Wheelchair Prescription & Positioning

Jessica presents with a C6 spinal cord injury and is being fitted for a wheelchair. She has full innervation of the deltoids, biceps, and wrist extensors but lacks active triceps function. The patient requires independence in propulsion and activities of daily living. During assessment, she demonstrates forward shoulder positioning and mild scapular instability. Which wheelchair feature is MOST appropriate to optimize the patient’s function and minimize shoulder strain?A) Reclining backrest to improve postural supportB) Lightweight frame with adjustable axle positionC) High backrest to improve scapular stabilityD) Elevating leg rests to reduce shoulder loadingDOWNLOAD THIS EPISODE'S CHEATSHEET: www.nptecheatsheet.com/wheelchair-prescription