Wheelchair Assessment - Body Measurements: Difference between revisions

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== Introduction ==
== Introduction ==
The Physical Assessment is the second part of the Wheelchair Assessment Process which consists of four elements, with information from each of these assisting wheelchair service personnel to decide how much support the wheelchair user needs. 
Accurate measurement of the client will enable clinicians to:
# Skin Check - Identifying the Presence, Risk of or History of Pressure Areas; 
* Correctly size trial equipment for the client
# Method of Propulsion - Identifying How the Wheelchair User will Push Wheelchair;
* Reduce the number of client transfers and improve time management by pre-setting the seating and wheeled mobility equipment according to body measurement prior to an appointment
# Taking Measurements - Often known as the MAT (Mechanical Assessment Tool)
* Have an accurate reference for the final seating configuration and any future equipment trials, and
# Assessment of Sitting Balance to Determine Additional Postural Support Required through:
* Outline the clinical reasoning behind the specifications of wheeled mobility prescriptions in funding applications.<div align="justify"><div align="justify">
* observation of sitting posture without support;
== Preparations ==
* carrying out a pelvis and hip posture screen, which identifies how any problems around the pelvis or hips may affect the wheelchair user’s sitting posture;
* carrying out hand simulation to ‘simulate’ the support that a wheelchair and additional postural supports may provide;
== Skin Check; Identifying the Presence, Risk of or History of [[Decubitus ulcers|Pressure Areas]] ==
A skin check is indicated if there is a history or risk of skin breakdown. Many sitting-acquired pressure areas develop against seating support surfaces such as the cushion and back support. A skin check for redness or evidence of skin damage is conducted in supine or side lying position to assess these sites. If a wheelchair user highlights that they have a pressure area, always ask to see it. Ensure this is done in a private area.


A wheelchair user is at risk of developing a pressure area if they cannot feel or have other risk factors including:
=== Measuring Tools ===
* decreased sensation;
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* decreased mobility and/or paralysis;
* Use a retractable metal tape measure
* moisture from sweat, water or incontinence;
* poor posture;
* previous or current pressure sore;
* poor diet and not drinking enough water;
* ageing;
* weight (underweight or overweight).
 
[[File:Prescence of Pressure Areas.jpeg|frameless|750x750px]]<div align="justify">
 
Mark on Body Diagram:
* areas where the wheelchair user cannot feel; like this: ////
* areas where the wheelchair user has had a pressure sore in the past; like this: O
* areas where the wheelchair user has a current pressure sore; like this: '''•'''
== Identifying the Method of Propulsion ==
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It is important to find out what method of propulsion the wheelchair user will use to push, as this can affect the choice of wheelchair and the way it is set up.
 
[[File:Method of Pushing.jpeg|frameless|750x750px]]
 
== Taking Measurements ==
Five measurements from the wheelchair user are needed to choose the best available size of wheelchair for for a wheelchair user that does not require additional postural support and has good trunk control. <div align="justify"><div align="justify">
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[[File:Taking Measurements.jpeg|frameless|750x750px]]
 
==== Measuring Tools ====
* Use a retractable metal tape measure  
* clipboards/books can be used to help measure accurately (see How to take body measurements).
* clipboards/books can be used to help measure accurately (see How to take body measurements).
* Large callipers are an additional tool that can be very useful. These can be made locally from wood.
* Large callipers are an additional tool that can be very useful. These can be made locally from wood.
* Foot-blocks can be used to support the wheelchair user’s feet at the correct height.
* Foot-blocks can be used to support the wheelchair user’s feet at the correct height.


==== How To Take Body Measurements ====
=== Process ===
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* Ask the wheelchair user to sit as upright as possible.
* Ask the wheelchair user to sit as upright as possible.
* The wheelchair user’s feet should be supported on the floor or on foot-blocks if they cannot reach the floor comfortably.
* The wheelchair user’s feet should be supported on the floor or on foot-blocks if they cannot reach the floor comfortably.
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[[File:Measuring.jpeg|frameless|750x750px]]
[[File:Measuring.jpeg|frameless|750x750px]]
== Specific Measurements ==
A well-fitted seating and wheeled mobility system requires a ‘made-to-measure’ solution. Generally, the more seating surface that is in contact with the client, the more body measurements need to be obtained for a wheelchair prescription.
=== Basic Measurements ===
Five measurements from the wheelchair user are needed to choose the best available size of wheelchair for for a wheelchair user that does not require additional postural support and has good trunk control.
=== Intermediate Measurements ===
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[[File:Taking Measurements.jpeg|frameless|750x750px]]


== Resources  ==
== Resources  ==

Revision as of 00:36, 18 July 2018

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Naomi O'Reilly, Rucha Gadgil, Amrita Patro, Olajumoke Ogunleye and Kim Jackson  

Introduction[edit | edit source]

Accurate measurement of the client will enable clinicians to:

  • Correctly size trial equipment for the client
  • Reduce the number of client transfers and improve time management by pre-setting the seating and wheeled mobility equipment according to body measurement prior to an appointment
  • Have an accurate reference for the final seating configuration and any future equipment trials, and
  • Outline the clinical reasoning behind the specifications of wheeled mobility prescriptions in funding applications.

Preparations[edit | edit source]

Measuring Tools[edit | edit source]

  • Use a retractable metal tape measure
  • clipboards/books can be used to help measure accurately (see How to take body measurements).
  • Large callipers are an additional tool that can be very useful. These can be made locally from wood.
  • Foot-blocks can be used to support the wheelchair user’s feet at the correct height.

Process[edit | edit source]

  • Ask the wheelchair user to sit as upright as possible.
  • The wheelchair user’s feet should be supported on the floor or on foot-blocks if they cannot reach the floor comfortably.
  • For all measurements, make sure the tape measure is held straight and the wheelchair user is sitting upright. Holding a clipboard/book on either side of the wheelchair user can help in obtaining an accurate measurement.
  • Bend down to ensure you are viewing the tape measure at the correct angle.

Measuring.jpeg


Specific Measurements[edit | edit source]

A well-fitted seating and wheeled mobility system requires a ‘made-to-measure’ solution. Generally, the more seating surface that is in contact with the client, the more body measurements need to be obtained for a wheelchair prescription.

Basic Measurements[edit | edit source]

Five measurements from the wheelchair user are needed to choose the best available size of wheelchair for for a wheelchair user that does not require additional postural support and has good trunk control.

Intermediate Measurements[edit | edit source]

Taking Measurements.jpeg

Resources[edit | edit source]

References[edit | edit source]