Term
| What are the goals of a seating evaluation? |
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Definition
| To design a seating system that will allow a person to function and hold them in a decent position. |
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Term
| Describe the ideal seating position. |
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Definition
| 1. Neutral pelvis (start there!) 2. Neutral hip rotation. 3. Trunk in neutral both in A-P and M-L directions (accomodating scoliosis and side flexion). |
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Term
| Why do we want to get pts in good seating positions? (5) |
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Definition
| 1. Avoid contractures. 2. Avoid Pressure Sores. 3. Improve biomechanical function. 4. Improve oromotor function. 5. Improve respiration. |
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Term
| What is the educational component that goes along w/ a seating eval? |
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Definition
| The pt needs to know what problems they will run into over time if they don't maintain good seating posture. Some of them aren't immediate, so they need to know the long-term ramifications of poor posture as well. |
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Term
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Definition
| The deformity can't be changed. It's likely long-term and has been there for a while already. |
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Term
| What is a mobile deformity? |
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Definition
| It has potential for change. |
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Term
| In what position do you start a seating evaluation? Why? |
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Definition
| Start in supine because everything is relaxed and it takes out the gravitational component on deformities. |
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Term
| What is pelvic obliquity? |
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Definition
| One ASIS is higher than the other. |
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Term
| Once you've completed your evaluation in supine, where do you place the pt for the next part of the eval? why? |
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Definition
| In sitting on a mat, so you can see if you can put him in better position w/ gravity as a factor. *You will probably need two people for this component of the exam. |
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Term
| If in your supine eval you found that a pt had a fixed pelvic deformity w/ the L ASIS higher than the R, what will he do in sitting? |
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Definition
| he will tilt to the left in lumbar spine and tilt his upper trunk toward the upper right. |
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Term
| What may happen if there is too much sling in the pts w/c seat? |
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Definition
| The hips can become internally rotated. |
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Term
| What is windswept deformity? |
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Definition
| legs are swept to one side and the trunk is a bit leaned back. There is often contracture in this position. |
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Term
| If a pt has a fixed deformity of the pelvis w/ a higher R ischial tuberosity, what accomodations do you make? |
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Definition
| put a pad under the L to make the ischials even and put the trunk in the most upright possible position. Add in lateral supports where necessary; just below the apex of the upper and lower curves, and on the opposite side of the pelvis to prevent further scoliosis. |
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Term
| Three important concepts for seating evals. |
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Definition
| 1. Evaluated in supine first, then sitting. 2. Evaluate mobile vs. fixed deformity. 3. Evaluate perfect posture vs independent function costs/benefits. |
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