smith C Seaman R Macleod DA Parker K
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
Barriers facilitators and access for wheelchair users substantive and methodologic lessons from a pilot study of environmental effectsMeyers AR1 Anderson JJ Miller DR Shipp K Hoenig H2002 Oct55(8)1435-46
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
1 Albert M Cook Susan M Hussey 2002 Assistive technologies principles and practice
2 Learner J Beverly J 2008 Learning Disabilities and Related Mild Disabilities
3 Chan J Davey C Bath Institute of Medical Engineer Buyers Guide Add on power devices for manual wheelchairs Aug 2008
4 DA HobsonSeptember 1999 viewed 10th May 2010httpwwwwheelchairnetorg
5 DX System Manual Dynamic Controls httpwwwdynamiccontrolscomindexcfm181html
6 Wikipedia Mobility scooter viewed 10th May 2010 httpenwikipediaorgwikiMobility_scooter May fish tail at higher speeds
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
httpwwwmobility-advisorcomwheelchair-seat-cushionshtmlsthashniOhDZyndpufPhysical Rehabilitation (OSullivan Physical Rehabilitation) 2006 by Susan B OSullivan (Author)5th edition
THANK YOU
THANK YOU