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DYNAMIC REP
OSITIONING
T
O F
ACILIT
A
TE
TRANSFE
RS
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2
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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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