Guidelines for the prescription of a seated wheelchair or ...
Guidelines
for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury
Guidelines for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury
This publication is endorsed by Occupational Therapy (OT) Australia ? NSW Division
You may copy, distribute, display and otherwise freely deal with this work for any purpose, provided that you attribute the LTCSA and EnableNSW as the owners. However, you must obtain permission if you wish to (1) charge others for access to the work (other than at cost), (2) include the work in advertising or a product for sale, or (3) modify the work.
ISBN: 978-1-921422-18-8
Suggested citation:
EnableNSW and Lifetime Care & Support Authority, Guidelines for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury. EnableNSW and LTCSA Editor, 2011, Sydney.
For further copies
contact EnableNSW on enable@hss.health..au Lifetime Care on enquiries@lifetimecare..au
download from
EnableNSW
LTCSA
? EnableNSW and Lifetime Care & Support Authority
First edition 2011 A guideline review is scheduled for 2016
It is anticipated that a literature search will be undertaken and the guidelines reviewed and updated where appropriate in 2016.
2 Guidelines
for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury
Working party members
Name Jeanine Allaous
Position
Senior Occupational Therapist Brain Injury
Organisation Royal Rehabilitation Centre
Adrian Byak
Physiotherapist Spinal Cord Injury
Danielle Collins Allie Di Marco Linda Elliott
Senior Occupational Therapist Spinal Cord Injury
Occupational Therapist Spinal Cord Injury
Statewide Equipment Advisor
Bill Fisher
Rehabilitation Engineer
Kate Hopman
Greg Killeen Suzanne Lulham Jodie Nicholls
Senior Occupational Therapist Traumatic Brain Injury
Consumer representative
Director, Service Delivery
Senior Occupational Therapist Brain Injury
Thi Hong Nguyen Sally Oates
Consumer representative Project Officer
Lesley Radbron Lyndall Ross Charisse Turnball
Sue Lukersmith
Senior Service Development and Review Officer
Senior Occupational Therapist Brain Injury
Senior Occupational Therapist Project Officer and author of Spinal Seating education website
Project Officer Author
Assistive Technology Seating Service Northern Sydney Central Coast Health Service Private Practice Prince of Wales Hospital Spinal Unit
Private practice
EnableNSW Health Support Services NSW Health Assistive Technology Seating Service Northern Sydney Central Coast Health Service Liverpool Hospital Brain Injury Rehabilitation Unit
Lifetime Care & Support Authority Westmead Brain Injury Rehabilitation Unit
Representative of Occupational Therapy Australia ? NSW Division
EnableNSW Health Support Services NSW Health Lifetime Care & Support Authority
Mid Western Brain Injury Rehabilitation Program State Spinal Cord Injury Service Seating professional development program
Lifetime Care & Support Authority / EnableNSW
Guidelines 3
for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury
Conflict of interest
At the beginning of the guidelines development process the working party members were required to declare any real or perceived conflict of interest. One member declared the potential for a perceived conflict of interest because a family member was employed by a supplier. It was anticipated that only wheelchair features would be discussed, not suppliers or brands. Nevertheless, the working party decided and documented that if those topics arose, the party member with the potential conflict of interest would be excluded from the discussion. However, those subjects were not discussed and no conflict of interest occurred.
Acknowledgments
External reviewers (international, national, NSW and interstate)
EnableNSW and LTCSA wish to thank the more than 25 individuals, specialist services, consumer organisations and professional associations who reviewed and in some instances trialled parts of the guidelines during their development. They are listed in Appendix 1.
4 Guidelines
for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury
Contents
Foreword
7
Executive summary
9
1. Introduction
10
2. Methodology and evidence for recommendations
12
3. Framework and approach
15
4. Ethics
17
5. Goals and evaluation
18
5.1 Goals
18
5.2 Evaluation and outcome measures
20
6. Assessment and review
23
6.1 When and where to assess
23
6.2 Order of prescription of the seating system and wheelchair
24
6.3 Review
24
6.4 Client changes
24
6.5 Reasons for non-use
25
7. Capacity and performance
26
7.1 Physical capacity
26
7.2 Decision making capacity
27
7.3 Psycho-social and behavioural considerations
28
7.4 Cognition and perception
28
7.5 Sensory impairments
30
7.5.1 RTA requirements
30
7.5.2 Vision
30
7.5.3 Hearing
31
7.6 Upper limb capacity and risk of injury
32
7.6.1 Upper limb capacity
32
7.6.2 Upper limb injury
34
7.7 Cardiovascular fitness
39
7.8 Co-morbid conditions
39
7.9 Alcohol, prescribed medications and illicit drug use.
40
7.10 Long-term need
40
7.11 Health and safety concerns
41
7.12 Two wheelchairs
45
Guidelines 5
for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury
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