What are the components of a prescriptive w/c?
Postural Support System and Wheeled Mobility Base.
Describe the Postural Support System.
Composed of surfaces that directly contact the user's body.
Seat, back, and foot supports as well as any additional components needed to maintain postural alignment. Arm rests.
Could include head supports, lateral support for trunk, hips and knees; medial support for knees; and upper extremity support surfaces as well as straps.
Describe mobility base.
Tubular frame, armrests, foot supports, and wheels.
How do you measure the thigh length (patient term)?
Typically Supine - measure from popliteal space to back of sit area (with clipboard if neccesary)
How do you determine the Seat Depth (w/c term)?
Take the Thigh length and subtract 2".
How do you measure the leg length?
From popliteal area to bottom of foot.
How do you determine the seat height (from floor to cushion?)
Take the leg length and add 2".
How do you determine the back height (patient term)?
Depending on the area you want to support, from bottom of ischial tuberosities to acromion. Or you can go from axillary fold and take away 4" for room on inferior angle.
How do you determine back height (w/c term)?
Same as patient term
How do you measure hanging elbow length (patient term)?
Relax shoulder. Measure from olecranon to seated surface.
How do you determine the arm rest height (w/c term)?
Add 1" to hanging elbow length.
How do you measure hip width (patient term)?
With two clipboards on sides of greater trochanters, measure the inside of the boards at eye level.
How do you determine the seat width (w/c term)?
Add 2" to hip width.