Date post: | 27-Apr-2017 |
Category: |
Documents |
Upload: | aya-soraya |
View: | 229 times |
Download: | 2 times |
DEPARTEMENBAGIAN KEDOKTERAN FISIK DAN REHABILITASIFK UNLAM - RUMAH SAKIT UMUM DAERAH ULIN BANJARMASIN
GOAL WHEELCHAIR
Maximize functional independence with ADL
Minimize the risk of 2nd injuries Correct or accommodate skeletal
deformities Assure comfort Promote positive and unobtrusive
self-image
3
WHEEL CHAIR USER
children adults and the elderly men and women and girls and boys people with different
neuromusculoskeletal impairments lifestyles life roles and socioeconomic status
people living in different environments including rural semi-urban and urban
4
Appropriate Wheel Chair
1048692 meets the userrsquos needs amp environmental conditions
1048692 provides proper fit amp postural support1048692 is safe and durable1048692 is available in the country1048692 can be obtained maintained amp
services sustained in the country at an affordable cost
5
Penilaian Kursi Roda
Proses ini melibatkan informasi kritis tentang pengguna amp lingkungannya
Penting diagnosis hrs jelas yang membutuhkan wheelchair berpengaruh thd preskripsi kursi roda amp kesehatan px
Spesifikasi kursi roda yg proper mempertimbangkan aktivitas px (dibagi 3)1 ADL 2 Vokasional amp Edukasional3 Rekreasi
6
Penilaian Kursi Roda
- ADL Akses ketinggian meraih obyek yg tinggi
- VokasionalEdukasional Kebutuhan spesifik untuk mobilisasi (laborat OK toko mesin dsb)
- Rekreasi pusat komunitas restoran bioskop amp lingk rekreasi
- Tipe asuransi alat transport kemampuan fisik
- Lingk permukaan jalan jenis jalan7
Pemeriksaan Fisik
Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas
Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)
8
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
GOAL WHEELCHAIR
Maximize functional independence with ADL
Minimize the risk of 2nd injuries Correct or accommodate skeletal
deformities Assure comfort Promote positive and unobtrusive
self-image
3
WHEEL CHAIR USER
children adults and the elderly men and women and girls and boys people with different
neuromusculoskeletal impairments lifestyles life roles and socioeconomic status
people living in different environments including rural semi-urban and urban
4
Appropriate Wheel Chair
1048692 meets the userrsquos needs amp environmental conditions
1048692 provides proper fit amp postural support1048692 is safe and durable1048692 is available in the country1048692 can be obtained maintained amp
services sustained in the country at an affordable cost
5
Penilaian Kursi Roda
Proses ini melibatkan informasi kritis tentang pengguna amp lingkungannya
Penting diagnosis hrs jelas yang membutuhkan wheelchair berpengaruh thd preskripsi kursi roda amp kesehatan px
Spesifikasi kursi roda yg proper mempertimbangkan aktivitas px (dibagi 3)1 ADL 2 Vokasional amp Edukasional3 Rekreasi
6
Penilaian Kursi Roda
- ADL Akses ketinggian meraih obyek yg tinggi
- VokasionalEdukasional Kebutuhan spesifik untuk mobilisasi (laborat OK toko mesin dsb)
- Rekreasi pusat komunitas restoran bioskop amp lingk rekreasi
- Tipe asuransi alat transport kemampuan fisik
- Lingk permukaan jalan jenis jalan7
Pemeriksaan Fisik
Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas
Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)
8
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
WHEEL CHAIR USER
children adults and the elderly men and women and girls and boys people with different
neuromusculoskeletal impairments lifestyles life roles and socioeconomic status
people living in different environments including rural semi-urban and urban
4
Appropriate Wheel Chair
1048692 meets the userrsquos needs amp environmental conditions
1048692 provides proper fit amp postural support1048692 is safe and durable1048692 is available in the country1048692 can be obtained maintained amp
services sustained in the country at an affordable cost
5
Penilaian Kursi Roda
Proses ini melibatkan informasi kritis tentang pengguna amp lingkungannya
Penting diagnosis hrs jelas yang membutuhkan wheelchair berpengaruh thd preskripsi kursi roda amp kesehatan px
Spesifikasi kursi roda yg proper mempertimbangkan aktivitas px (dibagi 3)1 ADL 2 Vokasional amp Edukasional3 Rekreasi
6
Penilaian Kursi Roda
- ADL Akses ketinggian meraih obyek yg tinggi
- VokasionalEdukasional Kebutuhan spesifik untuk mobilisasi (laborat OK toko mesin dsb)
- Rekreasi pusat komunitas restoran bioskop amp lingk rekreasi
- Tipe asuransi alat transport kemampuan fisik
- Lingk permukaan jalan jenis jalan7
Pemeriksaan Fisik
Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas
Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)
8
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Appropriate Wheel Chair
1048692 meets the userrsquos needs amp environmental conditions
1048692 provides proper fit amp postural support1048692 is safe and durable1048692 is available in the country1048692 can be obtained maintained amp
services sustained in the country at an affordable cost
5
Penilaian Kursi Roda
Proses ini melibatkan informasi kritis tentang pengguna amp lingkungannya
Penting diagnosis hrs jelas yang membutuhkan wheelchair berpengaruh thd preskripsi kursi roda amp kesehatan px
Spesifikasi kursi roda yg proper mempertimbangkan aktivitas px (dibagi 3)1 ADL 2 Vokasional amp Edukasional3 Rekreasi
6
Penilaian Kursi Roda
- ADL Akses ketinggian meraih obyek yg tinggi
- VokasionalEdukasional Kebutuhan spesifik untuk mobilisasi (laborat OK toko mesin dsb)
- Rekreasi pusat komunitas restoran bioskop amp lingk rekreasi
- Tipe asuransi alat transport kemampuan fisik
- Lingk permukaan jalan jenis jalan7
Pemeriksaan Fisik
Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas
Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)
8
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Penilaian Kursi Roda
Proses ini melibatkan informasi kritis tentang pengguna amp lingkungannya
Penting diagnosis hrs jelas yang membutuhkan wheelchair berpengaruh thd preskripsi kursi roda amp kesehatan px
Spesifikasi kursi roda yg proper mempertimbangkan aktivitas px (dibagi 3)1 ADL 2 Vokasional amp Edukasional3 Rekreasi
6
Penilaian Kursi Roda
- ADL Akses ketinggian meraih obyek yg tinggi
- VokasionalEdukasional Kebutuhan spesifik untuk mobilisasi (laborat OK toko mesin dsb)
- Rekreasi pusat komunitas restoran bioskop amp lingk rekreasi
- Tipe asuransi alat transport kemampuan fisik
- Lingk permukaan jalan jenis jalan7
Pemeriksaan Fisik
Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas
Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)
8
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Penilaian Kursi Roda
- ADL Akses ketinggian meraih obyek yg tinggi
- VokasionalEdukasional Kebutuhan spesifik untuk mobilisasi (laborat OK toko mesin dsb)
- Rekreasi pusat komunitas restoran bioskop amp lingk rekreasi
- Tipe asuransi alat transport kemampuan fisik
- Lingk permukaan jalan jenis jalan7
Pemeriksaan Fisik
Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas
Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)
8
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Pemeriksaan Fisik
Kemampuan fisik px Menyesuaikan kursi roda amp seating system Memutuskan kursi roda yg plg pas Memastikan indikasinya pas
Kebutuhan Kursi Roda- Penyakit Kardiovaskuler- Gangguan muskuloskeletal amp neurologis- Nyeri (Arthritis)
8
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Choosing a wheelchairWhich chair would best suit your needs according to
Level and type of injury Age Body Type Endurance
Also following considerations How long will I be in my wheelchair Will I need a specialist cushion to sit on which fits the
chair Will I be using my wheelchair outdoors indoors Will I be using my chair for wheelchair sports Will I need a lightweight wheelchair or a standard
wheelchair or will I need an electric wheelchair 9
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Type of Wheelchair Manual Wheelchair
- Depot amp Attendant-Propelled- Attendant-Propelled Chairs- Lightweight and Ultralight Wheelchairs
Powered Wheelchair10
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
11
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Standard Wheelchair Dirancang shorterm Penggunaan di RS amp Institusi Tidak direkomendasikan u dipakai sendiri Berat amp ukuran tertentu
12
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
High Strength Lightweight amp Ultralight WC Dirancang utk
penggunaan jangka lama
Model yang adjustable (tu ultralights)
13
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Pediatric Wheelchair Hampir sama dg kursi roda dewasa lebih
kecil (lebar seat lt 14 inch) Adjustable frame (mengakomodasi
tumbuh kembang anak)
14
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Tennis Sport WheelChair
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Basic Wheelchair Dimension Seat height
high enough to accommodate leg length
longer leg need angled elevating leg rests
at least 27 inch high knee clearance under table amp surface
Seat depth provide support for thighs too shallow higher sitting
pressure too deep excess pressure
behind knee amp calf recommended 1 ndash 2 inch
gap between popliteal area amp front edge cushion
16
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Seat width 1 inch wider than width
of the widest part of the buttocks
too narrow pressure sore
too wide difficult to push the chair
Back height below inferior angle
scapula various kinds of back
support Armrest height
distance between forearm amp buttock
17
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Manual Wheelchair Set-up
Seat amp back angle adjustments Rear wheel camber Rear axle position Horizontal axle position Vertical axle position Amputee axle
18
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Wheelchair Propulsion
19
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Manual WC components amp accessories Wheelsa mag wheel (composite plasticsmetal heavier
durable amp less maintenance)b spoked wheel (tendency to get out of alignment) Tires
sizes 222426 inchvery smooth ndash extremely knobbyinner part solid air-filled (pneumatic)
Wheel lockfor safety and can be as brakes
Grade aidsdevices attach to frame prevent WC from rolling backward
20
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Manual WC Components amp Accessories
Push rimsavailable in different size shapes amp surface
Lever drives Dual-lever drive common in Europe China amp Far
east countries Drawbacks-lever drive difficulties in tight
places transfers amp transportability Single-lever drive allow WC using one arm
Antitippersattach to rear adjustable length tubesprotect user from tipping backward
21
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
22
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Power-Assisted Wheelchairs
23
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Tujuan
Memperbaiki keseimbangan Distribusi berat tubuh
Cane 20-25 Forearmarm cane 40-50 Bilateral crutches 80
Mengurangi beban tubuh pada AGB
Sensory feedback
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Canes Measure the tip of the
cane to the level of the greater trochanter with the patient in an upright position to determine the proper cane length
The elbow should be flexed approximately 20 degrees which is a desirable elbow position for all ambulation aids
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Walker
Place the front of the walker 12 inches in front of the patient (the walker should partially surround the patient)
Determine the proper height of the walker by having the patient stand upright with the shoulders relaxed and the elbows flexed 20 degrees
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Visual Impairment Cane (White Canestick) A visual
impairment cane should be lightweight flexible and easily collapsible The distal inches of the cane are red
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Crutches Crutch length Measure the distance from
the anterior axillary fold to a point 6 inches lateral to the fifth toe with the patient standing with the shoulders relaxed
Handpiece Measure with the patientrsquos elbow flexed 30 degrees the wrist in maximal extension and the fingers forming a fist
This is measured after the total crutch height is determined with the crutch 3 inches lateral to the foot
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
Crutches Precaution
Never prescribe single crutch
Cardiovascular and general condition Crutch Death
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
WALKER CANE CRUTCH
ENERGY EXPENDITUREENERGY EXPENDITURE
SPEED amp AGILITYSPEED amp AGILITY
BALANCE amp STABILITYBALANCE amp STABILITY
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal
PRESCRIPTION Medicinepharmacologic agents Physical agents Exercises Orthotics amp Prosthetics Walking aids amp WC Etc Prescribe Prescribe
it it properlyproperlyOr not et Or not et
alal