Wheelchair Power Mobility Assessment: Nonproportional Driving Methods

presented by Michelle L. Lange, OTR/L, ABDA, ATP/SMS

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Disclosure Statement:

Financial: Michelle Lange is consultant for Stealth Products which is manufacturer of wheelchair seating and mobility, LUCI- manufacturer of smart wheelchair technology and AbleNet – manufacturer of switches. Michelle Lange receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Michelle Lange has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 60 Minutes; Learning Assessment Runtime: 29 Minutes

Most people who use a power wheelchair use a joystick; however, some drivers are unable to control a power wheelchair with this driving method. A wide variety of driving methods are available, including proportional and nonproportional driving methods. This course will present nonproportional driving methods, including head-controlled options, sip 'n puff, switch arrays (including mechanical, proximity, and fiber-optic), and eye gaze. Case studies are included. Clinicians need to be familiar with power wheelchair driving methods in order to participate in the evaluation process. This course will present specific power wheelchair nonproportional driving methods and clinical indicators for each.

Meet Your Instructor

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Michelle is an occupational therapist with 35 years of experience and has been in private practice, Access to Independence, for over 15 years. She is a well-respected lecturer, both nationally and internationally, and has authored numerous texts, chapters, and articles. She is the coeditor of Seating and Wheeled Mobility: A Clinical Resource Guide; editor of…

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Download the learning objectives for Wheelchair Power Mobility Assessment: Nonproportional Driving Methods.

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1. Nonproportional Driving Methods

This chapter will present a definition and introduction to nonproportional, or digital, power wheelchair driving methods. Proximity and fiber-optic switches, clinical indicators, and mounting options will be presented.

2. Head Control

This chapter will present driving methods that require good head control, including GyroSet, Magitek, and RIM. Head arrays that require fair to good head control will also be presented in the context of clinical indicators.

3. Sip ‘n Puff and Switch Control

This chapter will present sip ‘n puff control and four switch arrays to provide independent mobility for clients who fit the clinical indicators for each. Any type of switch and switch site can be combined to meet an individual’s needs.

4. When Nothing Else Works

When nothing else works, it is possible to drive a power wheelchair with only one, two, or three switches. Specific options and clinical indicators will be presented. Eye gaze as a driving method will be included.

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