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Power Wheelchair Advanced Features

Power Wheelchair Advanced Features
Michelle Lange, OTR/L, ATP/SMS
March 22, 2021

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Editor’s note: This text-based course is a transcript of the webinar, Power Wheelchair Advanced Features, presented by Michelle Lange, OTR, ABDA, ATP/SMS.

Learning Outcomes

  • After this course, participants will be able to apply knowledge about 3 non-driving features that can be controlled through the driving method.
  • After this course, participants will be able to apply knowledge about 3 devices that can be controlled through power wheelchair Bluetooth using the driving method.
  • After this course, participants will be able to apply knowledge about clinical indicators for interfacing external AT devices through the driving method.
  • After this course, participants will be able to apply knowledge about SMART wheelchair technologies.

Introduction

Thank you for joining us today for this webinar on Power Wheelchair Advanced Features. We have two hours of intense content. If you are not overly familiar with a power wheelchair, the electronics, and how that works right now, that is okay. I hope that this provides some new information that helps you help the clients you serve.

For my disclosures, I have received an honorarium for producing and presenting this course. I also provide education and consultation to two companies that produce power wheelchair-related technologies, Stealth Products and LUCI. Despite this, I attempt to provide all of this information as objectively as possible and use various equipment from different manufacturers' products myself. This learning event, as such, is not going to focus on a particular type of product or manufacturer.

What We Will Be Covering

  • Non-driving power wheelchair functions
  • Bluetooth
  • Infrared
  • Interfacing
  • SMART technologies

Today, we are going to be covering non-driving power wheelchair functions. You can do quite a bit with these power wheelchairs besides drive them from point A to point B. We will talk specifically about Bluetooth features of a power wheelchair, infrared, interfacing, and some of our newer smart technologies that are just becoming available to power wheelchair users. In addition to a PDF of the PowerPoint, I have included a chart that compares the features of the four main power wheelchair packages that are available on the market.

Non-driving Power Wheelchair Functions

We are going to start with non-driving power wheelchair functions.

Power Wheelchairs - The Main Goal

  • Power wheelchairs are designed to provide an alternative means of moving throughout the environment for people who cannot ambulate or self-propel any manual wheelchair.
    • Ambulation:
      • The client may not be able to ambulate at all, is inefficient, or is unsafe (i.e., fall risk).
    • Self-propulsion
      • The client may not be able to functionally self-propel.

The power wheelchair's main goal is to provide a means of moving through the environment for people who are either unable to ambulate or unable to self propel any type of manual wheelchair. Some people use a power chair with limited ambulation, but this ambulation may not be efficient or safe. Perhaps, they are a fall risk. Some clients might use a power chair who have some ability to self propel a manual chair, but it may not be functional, meaning it takes up too much time or effort. In these cases, we would want to explore a power wheelchair.

Power Wheelchairs – What Else Do They Do?

  • In addition to Driving (varies by PWC electronics system):
    • Power seating
    • Bluetooth (BT) Mouse emulation or switch output
    • Interfacing to external AT devices
    • Infrared transmission
    • Charging port for USB devices
    • Some information provision
      • Battery status, speed, miles traveled, clock, diagnostics
      • Monitoring: i.e., daily drive time/distance, how many hours PWC on, power seating activity
      • Notifications: reminders

Power wheelchairs can do lots of things. This varies by the specific power wheelchair electronics system. First, there is power seating. This includes power tilt, power recline, elevating leg rests, seat elevators, and stand features. All of this allows the client to change their position and shift their weight for pressure management within their power wheelchair.

We also have the ability to emulate a mouse or switch output using Bluetooth. This provides control of several devices outside of the wheelchair, such as smartphones, tablets, or other communication devices

...

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michelle lange

Michelle Lange, OTR/L, ATP/SMS

Michelle Lange is an occupational therapist with over 38 years of experience and has been in private practice, Access to Independence, for over 19 years, where she currently focuses on education and consultation. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. She is the co-editor of Seating and Wheeled Mobility: a clinical resource guide (1st & 2nd eds). Michelle is a RESNA Fellow and a RESNA-certified ATP and SMS. She is also a member of the Clinician Task Force. 



Related Courses

Wheelchair Positioning: Postural Care
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
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The goals of wheelchair seating include managing posture and pressure as well as providing stability for function. Postural care addresses positioning outside of the wheelchair, particularly during sleep, and can be used to improve the quality and duration of sleep, promote health and maintain safety during sleep, as well as to minimize, prevent and even reverse orthopedic changes.

Wheelchair Mobility: Optimizing Driving in Power Wheelchairs
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Power wheelchair evaluation determines appropriateness for power wheelchair use and then determines the optimal power wheelchair base, power seating, driving method and other needed components. Optimizing power wheelchair driving is critical to improve outcomes and includes choosing the best drive wheel configuration, utilizing tracking technologies, and programming.

Dynamic Seating
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Dynamic seating has four primary functions – to allow movement, to diffuse force, to protect the client, and to protect the seating system and mounting hardware. This course will take a look at the product options, discuss clinical indicators and contra-indicators for dynamic components and present case studies to illustrate these points.

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This course will discuss various strategies to optimize head position. First, we will explore strategies beyond the head support, including specific positioning interventions and addressing visual issues. Second, we will explore posterior head supports in depth, matching specific features to client needs. Third, we will explore other options which may be required if posterior support alone is inadequate, including anterior head support.

Positioning the Pelvis
Presented by Michelle Lange, OTR, ABDA, ATP/SMS
Recorded Webinar
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The position of the pelvis very much determines the position of the trunk and lower extremities and so achieving and maintaining the optimal position is critical. This course will present common pelvic asymmetries with suggested strategies to address each challenge. Providing as neutral a pelvic position as possible improves overall posture, stability and function.