This document provides a wheelchair assessment form for collecting information about a patient's medical history, physical abilities, and needs for wheelchair seating and mobility equipment. The form collects details on diagnosis, posture, range of motion, strength, sensation, skin integrity, functional mobility, communication abilities, and environmental factors. Measurement data and photos are also included. Recommendations are made for specific wheelchair components to meet the patient's needs and facilitate independence.
Over the past decade, technology and research have greatly expanded the functionality and aesthetics of prosthetic feet. Today, amputees have a wide array of feet from which to choose. Various models are designed for activities ranging from walking, dancing and running to cycling, golfing, swimming and even snow skiing.
این پاورپوینت توسط دکتر محمد خیاط زاده در کارگاه ارزیابی و توانبخشی مشکلات راه رفتن در کودکان مبتلا به فلج مغزی ارائه شده است.
برای مطالعه مطالب بیشتر در این زمینه، لطفا به وب سایت فروردین مراجعه کنید:
www.farvardin-group.com
این پاورپوینت در کارگاه عملی ارزیابی و توانبخشی مشکلات راه رفتن در کودکان فلج مغزی دکتر خیاط زاده ارائه شده است. برای مطالعه مطالب بیشتر در این زمینه به وب سایت فروردین مراجعه کنید.
WWW.FARVARDIN-GROUP.COM
Over the past decade, technology and research have greatly expanded the functionality and aesthetics of prosthetic feet. Today, amputees have a wide array of feet from which to choose. Various models are designed for activities ranging from walking, dancing and running to cycling, golfing, swimming and even snow skiing.
این پاورپوینت توسط دکتر محمد خیاط زاده در کارگاه ارزیابی و توانبخشی مشکلات راه رفتن در کودکان مبتلا به فلج مغزی ارائه شده است.
برای مطالعه مطالب بیشتر در این زمینه، لطفا به وب سایت فروردین مراجعه کنید:
www.farvardin-group.com
این پاورپوینت در کارگاه عملی ارزیابی و توانبخشی مشکلات راه رفتن در کودکان فلج مغزی دکتر خیاط زاده ارائه شده است. برای مطالعه مطالب بیشتر در این زمینه به وب سایت فروردین مراجعه کنید.
WWW.FARVARDIN-GROUP.COM
In this ppt, there is various types of hip orthoses were disscussed according to various types of hip pathologies like developmental dysplasia of hip, legg calve perthes disease, spina bifida, cerebral palsy, lower extremity weakness and paralysis, torsional deformities.
also various types hip orthoses with HKAFOS were discussed from the conventional design to most advanced design like post operative hip orthoses for hip reconstruction surgery etc.
Wheelchair is truly is mobility orthosis.
A properly prescribed wheelchair can be useful device in reintegrating a person with a disability into the community.
In this ppt, there is various types of hip orthoses were disscussed according to various types of hip pathologies like developmental dysplasia of hip, legg calve perthes disease, spina bifida, cerebral palsy, lower extremity weakness and paralysis, torsional deformities.
also various types hip orthoses with HKAFOS were discussed from the conventional design to most advanced design like post operative hip orthoses for hip reconstruction surgery etc.
Wheelchair is truly is mobility orthosis.
A properly prescribed wheelchair can be useful device in reintegrating a person with a disability into the community.
Posture - a perquisite for functional abilities in daily life. Posture is a combination of anatomy and physiology with inherent application of bio-mechanics and kinematics. Sitting, standing, walking are all functional activities depending on the ability of the body to support that posture to carry out each activity. Injuries and pathologies either postural or structural can massively change the bio-mechanics of posture and thus affect functional abilities.
Posture is a “position or attitude of the body a relative arrangement of body part
for a specific activity or a characteristic manner of bearing the body”.
Powerpoint Search Engine has collection of slides related to specific topics. Write the required keyword in the search box and it fetches you the related results.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
1. College for Vocational Training
Wheelchair assessment and referral form
Instructions
A current wheelchair assessment of a wheelchair must be conducted by a Physiotherapist must be completed for
or modifications (including new system seating’s)
Information
First name - Last Name-
Date of Birth- Date of Assessment-
Height - Weight-
Diagnosis-
I Neurological factors
Indicative muscle tone: Hypertonic Hypotonic Abs. Fluctuating others
Describe muscle tone:
Describe active movements affected by muscle tone:
Describe passive movements affected by muscle tone:
Describe reflexes present(if any):
II. Postural Control
Head control Good Fair Poor None
Trunk control Good Fair Poor None
Upper extremities Good Fair Poor None
Lower extremities Good Fair Poor None
Description and pictoral representation of posture:
III.Medical surgical history and plans:
Is there any history of decubitus/skin breakdown? Yes No
If yes please explain:
2. Describe orthopedic conditions and/ or range of motion requiring special consideration (i.e., contractures,
degree of spinal curvature, etc.):
Describe other physical limitation or concerns (i.e., respiratory):
Describe any recent changes in medical/Physical/functional status:
Brief description if the child/adult has undergone any surgery:
IV. Functional assessment
Ambulatory status: Non ambulatory With assistance Short distance only
Community ambulatory
Description:
Indicate the child’s /adults ambulatory potential: Already using a wheel chair
Expected in 1 year Not expected Expected in future __ Years.
Description:
IV. Functional assessment:
Is the child/adult totally dependent on W/C? Yes No
If No, please explain:
Indicate the child/adults transfer capacities: Maximum assistance
Moderate assistance Minimum assistance None
Notes:
Is the child/adult tube fed? Yes No
If yes please explain:
Feeding: Maximum assistance Moderate assistance Minimum assistance None
Notes:
3. Dressing: Maximum assistance Moderate Minimum assistance None
Notes: He needs full assistance in dressing and undressing.
Describe the activities performed in wheelchair: (Mobility,feeding,socializing with peers, school, home, family,
engaging in community activity)
TRANSPORTATION:
Car Van Bus Bike Other : Sits in wheelchair during transport
Where is w/c stored during transport? Tie Downs
Self Driver Drive while in Wheelchair yes no
Employment:
Specific requirements pertaining to mobility
School:
Specific requirements pertaining to mobility
Other:
FUNCTIONAL/SENSORY PROCESSING SKILLS:
Handedness: Right Left NA Comments:
Functional Processing Skills for Wheeled Mobility
Processing Skills are adequate for safe wheelchair operation
Comments:
COMMUNICATION:
Verbal Communication WFL receptive WFL expressive Difficult to understand non-communicative
Uses an augmentative communication device
AAC Mount Needed:
SENSATION and SKIN ISSUES:
Sensation Pressure Relief:
Intact Impaired Absent Able to perform effective pressure relief : Yes No
Hyposensate Hypersensate Method:
If not, Why?:
Defensiveness
Level of sensation:
Skin Issues/Skin Integrity
Current Skin Issues Yes No History of Skin Issues Yes Hx of skin flap surgeries Yes No
Intact Red area Open Area No Where ________________________
Where When _________________________
Scar Tissue At risk from prolonged sitting
Where ___________________________ ________________________
When
_________________________
4. Complaint of Pain: Please describe
ADL STATUS (in reference to wheelchair use):
Indep Assist Unable Indep Not Comments
with assessed
Equip
Dressing
Eating Describe oral motor skills
Grooming/Hygiene
Meal Prep
IADLS
Comments:
Bowel Mngmnt: Continent Incontinent Accidents
Comments:
Bladder Mngmnt: Continent Incontinent Accidents
CURRENT SEATING / MOBILITY:
Current Mobility Base: None Dependent Dependent with Tilt Manual Scooter Power Type of Control:
Current Condition of Mobility Base:
Current Seating System: Age of Seating System:
COMPONENT MANUFACTURER/CONDITION
Seat Base
Cushion
Back
Lateral trunk supports
Thigh support
Knee support
Foot Support
Foot strap
Head Support
Pelvic Stabilization
Anterior Chest/Shoulder
Support
UE Support
Other
When relevant: Overall seat height Overall w/c length Overall w/c width
Describe posture in
present seating system:
V. Environmental assessment
Describe the place where Wheel chair is going to be used(home/school):
5. Is the home/School accessible for W/C? Yes No
Are there ramps in home/School? Yes No Needs modification
RECOMMENDATION / GOALS :
MANUAL WHEELCHAIR POV POWER WHEELCHAIR: POSITIONING SYSTEM(TILT/RECLINE) SEATING
WHEELCHAIR SKILLS:
Indep Assist Dependent/ N/A Comments
unable
Bed ↔ w/c Chair Transfers
w/c ↔ Commode Transfers
Manual w/c Propulsion:
UE or LE strength and Arm : left right Both
endurance sufficient to participate in Foot: left right Both
ADLs using manual wheelchair
Operate Scooter
Strength, hand grip, balance , transfer appropriate for use.
Living environment appropriate for scooter use.
Operate Power w/c: Std. Joystick
Safe Functional Distance
Operate Power w/c: w/ Alternative
Controls
Safe Functional Distance
MOBILITY/BALANCE:
Balance Transfers
Ambulation
Sitting Balance: Standing Balance
Independent Independent
WFL WFL Min Assist Ambulates with Asst
Uses UE for balance in sitting Min assist Mod Asst Ambulates with Device
Min Assist Mod assist Max assist Indep. Short Distance Only
Mod Assist Max assist Dependent Unable to Ambulate
Max Assist Unable Sliding Board
Unable Lift / Sling Required
Comments:
6. MAT EVALUATION :
A
F
G C
H B
I D
J
K L
E
M
N
O
Measurements in Sitting: Left Right
A: Shoulder Width
B: Chest Width H: Seat to Top of Shoulder
C: Chest Depth (Front – Back) I: Acromium Process (Tip of Shoulder)
D. Hip width J: Inferior Angle of Scapula
E. Between Knees K: Seat to Elbow
F. Top of Head L: Seat to Iliac Crest
G. Occiput M: Upper leg length
++ Overall width (asymmetrical width for N: Lower leg length
windswept legs or scoliotic posture
O: Foot Length
Additional Comments:
Hamstring flexibility: Pelvis to thigh angle accommodate greater than 90 Thigh to calf angle accommodate less than 90
Describe Reflexes/tonal influence on body:
7. COMMENTS:
POSTURE:
Anterior / Posterior Obliquity Rotation-Pelvis
P
E
L
V
I Neutral Posterior WFL R elev l elev WFL Right Left
S Anterior Anterior Anterior
Fixed Other Fixed Other Fixed Other
Partly Flexible Partly Flexible Partly Flexible
Flexible Flexible Flexible
TRUNK Rotation-shoulders and upper
Anterior / Posterior Left Right trunk
Neutral
WFL ↑ Thoracic ↑ WFL Convex
Convex Left-anterior
Lumbar
Kyphosis Left Right-anterior
Lordosis Right
c-curve s-curve
multiple
Fixed Flexible Fixed Flexible Fixed Flexible
Partly Flexible Other Partly Flexible Partly Flexible Other
Other
Describe LE Neurological Influence/Tone:
Position Windswept
Hip Flexion/Extension
Limitations:
H
I
P
S Neutral Abduc ADduct Neutral Right Left
8. Fixed Fixed Other
Subluxed Partly Flexible
Partly Flexible
Hip Internal/External
Dislocated Range of motion Limitations:
Flexible Flexible
Knee R.O.M.
Foot Positioning
Left Right WFL L R
KNEES WFL WFL ROM concerns:
& Limitations Dorsi-Flexed L R
Limitations
FEET Plantar Flexed L R
Inversion L R
Eversion L R
COMMENTS:
Posture:
Good Head Control Describe Tone/Movement
HEAD of head and Neck:
Functional
& Flexed Extended Adequate Head Control
Rotated L Lat Flexed Limited Head Control
NECK L
Rotated R at Flexed R
Cervical Hyperextension Absent Head Control
Upper R.O.M. for Upper Describe
Extremity SHOULDERS Extremity Tone/Movement of UE:
WNL
WFL
Limitations:
Left Right
Functional
Functional
elev / dep elev / dep UE Strength Concerns:
pro-retract pro- N/A
retract
None
subluxed subluxed
Concerns:
R.O.M.
ELBOWS
Left Right
9. Strength concerns:
Left Right Strength / Dexterity:
WRIST
&
Fisting
HAND
Goals for Wheelchair Mobility
Independence with mobility in the home and motor related ADLs (MRADLs) in the community
Independence with MRADLs in the community
Provide dependent mobility
Provide recline
Provide tilt
Goals for Seating system
Optimize pressure distribution
Provide support needed to facilitate function or safety
Provide corrective forces to assist with maintaining or improving posture
Accommodate client’s posture: current seated postures and positions are not flexible or will not tolerate corrective
forces
Client to be independent with relieving pressure in the wheelchair
Enhance physiological function such as breathing, swallowing, digestion
Simulation ideas:
Equipment trials:
State why other equipment was unsuccessful:
SEATING COMPONENT RECOMMENDATIONS AND JUSTIFICATION
Component Manuf/mod/size Justification
Seat Cushion accommodate impaired stabilize pelvis
sensation accommodate obliquity
decubitus ulcers present accommodate multiple
prevent pelvic extension deformity
low maintenance neutralize LE
increase pressure
10. distribution
Seat Wedge accommodate ROM Provide increased
aggressiveness of seat shape
to decrease sliding down in the
seat
Cover Replacement protect back or seat cushion
Mounting fixed attach seat platform/cushion to mount headrest
hardware w/c frame swing medial thigh
lateral trunk supports swing away for: attach back cushion to w/c support away
headrest frame swing lateral supports
away for transfers
medial thigh support
back seat
Seat Board support cushion to prevent allows attachment of
Back Board hammocking cushion to mobility base
Back provide lateral trunk support provide posterior trunk
accommodate deformity support
accommodate or decrease tone provide lumbar/sacral
support
facilitate tone
support trunk in midline
Lateral pelvic/thigh pelvis in neutral accommodate tone
support removable for transfers
accommodate pelvis
position upper legs
Medial Knee decrease adduction remove for transfers
Support accommodate ROM alignment
Foot Support position foot stability
accommodate deformity decrease tone
control position
Ankle strap/heel support foot on foot support provide input to heel
loops decrease extraneous protect foot
movement
Lateral trunk R L decrease lateral trunk leaning safety
Supports accom asymmetry control of tone
contour for increased contact
Anterior chest decrease forward movement of added abdominal
strap, vest, or shoulder support
shoulder retractors accommodation of TLSO alignment
decrease forward movement of assistance with shoulder
trunk control
decrease shoulder
elevation
Component Manuf/mod/size Justification
Headrest provide posterior head support improve respiration
11. provide posterior neck support placement of switches
provide lateral head support safety
provide anterior head support accommodate ROM
support during tilt and recline accommodate tone
improve feeding improve visual orientation
Neck Support decrease neck rotation decrease forward neck flexion
Upper R L decrease edema decrease gravitational pull on
Extremity decrease subluxation shoulders
Support control tone provide midline positioning
Arm trough provide work surface provide support to increase
Posterior hand UE function
placement for
support AAC/Computer/EADL provide hand support in natural
½ tray position
full tray
swivel mount
Pelvic stabilize tone pad for protection over boney
Positioner decrease falling out of chair/ prominence
Belt **will not decrease potential for prominence comfort
SubASIS bar sliding due to pelvic tilting special pull angle to control
prevent excessive rotation rotation
Dual Pull
Bag or pouch Holds: diapers catheter/hygiene
medicines special food ostomy supplies
orthotics clothing
changes
Other