Rio Mobility Firefly Manuale Utente Scaricare il pdf (Pagina 20)

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Instruct Individuals with SCI who Complete Independent

Transfers to:

- Perform Level Transfers When Possible.

- Avoid Positions of Impingement When Possible.

- Vary the Technique Used and the Arm that Leads.

C l i n i c a l P r a c t i c e G u i d e l i n e s f o r P r e s e r v a t i o n

o f U p p e r L i m b F u n c t i o n F o l l o w i n g S C I

E q u i p m e n t s e l e c t i o n & Tr a i n i n g

1 2 ... 15 16 17 18 19 20 21 22 23 24 25 ... 131 132

Dynamic Wheeled Mobility 1
ACKNOWLEDGEMENT 2
DISCLOSURES 3
DEFINITION 4
Tilt & Recline 5
Standing 5
History of 7
DWM 101: Rules 11
DWM 101: Applications 12
DWM 101: Theory 13
Clinical Practice Guidelines 15
Material 17
SEMICIRCULAR ARC PATTERN 19
Transfers to: 20
Transfers 21
Reaching 21
Other ADL’s 21
Context of Use." 22
Manual Wheelchair 22
Static Configuration: 24
Concessions and Trade-off’s 24
Designing Wheelchairs for 25
Functions Other Than 25
Propulsion 25
“Bouts of Mobility” 26
Daily Activities 27
DWM - Is It Worth the Weight? 29
Where is weight important? 31
DWM: Concepts 33
DWM – Modular Designs 34
MODULAR DESIGNS – Lasher BT-X 35
DWM – Add-On Components 36
 Clip-on handcycles 40
 Freewheel 41
 Wheelblades 43
DWM – DYNAMIC RECONFIGURATION 44
DWM Chair Examples 45
Modified Icon A1 46
Wheelbase Adjustability 49
Dynamic Seat Height 51
Dynamic Recline 52
E L E V A T I O N 53
Elevated seating stability 54
“lifting” side guards 54
Configurations 58
Conservation of Contextual 62
DWM Applications: Reach 68
That’s How! 71
EFFECTIVELY IMPLEMENT A CPG!! 72
FUNCTIONAL REACH 73
DWM Applications: Propulsion 74
4.8° (12:1) 75
7° (8:1) 75
CASE STUDY 76
17x16+0 85 Degree TiLite ZRc 77
Seat Slope = 14° 80
Effective 82
Analysis 83
14 SEAT slope (4” seat dump) 86
95 BACK recline 86
PROPULSION – LEVEL WHEELING 87
14 SEAT slope 88
0 SEAT slope (flat seat) 89
80 BACK decline 89
PROPULSION – DOWN HILL 90
18 SEAT slope (5” seat dump) 93
110 BACK recline 93
Shoulder vs Elbow Angle 95
HOW IT WORKS 98
(and with less skills needed 99
DWM Applications: Transfers 101
Dynamic Reconfiguration 102
TRANSFER ONE SETUP 102
TRANSFER TWO SETUP 103
AREC 2014 108
• Pressure re-distribution 109
Subject 4*Subject 3 110
Subject 2 110
Subject 1 110
CARDIOVASCULAR FUNCTION 113
DWM Applications: ADL’s 114
How do people use Elevation? 115
Employment 118
Children (Pediatrics) 119
Recreation 120
High reaching 121
Self care 122
“Low” setup 124
“High” setup 125
CP <48 cm> 126
SCI <41 cm> 126
Daily height chart – 2 people 127
= 0.77 (p < 0.05) - ASAP 128
= 0.57 (p = 0.14) - WhOM 128
Elevation + Freewheel 129
Future DWM? 130
Coming Soon 132

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Rio Mobility Firefly Manuale Utente Pagina 20

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