Wheelchair Propulsion by Foot: Assessment Considerations
By Buck, Sheila, BSc, OT, ATP; Topics in Stroke Rehabilitation, Vol. 11, No. 4, pp. 68-71Publication Date: Fall 2004
Article discusses the assessment process involved in the use of the feet to assist with wheelchair propulsion among people who have had a stroke with resulting hemiparesis. Three main assessment considerations are detailed: (1) physical considerations, (2) functional considerations, and (3) environmental considerations. In order to achieve wheelchair foot propulsion, the individual must follow a gait pattern that involves a heel strike, mid stance, and toe off sequence. The physical considerations to consider in the assessment process include seat height to allow for the new gait pattern, seat depth to allow for knee flexion, a stable base of back and seat support, and a high friction surface for the seat and shoe. The functional considerations include standing transfers, full-length armrests, comfortable back cane height, attendant care, psychosocial factors, and motivation. Environmental considerations are listed as ground clearance, caster size, table height for activities, and the layout of the environment.
Published by: Thomas Land Publishers, Inc. (Website:http://www.thomasland.com)
National Stroke Association (Web Site: http://www.stroke.org )
This publication is included in the library of the National Rehabilitation Information Center (NARIC), accession number J49052
