DPT 712 WC & WC SKILLS EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS
Considerations for vertebral instability
Orthopedic precautions
Check fit of vertebral orthosis while sitting in WC
Avoid activities that will cause motion when spine is unstable
T/F: we should not attain WC measurements when the pt is in a TLSO or cervical
collar
true - unless they will be wearing bracing forever
Considerations for skin abrasions & pressure ulcers
Pressure relieving cushion
Appropriate fit of WC
Pressure relief 15 to 20 min
Proper sitting posture
Monitor skin
Additional padding over buttocks/sacral region for stair negotiation
When should SCI pts perform weight shifts?
every 15-20 minutes
T/F: redness is normal in regard to pressure injuries
true - only if the redness disappears once the pt performs pressure relief maneuvers
Considerations for injuries from a tip or a fall
,Properly fitting WC- pelvic positioning belt, antitippers
Education in safe use and fall techniques
Guarding during training
Considerations for an overstretched low back
Proper sitting posture
Adequate posture in WC
Postural support- WC and cushion
Considerations for postural deformity
Proper sitting posture
Postural support- WC and cushion
Positioning of access devices
Considerations for shoulder pain
Proper sitting posture when propelling WC
Good fit
Training on effective and safe propulsion pattern
Exercise program for strength, endurance and flexibility
If the wheels are too posterior, what does this allow for?
more stability, but then the pt has to reach further back to propel the WC
What are power wheelchair considerations for the tetraplegia population?
Difficulty manipulating devices—unable to shift to correct seating posture or weight shift
*Watch for poor posture in chair and skin breakdown
, Spasticity when chair reclines
Considerations for tetraplegia pts using a power WC
Make sure to trial multiple devices if needed to ensure proper fit and use
Evaluate users ability to:
-Propel the chair
-Perform pressure relief
-Return to upright position
-Maintain good sitting posture
Considerations for pts with incomplete SCIs when choosing a WC
Potential for motor return
-Unpredictable how much/if return will occur
-User should have WC that fits current needs upon evaluation
-One option is to have a rental chair until ultimate function potential is more clear
-If not possible to rent, choose chair that fits current needs, but has multiple options for
modifications
If a pt with an incomplete SCI can use their LE but not as primary source of
walking, how can we position the seat to allow for this?
keep seat lower to ground so pt can put feet on floor and use them to propel
Lower extremities for wheelchair propulsion
WITH COMPLETE SOLUTIONS
Considerations for vertebral instability
Orthopedic precautions
Check fit of vertebral orthosis while sitting in WC
Avoid activities that will cause motion when spine is unstable
T/F: we should not attain WC measurements when the pt is in a TLSO or cervical
collar
true - unless they will be wearing bracing forever
Considerations for skin abrasions & pressure ulcers
Pressure relieving cushion
Appropriate fit of WC
Pressure relief 15 to 20 min
Proper sitting posture
Monitor skin
Additional padding over buttocks/sacral region for stair negotiation
When should SCI pts perform weight shifts?
every 15-20 minutes
T/F: redness is normal in regard to pressure injuries
true - only if the redness disappears once the pt performs pressure relief maneuvers
Considerations for injuries from a tip or a fall
,Properly fitting WC- pelvic positioning belt, antitippers
Education in safe use and fall techniques
Guarding during training
Considerations for an overstretched low back
Proper sitting posture
Adequate posture in WC
Postural support- WC and cushion
Considerations for postural deformity
Proper sitting posture
Postural support- WC and cushion
Positioning of access devices
Considerations for shoulder pain
Proper sitting posture when propelling WC
Good fit
Training on effective and safe propulsion pattern
Exercise program for strength, endurance and flexibility
If the wheels are too posterior, what does this allow for?
more stability, but then the pt has to reach further back to propel the WC
What are power wheelchair considerations for the tetraplegia population?
Difficulty manipulating devices—unable to shift to correct seating posture or weight shift
*Watch for poor posture in chair and skin breakdown
, Spasticity when chair reclines
Considerations for tetraplegia pts using a power WC
Make sure to trial multiple devices if needed to ensure proper fit and use
Evaluate users ability to:
-Propel the chair
-Perform pressure relief
-Return to upright position
-Maintain good sitting posture
Considerations for pts with incomplete SCIs when choosing a WC
Potential for motor return
-Unpredictable how much/if return will occur
-User should have WC that fits current needs upon evaluation
-One option is to have a rental chair until ultimate function potential is more clear
-If not possible to rent, choose chair that fits current needs, but has multiple options for
modifications
If a pt with an incomplete SCI can use their LE but not as primary source of
walking, how can we position the seat to allow for this?
keep seat lower to ground so pt can put feet on floor and use them to propel
Lower extremities for wheelchair propulsion
